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NATIONAL CONSOLIDATED GUIDELINES FOR THE PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV (PMTCT) AND THE MANAGEMENT OF HIV IN CHILDREN, ADOLESCENTS AND ADULTS
FOREWORD ...................................................................................................................................................................1 ACKNOWLEDGEMENTS .................................................................................................................................................2 ABBREVIATIONS AND ACRONYMS .................................................................................................................................4DEFINITION OF KEY TERMS ...........................................................................................................................................7LIST OF TABLES ............................................................................................................................................................9LIST OF FIGURES: ........................................................................................................................................................11LIST OF BOXES ............................................................................................................................................................12LIST OF DIAGRAMS .....................................................................................................................................................131 INTRODUCTION ..................................................................................................................................................14
1.1 BACKGROUND AND CONTEXT ....................................................................................................................141.2 WHAT IS NEW IN THESE GUIDELINES ..........................................................................................................141.3 RATIONALE FOR CONSOLIDATED GUIDELINES ............................................................................................151.4 GOALS AND OBJECTIVES ...........................................................................................................................161.5 TARGET AUDIENCE .....................................................................................................................................161.6 THE SCOPE AND CONTENT ........................................................................................................................161.7 THE STRUCTURE AND CONTENT ................................................................................................................17
2 GUIDING PRINCIPLES .........................................................................................................................................18
2.1 INCREASING EFFECTIVENESS AND EFFICIENCY OF PROGRAMMES .............................................................182.2 MANAGING HIV AS A CHRONIC HEALTH CONDITION ....................................................................................182.3 STRENGTHENING INTEGRATION OF SERVICES ............................................................................................182.4 PROMOTING HUMAN RIGHTS AND HEALTH EQUITY .....................................................................................182.5 PROMOTING A FAMILY APPROACH TO HIV CARE .........................................................................................182.6 THE HIV CONTINUUM OF CARE APPROACH .................................................................................................19
3 HIV COUNSELLING AND TESTING .......................................................................................................................20
3.1 OVERARCHING PRINCIPLES OF HIV COUNSELING AND TESTING ..................................................................203.2 PROCESS FOR HIV COUNSELLING AND TESTING .........................................................................................203.3 MANAGING CLIENTS WHO TEST HIV-NEGATIVE ...........................................................................................223.4 SUMMARY OF WHEN TO REPEAT HCT.........................................................................................................223.5 HCT IN PREGNANT AND BREASTFEEDING WOMEN .....................................................................................223.6 PREGNANT WOMEN WHO TEST HIV-NEGATIVE ............................................................................................233.7 HIV COUNSELLING AND TESTING (HCT) IN INFANTS AND CHILDREN ............................................................243.7.1 HIV tests in infants and children (HIV PCR or Rapid HIV antibody test) ...........................................24
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