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Care and Support Activities, by Need, Complexity and Cost
   Last updated: 16.08.02
Essential activities
• HIV Voluntary counselling and testing
• Palliative care and treatment for common OIs: pneumonia, oral thrush, vaginal candidiasis and pulmonary TB (DOTS)
• Nutritional care
• STI care and family planning services
• Co-trimoxazole prophylaxis for individuals with HIV/Aids (PLWHA)
• Community activities that mitigate the impact of HIV, including legal structures against stigma

Intermediate complexity and cost
All the above plus
• Active case finding and treatment for TB
• Preventative therapy for TB for PLWHA
• Systematic antifungals for systematic mycosis such as cryptococcosis
• Treatment of HIV-associated malignancies: Kaposi’s sarcoma (KS), Lymphoma and cervical cancer
• Treatment of severe herpes
• Prevention of MCT transmission
• Post exposure prophylaxis of occupational exposure to HIV and for rape

High complexity and cost
All the above plus
• Triple antiretroviral therapy
• Diagnosis and treatment of difficult to diagnose OIs and expensive to treat OIs such as drug resistant TB
• Advanced treatment of HIV-related malignancies
• Public services to reduce the economic and social impacts of living with HIV/AIDS

Notes
This is one of two tables included to provide more information about specific HIV/AIDS Interventions. It should be noted, however, that the interventions are listed from the perspective of a national agency delivering services, rather than that of NGOs as described in this paper.

Source: WHO/UNAIDS 2000: “Key Elements in Care and Support” (draft working document) as cited by Lamptey, P.R., Zeitz, P., Larivee, C. (Eds.) (2001) Strategies for an Expanded and Comprehensive Response (ECR) to a National HIV/AIDS Epidemic. Draft of July 10. MODULE 6: Technical Considerations of an Expanded and Comprehensive HIV/AIDS Response. Family Health International (Washington, D.C.)

Source: A Question of Scale
This is an extract from A Question of Scale: The challenge of expanding the impact of non-governmental organisations’ HIV/AIDS efforts in developing countries,
by Jocelyn DeJong, published by the Horizons Project of the Population Council with the International HIV/AIDS Alliance in 2001. To view the whole report follow this link.

To download, complete with graphics, in pdf format (which requires Adobe Acrobat software to read it) follow this link (file size 1.43 Mbytes).