PreP Adherence Clubs. MSF ART Adherence clubs ART Adherence clubs are long term retention model of care catering for stable ART patients Based on a quick.

Slides:

Advertisements

Similar presentations

Part A/Module A1/Session 4 Part A: Module A1 Session 4 Comprehensive Care for People Living with HIV/AIDS (PLHA)

Advertisements

Absorption, Retention and Empowerment

Case Identification for the Missouri Perinatal Hepatitis B Prevention Program Libby Landrum, RN, MSN Viral Hepatitis Prevention Manager Bureau HIV, STD,

Antiretroviral therapy eligibility at enrollment and time to treatment initiation in Ethiopia Chloe A. Teasdale 1, Chunhui Wang 1, Sileshi Lulseged 1,

Kuala Lumpur, Malaysia, 30 June - 3 July 2013 Comparison of Adherence among Partners’ PrEP Participants on Placebo before and after Release.

The new guidelines Dr Francois Venter Reproductive Health and HIV Research Unit University of the Witwatersrand Feb 2010.

Improving Retention, Adherence, and Psychosocial Support within PMTCT Services: Implementation Workshop for Health Workers All slide illustrations by Petra.

An Introduction to HIV Incidence Surveillance (HIS) in California California Department of Public Health Office of AIDS.

Changing Therapy Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents published October 2006 AETC NRC Slide Set.

Summary of ARV prescribing guidelines in London These slides summarise the recommendations by the London HIV Consortium for prescribing antiretrovirals.

Preparing for pre-exposure prophylaxis (PrEP) to prevent HIV infection James Wilton Project Coordinator Biomedical Science of HIV Prevention

Influenza Screening and Vaccination: A Quality Improvement Opportunity.

BLOOD BORNE PATHOGEN EXPOSURE Management – What you need to know about Needlesticks and Splashes Amy J. Behrman, MD Occupational Medicine Dept of Emergency.

Post Exposure Prophylaxis for HIV

Unit 5: IPT Isoniazid TB Preventive Therapy

Preliminary findings of a routine PMTCT Option B+ programme in a rural district in Malawi Rebecca M. Coulborn 1, Laura Triviño Duran 1, Carol Metcalf 2,

2015 National Patient Safety Goals and the Older Adult Julie Pope Nurs 4292 Spring I Columbus State University.

N ORTHWEST AIDS E DUCATION AND T RAINING C ENTER PrEP 201: Beyond the Basics Joanne Stekler, MD MPH Associate Professor of Medicine University of Washington.

Racial Disparities in Antiretroviral Therapy Use and Viral Suppression among Sexually Active HIV-infected Men who have Sex with Men— United States, Medical.

Implementing a Rapid HIV Testing Guideline for L&D NNEPQIN April 30, 2007.

Integrated Health Programs for Women and Children: Lessons from the Field Dr. Ambrose Misore Project Director, APHIA II Western, PATH’s Kenya Country Program.

Antiretroviral Postexposure Prophylaxis after Sexual, Injection Drug Use, or Other Nonoccupational Exposure to HIV in the United States Recommendations.

IMAI Sequence of Care Task shifting, division of labor, and the role of non-clinicians on the care team.

BHIVA Clinical Audit Management of patients who switch therapy; re-audit of patients starting therapy from naïve.

Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection DR. S.K CHATURVEDI DR. KANUPRIYA CHATURVEDI.

1 Review of Antiretroviral Therapy in Adults HAIVN Harvard Medical School AIDS Initiative in Vietnam.

Ministry of Health, Mozambique

Orientation on HIV care and ART Recording and Reporting System.

1 Monitoring The Patient on ARV Treatment HAIVN Harvard Medical School AIDS Initiative in Vietnam.

Implementation of Collaborative TB/HIV Activities by ICAP: Success and Challenges Andrea Howard, M.D., M.S. 14 th Core Group Meeting of TB/HIV Working.

Copyright © 2013, 2010 by Saunders, an imprint of Elsevier Inc. Chapter 2 Application of Pharmacology in Nursing Practice.

Journal Club “Implementing a Tenofovir-Base First-Line Regimen in Rural Lesotho: Clinical Outcomes and Toxicities After Two Years” JAIDS 2011 Bygrave et.

1 Counseling and HIV Testing HAIVN Harvard Medical School AIDS Initiatives in Vietnam.

Michael Hughes, MD Assistant Clinical Professor UCR Eisenhower Medical Associates.

Module 3: Management of Patients on Antiretroviral Therapy Unit 2: Initiation and Monitoring of ART in Adults and Adolescents.

