Delivery of care

Delivery of care features

• Quality of health services is key in encouraging or discouraging people from HIV testing in Africa

  The uptake of HIV testing in sub-Saharan Africa is influenced by the quality and manner in which health services are delivered, according to a review of 42 qualitative...

  From:  News

• 

  HIV and TB in Practice for nurses: Drug-resistant TB

  This article summarises the key recommendations on the diagnosis and treatment of drug-resistant TB for nurses, and highlights examples of best practice in their care....

  From:  HIV & AIDS treatment in practice

• 

  HIV and TB in Practice for nurses: TB infection control

  This article provides practical information for nurses on TB infection control....

  From:  HIV & AIDS treatment in practice

• 

  Point-of-care (POC) diagnostics are essential to achieving an AIDS-free generation and improving outcomes in HIV-exposed children

  This edition reviews recent evidence on point-of-care testing, on tests in development, and looks at experience of optimising performance of dried blood spot sampling....

  From:  HIV & AIDS treatment in practice

• 

  HIV and TB in Practice for nurses: Starting ART for treatment and prevention in people with active TB and HIV

  This article provides information for nurses on starting HIV treatment for people with HIV and active TB....

  From:  HIV & AIDS treatment in practice

• 

  The bottom line in clinical care: The new BHIVA standards

  Gus Cairns summarises this important new document. ...

  From:  HIV treatment update

• 

  HIV and TB in Practice for nurses: TB symptom screening and linking to diagnosis and care

  This edition looks at the practicalities of symptom screening and keeping track of patients during the diagnostic process....

  From:  HIV & AIDS treatment in practice

• 

  Switching drugs for cost reasons – the patient experience

  In April 2011, the London Specialised Commissioning Group (LSCG), which funds HIV treatment in the capital, issued a new set of messages to clinics on HIV drug...

  From:  HIV treatment update

• 

  Will the world pay up to end HIV? Global AIDS funding

  We are at a critical point in the history of the HIV epidemic. We potentially have the tools to end it but, asks guest writer Laura...

  From:  HIV treatment update

• 

  HIV and TB in Practice for nurses: cotrimoxazole prophylaxis

  Cotrimoxazole prophylaxis is the use of a common antiobiotic to prevent a range of infections that commonly affect people living with HIV. ...

  From:  HIV & AIDS treatment in practice

Delivery of care in your own words

• 

  Going into hospital

  My experiences of hospitalisation are mixed. I’ve been admitted twice in the last six months, both times for a minor operation. However, following the excellent...

  From: In your own words

• 

  Surving non-Hodgkin's lymphoma

  I was diagnosed with HIV in July 1997, aged 36 and was told I would not need HIV treatment for some years and that I...

  From: In your own words

Delivery of care news from aidsmap

• Campaign approach increases enrolment of pregnant women on ART in South Africa

  A targeted campaign among health workers, using quality-improvement (QI) health system methods, can significantly improve access to ART for pregnant women living with HIV in resource-poor settings, a study published in the advance online edition of the Journal of ...

  04 June 2013 | Carole Leach-Lemens

• Expanded access to HIV treatment achieves big falls in mortality rates in China

  Mortality rates fell sharply among people receiving antiretroviral therapy in China between 2003 and 2009, investigators report in the online edition of the Journal of Acquired Immune Deficiency Syndromes. Overall, people were about 30% less likely to die in the ...

  23 May 2013 | Michael Carter

• Majority of Italian HIV specialists would prescribe PrEP

  Seventy per cent of Italian HIV specialists who answered an online survey would prescribe pre-exposure prophylaxis (PrEP) to people in their care who ask for it, at least in some circumstances, a study has found. The survey uncovered considerable training ...

  21 May 2013 | Gus Cairns

• Case workers can re-engage a high proportion of HIV-positive people lost to long-term care

  Caseworkers helped 50% of HIV-positive people in New York City who had dropped out of care re-engage with HIV medical care, investigators report in the online edition of AIDS. Feeling well was the main reason why these people had ...

  20 May 2013 | Michael Carter

• People more likely to keep HIV clinic appointments if they believe their care providers know them as a person

  People who believe their care providers know them as a person are more likely to keep their HIV clinic appointments, research conducted in the United States and published in the online edition of the Journal of Acquired Immune Deficiency Syndromes ...

  13 May 2013 | Michael Carter

• Integrating HIV care into community health workers' role is a good model for southern Africa

  A community health worker model of home-based preventive care, the Philani Intervention Program (PIP), resulted in significantly enhanced maternal and infant wellbeing among pregnant women living with and without HIV in Cape Town townships, researchers report in the advance online ...

