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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
close this folderCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
View the document8.1 Introduction
Open this folder and view contents8.2 Concept of continuum of care and home based care
View the document8.3 Benefits of home based care
View the document8.4 Components of home based care
Open this folder and view contents8.5 Palliative Care
View the document8.6 Care of body
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

8.1 Introduction

Tanzania experiences a high burden of HIV/AIDS, which is the commonest cause of adult morbidity and mortality in some districts. PLHA need intensive care at various stages of their infection and represent a significant additional burden to the grossly under funded public health service delivery system. Currently, patients suffering from HIV/AIDS related conditions occupy >50% of the hospital beds in urban areas. This is one of the justifications for the extension of institutional care of PLHA into their communities and homes.

Tanzania will provide comprehensive services to PLHA at three levels, namely: at facility, community and household levels. The patient receiving care must have access to all the three levels and a strong referral system is necessary to link all the levels with each other. The fulfilment of these conditions constitutes the continuum of care to PLHA. Health care workers should conduct supervisory visits to community and home care providers as part of their role and responsibility to ensure the continuum of care.

PLHA and their affected families and households have a variety of needs beyond the mere provision of clinical care. Such needs include psychological, spiritual, nutritional, educational, economic and legal care and support. The care provided to PLHA in their homes and communities must therefore address these needs of not only the patients but also their carers at home and in the communities. An inventory or directory of service providing organisations in the local community needs to be established to facilitate networking.

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