Health systems
Operations manual for delivery of HIV prevention, care and treatment at primary health centres in high-prevalence, resource-constrained settings: edition 1 for fieldtesting and country adaptation
Manual on how to scale up priority HIV and AIDS interventions
Authors:
; Integrated Management of Adolescent and Adult Illness (IMAI) Team, HIV Department, WHO
Publisher:
World Health Organization , 2008
This operations manual, published by the World Health Organization, provides guidance on planning and delivering HIV prevention, care, and treatment services at health centres in countries with high HIV prevalence. It provides an operational framework to ensure that HIV services can be provided in an integrated, efficient and quality-assured manner.
The manual is based on the public health approach to scaling up HIV services in resource-constrained settings, which includes simple, standardised regimens and formularies; standardised supervision and patient monitoring approaches; as well as integrated delivery of care at primary health centres within a district network. The authors recognise that decentralisation of services to health centre and community level is facilitated with the public health approach.
The manual consists of 11 chapters:
- Introduction and guiding principles
- Planning integrated HIV services at the health centre
- Service integration, linkages and triage
- Community
- Infrastructure
- Monitoring services, patients and programmes
- Supply management
- Laboratory services
- Human resources
- Leadership and management
- Quality improvement
This manual is written as a learning aid and job aid for the health centre team, and in particular the health centre manager (often an in-charge nurse). The authors, however, contend that district management teams, which supervise and support health centre services, should also find this manual helpful, as should national Ministries of Health and other partners responsible for planning and supporting the decentralisation of HIV services.
