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This manual is designed for health professionals working in high HIV and TB prevalence countries. It summarises the characteristics of both diseases and their interactions. It concentrates particularly on the problems of diagnosis and management both in adults and children and summarises the other HIV related illnesses the clinician might encounter.
Connect multiple resources to form effective strategies to deal with AIDS An effective strategy to deal with the AIDS epidemic is to have a wide range of scientists, clinicians, front-line workers, and clients distribute theory, care, and resource knowledge geometrically through all levels. The Geometry of Care: Linking Resources, Research, and Community to Reduce Degrees of Separation Between HIV Treatment and Prevention shows how to link bottom-up and top-down approaches to advance care, services, resources, training, theory, and policy analysis. Leading authorities draw upon behavioral and organizational theory to discuss the development of the frameworks necessary to effectively disseminate knowledge to benefit those needing care and to protect the community from further risk. The Geometry of Care builds a powerful case for the development of sustained links among academic resources and the community. Practical strategies are provided to set up a dynamic response framework to integrate the latest advances in treatment and prevention. The first section focuses on System and Program Level Geometry, the second on Patient and Provider Level Geometry. This is the book that shows how to meet the challenge to effectively understand, diagnose, treat, and prevent AIDS simultaneously on multiple fronts. Topics in The Geometry of Care include: expanding strategic care to include patient, community, and medical centers the assessment, dissemination, and integration of new advances the bottom-up development of links among providers, systems, and settings increased communication through the network of generalists and specialists within hospitals examples of infrastructure building at a family health service, a medical center-based AIDS center, and a home-based ambulatory care program how sustained setting/site relationships help to foster customized interventions serving clients better by tracking them through data management integration of prevention and treatment for clients dealing with multiple co-morbidities forging links between Western and traditional medicine tailoring prevention strategies to fit the individual shifting the locus of care to the HIV-positive individual an inter-organizational approach to supporting patient-provider interaction understanding barriers to adherence HIV as a family disease—and the geometry of care as a family issue the need for partnership between patient and primary care provider individuals with HIV and their instrumental role in prevention and transmission much, much more! The Geometry of Care is a unique, horizon-expanding book that is perfect for community workers, community activists, public health professionals, HIV clinical providers, adherence specialists, applied sociologists, and other practitioners dedicated to finding ways to provide the best in care.
Three decades into the HIV pandemic, the goals remain clear: reduce the number of infections,improve the health outcomes of those who are infected, and eliminate disparities in care. And one observation continues to gain credence: families are a powerful resource in preventing, adapting to, and coping with HIV. Recognizing their complex role as educators, mentors, and caregivers, Family and HIV/AIDS assembles a wealth of findings from successful prevention and intervention strategies and provides models for translating evidence into effective real-world practice. Chapters spotlight the differing roles of mothers and fathers in prevention efforts, clarify the need for family/community collaborations, and examine core issues of culture,ethnicity, gender, and diagnosis (e.g., minority families, adolescents with psychological disorders). Throughout, risk reduction and health promotion are shown as a viable public health strategy A reference with considerable utility across the health, mental health, and related disciplines,Family and HIV/AIDS will be a go-to resource for practitioners working with families, researchers studying at-risk populations, administrators seeking to create new (or evaluate existing)prevention and care programs, and policymakers involved in funding such programs.
A COMPREHENSIVE NEW REFERENCE WORK ON STRUCTURAL APPROACHES TO PREVENTING HIV Structural interventions -- changes to environment aimed at influencing health behaviors -- are the most universal and cost-effective tool in preventing new incidences of HIV. They are not easy to get right, however. Structural Interventions for HIV Prevention offers an authoritative reference for both understanding these programs and instituting them to greatest effect. Whether through changes to policy, environment, social/community norms, or a combination of each, this volume offers actionable and attainable blueprints to creating and evaluating programs in any setting or country. It is an essential resource for researchers and practitioners in the continuing fights against HIV.
The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.
The Operations manual provides guidance on planning and delivering HIV prevention, care, and treatment services at health centres in countries with high HIV prevalence. It provides an operational framework to ensure that HIV services can be provided in an integrated, efficient and quality-assured manner. The manual is based on the public health approach to scaling-up HIV services in resource-constrained settings, which includes simple, standardized regimens and formularies; standardized supervision and patient monitoring approaches; as well as integrated delivery of care at primary health centres within a district network. Decentralization of services to health centre and community level is facilitated with the public health approach. This manual supports efforts to deliver and scale up HIV prevention interventions including provider-initiated testing and counselling, prevention of mother-to-child transmission, prevention of HIV and TB transmission and prevention of disease progression in HIV infected individuals. The Operations manual deals with environmental health, logistic, managerial and infrastructure requirements for delivery of the essential HIV and primary care services as laid out in clinical guidelines such as country-adapted WHO IMAI, IMCI and IMPAC guidelines or other national clinical guidelines for provision of acute and chronic HIV care. This manual is written as a learning aid and job aid for the health centre team, and in particular the health centre manager (often an in-charge nurse). Specific chapters may be particularly useful for those with tasks such as managing the supplies, providing laboratory services, or managing patient records, registers and reports. During country adaptation, some content may be presented as wall charts or used to develop standard operating procedures for various services or specific types of patients. District management teams, which supervise and support health centre services, should also find this manual helpful, as should national Ministries of Health and other partners responsible for planning and supporting the decentralization of HIV services.