Treatment

The goals of treatment care support include but not limited to improving the quality of life of people living with HIV and those who have transitioned to AIDS

Core areas of Coordination:

  1. To facilitate the development of thematic area policies, guidelines, Standard Operational Procedures (SOP)
  2. To ensure alignment of each thematic area response plan to the national HIV and AIDS strategic frame work
  3. Facilitates the establishment of Technical Working Groups at all appropriate levels
  4. Facilitate the identification of implementation gap and provide advice to Ministry of Health

IMPLEMENTATION AREAS:

HIV Testing Counselling (HTC), Anti-Retroviral Therapy (ART), TB/HIV Co infection, Community Based Care and Support Services, Palliative care and Rehabilitative services and Care and Support for Health Care Workers

HIV TESTING COUNSELLING (HTC)

By 2011 almost 40% of the population had never tested for HIV and do not know their HIV status. According to the MICS (2010) survey only 40% of people aged 15 - 49 had tested for HIV during the last 12 months preceding the MICS survey (2010). The low testing rate presents a challenge in providing targeted prevention and treatment care and support services in both adults and children.

This program ensures that:

  1. Health facilities provide HIV testing and Counselling services and takes into account issues of quality assurance.
  2. Laboratory: ensures that the right reagents are procured, for instance, HIV Test kits
  3. Home-based tests are conducted and almost all health facilities are offering HIV testing and counselling services.

ANTI RETROVIRAL THERAPY (ART) ensures that:

  1. More people living with HIV live longer following their enrolment on antiretroviral therapy (ART);
  2. Recently adults with advanced HIV infection receiving antiretroviral combination therapy has increased from 52% in 2008 to 80% in 2011
  3. Children aged 0-14 with advanced HIV infection are receiving antiretroviral combination therapy have increased from 60% in 2008 to 75% in 2011
  4. Nurses are initiating patients on antiretroviral therapy after training on ART initiation. Government is buying ART drugs, external support for other supplies including laboratory commodities.

COMMUNITY BASED CARE AND SUPPORT SERVICES

People aged 18-59 who have been very sick or died within the past 12 months whose households have received basic external support to care for them, has increased from 22% in 2007 to 50% in 2014.

Data collecting tools dissemination to community care providers to ensure quality data

Palliative care and Rehabilitative services:

This intervention ensures that:

  • People trained on palliative care provision have increased from 189 in 2008 to 240 in 2011.
  • Number of facilities with the capacity and conditions to provide Palliative care has increased from two in 2008 to three in 2011 and four in 2014
  • Palliative care providers training on going
  • Guidelines procedure manual already developed.

CARE AND SUPPORT FOR HEALTH CARE WORKERS:

This intervention ensures that:

  • Health Care workers are able to cope with the demands of their roles (jobs)
  • Health workers who have received on-going psychological support has increased from 7% in 2008 to 11% in 2011 and is expected to be at 15% in 2014
  • Health facilities that routinely provide psychosocial support for healthcare workers have increased to 50% in 2011 and 90% in 2014;
  • Currently guidelines for Psychological care provision are being developed.