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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
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
close this folderCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
View the document9.1 Introduction
View the document9.2 Providing HIV related counselling
View the document9.3 The counsellor’s role
View the document9.4 Pre-test counselling
View the document9.5 Post-test counselling
close this folder9.6 Adherence Counselling
View the document9.6.1 Adherence Management and Lifestyle Counselling
View the document9.6.2 Counselling for treatment adherence
View the document9.7 Adherence Monitoring - Role of the Care and Treatment Team
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
 

9.6.2 Counselling for treatment adherence

When it is decided that the patient receives antiretroviral therapy, it is important that the patient be educated and counselled regarding ART. This is an important component of patient management as it has been shown that ART is effective if strict compliance is adhered to The patient should receive counselling on the following issues:

Treatment compliance should be strict and adherence to recommended treatment regimens should be greater than 95%.

Treatment has to be maintained for life.

In case of 2nd line regimens, there may be a need to take some drugs with food, others on an empty stomach and that some drugs require an increased intake of water.

The need to identify financial and social support structures including family members, employers, home care programs and medical insurance companies.

Need to attend regularly for monitoring.

The meaning/implications of CD4 lymphocyte counts and viral load levels need to be understood.

Drug side effects

Need to continue monitoring and curbing risk behaviour.

Need to promote disclosure in order to identify adherence assistance.

In case of adherence of children to ART, the need to identify a specific guardian or household member to administer ARV taking

Family planning and child bearing issues such as interactions between ART and oral contraceptives and the need to employ alternate and complementary methods of contraception.

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