Optimizing Antiretroviral Therapy Delivery for Specific Populations
Differentiated ART delivery for
specific populations
Nathan Ford
WHO
2016…
Stable patients on antiretroviral therapy
The following criteria define stable patients on
antiretroviral therapy*:
• Receiving ART for at least 1 year AND no adverse drug reactions requiring regular monitoring
AND
• No current illnesses or pregnancy AND
• Good understanding of lifelong adherence AND
• Evidence of treatment success: two consecutive undetectable viral load measures (or, in the absence of viral load
monitoring, rising CD4 counts or CD4 counts above 200 cells/mm
3
and objective adherence measure)
*Note: Stable, rapidly growing young children may need to be monitored more frequently due to greater
risk of disease progression and for treatment dosing/ weight changes.
Key points
•
Clinically stable children, adolescents and pregnant and breastfeeding women
as well as members of
key populations
(people who inject drugs, sex workers,
men who have sex with men, transgender people and people living in prisons
and closed settings)
can benefit from access to differentiated antiretroviral
therapy (ART) delivery models
•
Services should be tailored to
keep families together
as much as possible to
simplify access and reduce cost
•
Differentiated ART delivery
can address inequities
in the access to HIV
treatment services and
enable key population communities to be more
involved in HIV treatment and care
•
Extension of differentiated care
to adolescents and pregnant and
breastfeeding women as well as members of key populations has
highlighted
the importance of psychosocial support
and the need to better define
how a
differentiated ART delivery model can provide psychosocial support
components
Transitions between categories of clients in a
differentiated ART delivery approach
Tailored antiretroviral therapy (ART) delivery models benefit stable patients by addressing inequities and involving key populations. Differentiated care extends to adolescents, pregnant women, and key populations, emphasizing psychosocial support. Transitioning between client categories is crucial in a differentiated ART approach. It aims to simplify access, reduce costs, and enhance community involvement in HIV treatment and care.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Differentiated ART delivery for specific populations Nathan Ford WHO #IAS2017 | @IAS_Conference
#IAS2017 | @IAS_conference 2016 Stable patients on antiretroviral therapy The following criteria define stable patients on antiretroviral therapy*: Receiving ART for at least 1 year AND no adverse drug reactions requiring regular monitoring AND No current illnesses or pregnancy AND Good understanding of lifelong adherence AND Evidence of treatment success: two consecutive undetectable viral load measures (or, in the absence of viral load monitoring, rising CD4 counts or CD4 counts above 200 cells/mm3 and objective adherence measure) *Note: Stable, rapidly growing young children may need to be monitored more frequently due to greater risk of disease progression and for treatment dosing/ weight changes.
#IAS2017 | @IAS_conference Key points Clinically stable children, adolescents and pregnant and breastfeeding women as well as members of key populations (people who inject drugs, sex workers, men who have sex with men, transgender people and people living in prisons and closed settings) can benefit from access to differentiated antiretroviral therapy (ART) delivery models Services should be tailored to keep families together as much as possible to simplify access and reduce cost Differentiated ART delivery can address inequities in the access to HIV treatment services and enable key population communities to be more involved in HIV treatment and care Extension of differentiated care to adolescents and pregnant and breastfeeding women as well as members of key populations has highlighted the importance of psychosocial support and the need to better define how a differentiated ART delivery model can provide psychosocial support components
#IAS2017 | @IAS_conference Transitions between categories of clients in a differentiated ART delivery approach
