ABSTRACT
The following publication provides specific guidance for improving and scaling up prevention of mother-to-child-transmission (PMTCT) programs; based on what progam managers and evaluators identify as successful strategies. It also draws on the equally valuable experiences of PMTCT programs elsewhere and on the expertise of managers of national and international PMTCT technical support programs
Subject(s)
HIV , HIV Infections , Women's HealthABSTRACT
Objective: To assist health workers in diagnosis and treatment and rational use of drugs in symptomatic HIV infection. Methods: The different stages of the development and evaluation: 1. Development of draft guidelines through national consensus of policy makers; programme managers and AIDS Care workers. 2. Training of personnel in selected health units in the use of the guidelines. 3. Field testing of the guidelines for a period of 5 months. 4. Evaluation workshop. 5. Second National Consensus Seminar. Results and Conclusions: 1. The guidelines were applicable in the field and were mostly used by nurses and medical assistants. 2. Restriction of the number of drugs was difficult because of the multiple complaints of the patients: 24; of the patients received more than 3 different drugs. 3. Most conditions were easily managed but for chronic diarrhoea only 40of the health workers adhered to the treatment guidelines. 4. Further training with regular evaluation is required in the use of the guidelines