TITLE

Integrating HIV Screening into Routine Health Care in Resource-Limited Settings

AUTHOR(S)
Bassett, Ingrid V.; Walensky, Rochelle P.
PUB. DATE
May 2010
SOURCE
Clinical Infectious Diseases;May2010 Supplement 3, Vol. 50, pS77
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The United Nations is committed to achieving universal access to human immunodeficiency virus (HIV) care, treatment, and prevention. Although the gateway to HIV care and secondary prevention is knowledge of serostatus, use of voluntary counseling and testing in resource-limited settings with the highest burden of HIV infection and AIDS has been limited. On the basis of evidence of increased patient uptake and the opportunity to avoid missed HIV testing opportunities in health care facilities, in 2007, the World Health Organization recommended provider-initiated HIV testing as a standard part of medical care in settings with generalized HIV epidemics. Although provider-initiated testing has shown promise, optimal implementation strategies that ensure broad coverage, while preserving human rights, remain an active area of research. We review the benefits of knowledge of HIV serostatus and evidence from multiple countries surrounding the successes and pitfalls of provider-initiated testing in health care and home-based settings.
ACCESSION #
50734736

 

Related Articles

  • Acceptability of routine HIV counselling and testing, and HIV seroprevalence in Ugandan hospitals. Wanyenze, Rhoda K.; Nawavvu, Cecilia; Namale, Alice S.; Mayanja, Bernard; Bunnell, Rebecca; Abang, Betty; Amanyire, Gideon; Sewankambo, Nelson K.; Kamya, Moses R. // Bulletin of the World Health Organization;Apr2008, Vol. 86 Issue 4, p302 

    Objective Mulago and Mbarara hospitals are large tertiary hospitals in Uganda with a high HIV/AIDS burden. Until recently, HIV testing was available only upon request and payment. From November 2004, routine free HIV testing and counselling has been offered to improve testing coverage and the...

  • Tuberculosis preventive therapy in HIV-infected individuals.  // Bulletin of the World Health Organization;1994, Vol. 72 Issue 2, p305 

    The article discusses the joint statement of the World Health Organization (WHO) Tuberculosis Programme, the Global Programme on AIDS and the International Union Against Tuberculosis and Lung Disease (IUATLD) regarding the use of isoniazid preventive therapy in persons with human...

  • Introduction. Murphy, Robert L. // Clinical Infectious Diseases;6/1/2000 Supplement 2, Vol. 30, pS95 

    Discusses the challenges faced by clinicians in choosing an effective treatment regimen for patients with HIV infections. Decrease in the success rate and sustained treatment response to second-line therapies in clinics; Need to find effective treatment options that have favorable...

  • HIV Care and General Internal Medicine. Cofrancesco, Joseph; Wu, Albert W. // JGIM: Journal of General Internal Medicine;Sep2001, Vol. 16 Issue 9, p638 

    Discusses the key challenges of treating HIV-positive patients. Recognition of the disease; Access to data on HIV-infected persons; Quality of care for HIV patients.

  • An HIV-Positive Patient Who Avoids Treatment. Legg, Jill J.; Goldschmidt, Ronald H. // American Family Physician;6/1/1999, Vol. 59 Issue 11, p3252 

    Comments on the case of an HIV-positive patient who avoids treatment. Reason for HIV-positive patients to avoid health care; Suggestions on how physicians can help HIV-positive patients go for treatment.

  • Invasive Non-typhoid Salmonellae Establish Systemic Intracellular Infection in HIV-Infected Adults: An Emerging Disease Pathogenesis. Gordon, Melita A.; Kankwatira, Anstead M. K.; Mwafulirwa, Gershom; Walsh, Amanda L.; Hopkins, Mark J.; Parry, Christopher M.; Faragher, E. Brian; Zijlstra, Eduard E.; Heyderman, Robert S.; Molyneux, Malcolm E. // Clinical Infectious Diseases;4/1/2010, Vol. 50 Issue 7, p953 

    Background. Salmonellae are facultative intracellular pathogens. Non-typhoid salmonellae (NTS) cause selflimiting mucosal disease in immunocompetent adults but invasive, recurrent disease among human immunodeficiency virus (HIV)-infected adults in Africa. The importance of intracellular NTS...

  • Adolescents and HIV in Sub-Saharan Africa: A Timely Issue and Missed Opportunity. Coovadia, Hoosen; Mantell, Joanne E. // Clinical Infectious Diseases;10/1/2010, Vol. 51 Issue 7, p852 

    The authors comment on issue related to the management of adult patients in Sub-Saharan, Africa who were infected with human immunodeficiency virus (HIV). They cite the context of the article by Ferrand and colleagues which focuses on the undiagnosed cases of HIV among adults living in the...

  • Implications of HIV Disease for Oral Health Services. Robinson, P. G. // Advances in Dental Research;Apr2006, Vol. 19 Issue 1, p73 

    This paper, by means of a quality framework, reviews health services research in relation to people with HIV infection. The relevance of oral health care services to people's needs is considered in terms of the goal of health services to reduce the burden of disease on the everyday life of the...

  • HIV clinical trials are not enough. Millson, Margaret E.; Rachlis, Anita R. // CMAJ: Canadian Medical Association Journal;3/09/99, Vol. 160 Issue 5, p669 

    Editorial. Discusses antiretroviral drug regimens for HIV infection. The paradigm of HIV therapy being complete suppression of viral replication to preserve and restore immune function and to delay or prevent the emergence of drug resistance; Reference to a study by Robert S. Hogg and...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics