What are the essential components of HIV treatment and care services in low and middle-income countries: an overview by settings and levels of the health system?

@article{Munderi2012WhatAT,
  title={What are the essential components of HIV treatment and care services in low and middle-income countries: an overview by settings and levels of the health system?},
  author={Paula Munderi and Heiner Grosskurth and Benson Droti and David Anthony Ross},
  journal={AIDS},
  year={2012},
  volume={26},
  pages={S97–S103}
}
Objectives:To review and summarize the essential components of HIV treatment and care services in low and middle-income countries (LMICs). Methods:Literature review and reflection on programmatic experience. Findings:There is increasing recognition that the essential ‘package’ of HIV care must include early identification of HIV-positive people in need of care, appropriate initial and continued counselling, assessment of HIV disease stage, treatment with HAART for those who need it, monitoring… 
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22 Citations
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22 Citations

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Evidence for Action on HIV treatment and care systems in low and middle-income countries: background and introduction
TLDR
The primary aim of this supplement is to stimulate reflection and provide guidance on what should be in the package of HIV treatment and care systems, as national programmes look to maintain the major advances of the past decade and scale-up treatment to the other 50% of people in need of it.
The needs for HIV treatment and care of children, adolescents, pregnant women and older people in low-income and middle-income countries
TLDR
Success in diagnosing and treating HIV-infected adults has turned HIV into a chronic, rather than life-limiting disease, and priorities for development need to focus upon the simplification of HIV care to allow provision for all ages at the primary healthcare level.
Integrating HIV care and treatment into primary healthcare: Are clinics equipped?
TLDR
It is unlikely that the over-burdened health system would be able to cope with an increased number of patients on antiretroviral therapy in the long term, whilst maintaining quality of services, without support being given to PHC clinics.
HIV treatment and care systems: the way forward
TLDR
The key strategies that should be employed to sustain HIV treatment and care programmes in high HIV-prevalence low and middle-income countries over the coming decade include further decentralization, task shifting, and integration of HIV services with other chronic disease treatment services.
HIV, Tuberculosis, and Noncommunicable Diseases: What Is Known About the Costs, Effects, and Cost-effectiveness of Integrated Care?
TLDR
Clinical outcomes and costs of care for NCDs among people living with HIV in LMICs will help to prioritize specific health care services by contributing to an understanding of the affordability and implementation of an integrated approach.
Commonization of HIV/AIDS services in Nigeria: the need, the processes and the prospects
TLDR
Commonization of HIV services i.e. integrating HIV care into the existing fabric of the healthcare system, is highly recommended for a sustainable and efficient healthcare system as it makes HIV services acceptable by all.
HIV and Noncommunicable Disease Comorbidities in the Era of Antiretroviral Therapy: A Vital Agenda for Research in Low- and Middle-Income Country Settings
TLDR
Some of the challenges and opportunities for addressing HIV and NCD comorbidities in low- and middle-income countries are presented, and the research agenda that emerges from the articles that follow is previewed.
Loss to Follow-Up among a Group of Patients with HIV and Severe Mental Illness in South Africa
TLDR
Tracing patients through home visits proved to be an effective means to confirm the magnitude of patients lost to follow up, ascertain their outcomes, and elucidate the reasons for discontinuing care.
Trends in task shifting in HIV treatment in Africa: Effectiveness, challenges and acceptability to the health professions
TLDR
Evidence suggests that task shifting is an effective strategy for addressing human resource constraints in healthcare systems in many countries and provides a cost-effective approach without compromising patient outcomes.
An evaluation of the adequacy of pharmaceutical services for the provision of antiretroviral treatment in primary health care clinics
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