Organisation of HIV care before the STRETCH trial
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Delivery of pre-ART care (voluntary counselling and testing, initial CD4, 6–12 monthly HIV care) and ART care (baseline bloods, drug readiness training and monthly issuing of ARVs)
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• Primary care nurses identify and refer HIV positive patients to ART nurses at their referral primary care clinic with an accredited ART assessment site
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• Primary care nurses identify and refer HIV positive patients to ART nurses working within that clinic
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• ART nurses provide pre-ART and ART care for all patients referred from primary care services
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• All patients needing ART initiation and re-prescription referred by ART nurses to doctors at ART treatment sites
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Organisation of HIV care during the STRETCH trial (intervention clinics and their referring primary care clinics only)
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Delivery of pre-ART care (voluntary counselling and testing, initial CD4, 6–12 monthly HIV care)
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“Mainstreaming pre-ART care”
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“Internal integration of pre-ART care’
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• Primary care clinic enabled to provide pre-ART care to their own patients
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• All professional nurses (ART and primary care nurses) at intervention clinic encouraged to provide pre-ART care as part of routine consultations
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Delivery of ART care (baseline bloods, drug readiness training and monthly issuing of ARVs)
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“Mainstreaming ART care”
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“Internal integration of ART care”
|
• Primary care clinic enabled to provide ART care to their own patients
|
• All professional nurses (ART and primary care nurses) at intervention clinic encouraged to provide ART care as part of routine consultations
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Initiation and re-prescription of ART during STRETCH intervention |
• All patients needing an ART prescription referred to ART nurses at intervention clinic |
• All professional nurses (ART and primary care nurses) at intervention ART sites trained and authorised to initiate and repeat ART prescriptions
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• Complicated patients referred to doctor at ART treatment site |