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. Author manuscript; available in PMC: 2014 Jul 1.
Published in final edited form as: J Acquir Immune Defic Syndr. 2013 Jul;63(0 2):S179–S182. doi: 10.1097/QAI.0b013e318299eff0

Table 1. Essential Elements of Community-wide Implementation of HIV-1 Prevention and Treatment Programs.

Easily Accessible Services

  • Close to home

  • Affordable

  • Avoiding lengthy wait times

  • Avoid loss of income to individuals

Effective Management

  • Transparent personnel systems

  • Prudent use of finances and resources

  • Uninterrupted flow of supplies and medications

  • Initial training and ongoing mentoring of health care providers

Community-wide Support Systems

  • Motivate testing

  • Provide pre- and post-testing support services

  • Address educational and other barriers to use of prevention and treatment technologies

  • Support adherence to prevention and treatment technologies

Adequate Prevention Programs

  • Makes full use of the “prevention tool box”

Early Identification of HIV-1 Infected Individuals

  • Employs a variety of community-wide testing strategies to encourage maximum testing coverage (e.g., routine HCT, home-based HCT, community-based HCT, workplace-based HCT)

Appropriate Initial and Continued Counseling

  • Risk reduction

  • Adherence

  • Other specialized needs

Linkage to and Maintenance in Care
Maintaining Treatment and Prevention Standard of Care

  • Assessment of HIV-1 disease stage

  • Treatment of HIV-1 infection

  • Prevention of and treatment for opportunistic infections

  • Monitoring while on treatment or prophylaxis to ensure efficacy

  • Regimen modification as necessary

Sexual and Reproductive Health Services