Chapter 3: Guidelines for the Management of HIV-Positive Patients
This chapter contains the treatment guidelines and protocols used by PIH for the management of HIV in rural Haiti and Rwanda. It discusses the provision of basic health care, the prevention and treatment of opportunistic infections, and the use of ART for adults and children with AIDS. The recommendations in this section are intentionally broad so as to allow for the clinical management of HIV and its related complications in settings with limited laboratory capacity. While expanding access to modern diagnostics should be a goal of global AIDS control, the absence of such diagnostics should not preclude the implementation and scale-up of comprehensive HIV programs. In fact, much of the care of HIV patients can be undertaken based on clinical assessment alone.
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Palliative care
Congratulations on the creation of what appears to be an incredible contribution to the care and treatment of patients with HIV/AIDS around the world. I hope that you are going to add a separate chapter on palliative care for AIDS patients as you know that this is now an accepted essential component of AIDS care and treatment by all international organizations including UNAIDS, USAID, PEPFAR, Global Fund. Palliative care should be delivered concurrently with ARV therapy and studies show that palliative care increases patient adherence.
Please don't leave this out of your site.
Thanks for all you are doing around the world to improve the lives of patients and families living with HIV/AIDS
Mary Callaway
Director, International Palliative Care Initiative
Open Society Institute, Public Health Program
400 West 59th Street
New York, New York 10019