SPECIAL CONSIDERATIONS August

Ensuring Adherence and Retention to HIV Care and Treatment among Orphans and Vulnerable Children A Multi-Country Experience Thebisa Chaava MPH Senior Technical.

Pharmacist-Managed HIV Pre-Exposure Prophylaxis (PrEP) Clinic: Preliminary Outcomes From an Urban Community Health Clinic Mark T. Sawkin, PharmD, AAHIVP.

Sub module 1 Introduction to HIV care and ART recording and reporting system.

HIVQUAL – ARV Management October 17, 2003 Saneese Stephen, RPA Kings County Hospital Center Center for H.O.P.E.

Sub module 3 Pre-ART and ART registers. Purpose of registers Key individual information for: Facilitating patient management by the identification of.

Antiretroviral treatment programme in Thyolo district, Malawi Southern Region. MSF Luxembourg & Thyolo District Health Services - Strategic information.

ICPs for HIV care in NHS Tayside Morgan Evans Clinical lead.

Priscilla Tsondai, Lynne Wilkinson, Anna Grimsrud, Angelina Trivino,

Maternal Toxicity Management

ADVANCING HIV NURSING PRACTICE IN THE COMMUNITY

Scaling up Access to HIV treatment What can we learn for NCDs?

A Way out of Directly Observed Therapy (DOT): Community approaches to Self-Administered Treatment for Rifampicin Resistant Tuberculosis in Khayelitsha,

How differentiated care supports “Tx all” and Dr

PrEP for HIV Prevention

A protocol in development IMPAACT Prevention Scientific Committee

Optimizing Meds – Need for Systems Approach

Strategies to Reduce Antibiotic Resistance and to Improve Infection Control Robin Oliver, M.D., CPE.

2017 Key Considerations for adolescents and children & Key populations

Pharmacokinetics: HIV Drugs

ART Adherence Clubs South Africa

PrEP as an HIV Prevention Tool in Queer Communities of Color: Barriers and Opportunities BACKGROUND Joanne Stekler, MD MPH.

Maternal Toxicity Management

Treatment of Latent TB Infection (LTBI)

Maternal Toxicity Management

Pharmacokinetics: HIV Drugs

HIV and the ART of Prevention

ART Adherence Clubs South Africa

Effect of POC CD4 testing at HIV diagnosis on attrition prior to ART initiation among youth in Khayelitsha, South Africa Pre-treatment losses to care remains.

PrEP Pre-Exposure Prophylaxis

Tolerability of Isoniazid Preventive therapy Among HIV infected Cohort in Nigeria Folajinmi Oluwasina Strategic Information Unit AIDS Healthcare Foundation,

From Start to Finish: Initial and Ongoing Care for Men Receiving PrEP

100 Partners PrEP[5] Efficacy 75% Adherence 81% 80

Diagnosis and Management of Acute HIV

Presentation transcript:

PreP Adherence Clubs

MSF ART Adherence clubs ART Adherence clubs are long term retention model of care catering for stable ART patients Based on a quick clinical assessment, 2monthly ART collection, peer support and simplified monitoring ARTclubs were piloted by MSF in Khayelitsha. Over a 40 month period 97% patients remained in care.

CLUB STRUCTURE MAX 30 As close to home as possible Library or fellow peer’s house Meet 2 monthly Collect 2m of PreP At every visit quick clinical assessment for symptoms of acute HIV infection and pregnancy If at any time miss NMP must report to clinic for Pregnancy test – if pregnant must be strated on triple regimen

CLUB ORGANOGRAM Facility Manager Clubs Manager Club facilitator Club nurse Pharmacist Data Capturer Ensure buy in of all facility staff

PreP with Truvada Truvada = TDF (tenofovir) + emtricitabine Tenofovir is known for kidney toxicity Careful kidney monitoring needs to be done according to National Guidelines Patients need to be motivated to stay on PreP - to prevent resistance CDC guidelines for PreP is a good source of knowledge Tenofovir is not yet approved for adolescents – how are girls 15+ going to be approaced in this type of club or are they excluded Adolescents have special needs and need to be in clubs separate from adults to ensure optimal adherence

Criteria to be allowed on PreP and Monitoring HIV negative No Symptoms of acute HIV infection (window period) Normal renal function No contraindicated medications No Chronic diseases requiring clinic monitoring? 3 monthly HIV testing to exclude incident infection Motivated Documented Hep B status and vaccination status Renal function at baseline and according to National Guidelines Risk reduction services Pregnancy tests how often?