  18 April 2013 | Carole Leach-Lemens

• KS-associated IRIS common among people starting HIV therapy in Africa

  Over 13% of people with HIV-related Kaposi’s sarcoma experience a worsening of disease after starting antiretroviral therapy, an international team of investigators report in the online edition of AIDS. This paradoxical worsening of disease was attributed to immune reconstitution inflammatory syndrome ...

  04 April 2013 | Michael Carter

• Very high incidence of high-grade pre-cancerous anal lesions among young HIV-positive Thai gay men

  Approximately a third of HIV-positive gay men in Thailand developed high-grade pre-cancerous anal lesions during just one year of follow-up, investigators report in the online edition of AIDS. Infection with high-risk strains of human papillomavirus (HPV) was an important ...

  02 April 2013 | Michael Carter

• Quality of health services is key in encouraging or discouraging people from HIV testing in Africa

  The uptake of HIV testing in sub-Saharan Africa is influenced by the quality and manner in which health services are delivered, according to a review of 42 qualitative studies, published this month in BMC Public Health. Perceived problems with confidentiality, ...

  26 March 2013 | Roger Pebody

• Steroids reduce mortality risk for people taking TB treatment

  Corticosteroid treatment is associated with a reduced risk of mortality for people taking tuberculosis (TB) therapy, results of a meta-analysis published in The Lancet Infectious Diseases show. Treatment with steroids was associated with a significant 17% reduction in mortality risk, ...

  24 March 2013 | Michael Carter

More news

Delivery of care news selected from other sources

• The Spencer Cox Center for Health Opens in NYC

  It serves more than 8,000 people in three Manhattan locations. 

  13 June 2013 | Poz magazine news

• CALIFORNIA: HIV Patients Fight Mail-Order Drug Program

  An anonymous Californian has filed a class action suit against United Healthcare Insurance, mail order pharmacy OptumRx, Pacificare Life and Health Insurance, and UnitedHealth Group for forcing HIV-infected patients to obtain HIV medications through the mail. “John Doe” claimed that receiving HIV drugs via mail violated his privacy since HIV medications that arrived in refrigerated containers would alert co-workers or neighbors to his infection.

  13 June 2013 | Courthouse News Service

• US: Blue Cross To Allow HIV/AIDS Patients to "Opt-Out" of Mandatory Mail-Order Rx Drug Program

  Anthem Blue Cross patients with HIV/AIDS may "opt-out" of a program that would have required them to obtain their medications by mail order under a settlement announced today by Consumer Watchdog and Whatley Kallas LLC. Blue Cross members who opt-out can continue purchasing such medications at a retail pharmacy.

  24 May 2013 | PR Newswire (press release)

• US HIV Care Groups Fear Post-ACA Future

  Community-based providers of HIV care and social services are expressing fear they could disappear as the health system becomes more integrated and their funding sources potentially dry up.

  22 May 2013 | MedPage Today HIV/AIDS

• Zimbabwe: ARVs Versus Migration

  Rutendo is a cross-border trader and mother of three who has resorted to finding part-time employment as a domestic worker in neighbouring countries. Her main worry is when she fails to come back home on time to collect her ARVs.

  25 April 2013 | allAfrica.com

• Kenya: 300 Fired As USAID Shuts Don HIV Clinics

  More than 300 employees have lost their jobs after the United States Agency for International Development (USAID) shut down several Hiv Aids clinics in Western Kenya.

  12 April 2013 | AllAfrica

• South Africa: Poor Services Undermine HIV Treatment Programme

  The state of many public health facilities threatens the expansion of the country's antiretroviral treatment programme, particularly frequent ARV shortages and poor service delivery.

  04 April 2013 | AllAfrica

• EU in "denial" that sick economy costs lives, health experts say

  Europe's financial crisis is costing lives, with suicides and infectious disease, including HIV and even malaria, on the rise, yet politicians are not addressing the problem, health experts said on Wednesday in a study published in the Lancet.

  28 March 2013 | Reuters

• The Union offers hope and practical advice on multidrug-resistant tuberculosis

  The Union is marking World TB Day this year by publishing a new guide that offers clear, practical advice on one of the trickiest aspects of "stopping TB" – how to manage the estimated 310,000 patients who have multidrug-resistant TB (MDR-TB).

  21 March 2013 | International Union Against Tuberculosis and Lung Disease

• UNAIDS calls for Zero parallel systems for HIV and TB

  UNAIDS is calling for Zero parallel systems for HIV and TB. This means that HIV and TB systems should be fully integrated, every person living with HIV is tested for TB and that every person with TB is offered an HIV test, and people with TB who are HIV-positive are started on antiretroviral treatment immediately.

  20 March 2013 | UNAIDS

More news