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Procurement and supply management activities are fundamental to consistent and reliable access to essential medicines and health products. To reduce the impact of CVD, action needs to be taken to improve prevention, diagnosis, care and management of CVD diseases. Affordable essential medicines and t
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echnologies to manage CVD disease must be available where and when they are required. Medicines and technologies need to be managed appropriately to ensure that the correct medicines are selected, procured in the right quantities, distributed to facilities in a timely manner, and handled and stored in a way that maintains their quality. This needs to be backed up by policies that enable sufficient quantities to be procured in order to reduce cost inefficiencies, ensure the reliability and security of the distribution system, and encourage the appropriate use of these health products. In order to avoid stock-outs and the disruption of treatment, all related activities need to be conducted in a timely manner, with performance continually monitored, and prompt action taken in response to problems that may arise. Additionally, medication must be dispensed correctly and used rationally by the healthcare provider and patient alike. The purpose of this guide is to explain the necessary steps.
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Many low-resource settings have a shortage of physicians and health workers. (1) In order to provide patient-centred continuous care more effectively, primary care systems can include team-based care strategies in their clinic workflows and protocols. Team-based care uses multidisciplinary teams (wh
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ich may involve new staff, or the shifting of tasks among existing staff). Teams can include patients themselves, primary care physicians, and other allied health professionals, such as nurses, pharmacists, counsellors, social workers, nutritionists, community health workers, or others. Teams reduce the burden on physicians by utilizing the skills of trained health workers. Strong evidence shows that team-based care is effective in improving hypertension control among patients in a cost-effective way. (2) