WHO Consolidated ARV guidelines 2013: chapter 9

Page 1

guidance on

OPERAtions and service delivery

09

9.1 Introduction 174 9.2 Adherence to ART 9.2.1 Barriers to adherence 9.2.2 Interventions to optimize adherence to ART 9.2.3 Monitoring adherence to ART in routine programme and care settings

174 174 176 179

9.3 Retention across the continuum of care 180 9.3.1 Background 180 9.3.2 Good practices for retention across the continuum of care 180 9.4 Service delivery 9.4.1 Good practices in providing chronic care 9.4.2 Integrating and linking services 9.4.3 Decentralizing HIV treatment and care

183 183 183 188

9.5 Human resources 190 9.5.1 Building human resource capacity 190 9.5.2 Task shifting for HIV treatment and care 190 9.6 Laboratory and diagnostic services 192 9.6.1 Overview 192 9.6.2 Implementation considerations and good practices 192 9.6.3 Strengthening and expanding laboratory and diagnostic services 192 9.6.4 Supporting a dedicated specimen referral system 193 9.6.5 Increasing access to HIV viral load testing 193 9.6.6 Expanding diagnostic services to point-of-care settings 193 9.6.7 Providing guidance for developing health workers’ capacity including staff training and certification 195 9.6.8 Implementing comprehensive quality management systems 195 9.7 Procurement and supply management systems 195 9.7.1 Overview 195 9.7.2 Rationale and supporting evidence 195 9.7.3 Implementation considerations and good practices 196

Goal of this chapter To provide guidance on key issues related to operations and service delivery that need to be addressed to strengthen the continuum of HIV care and further integrate the provision of ARV drugs into health systems.


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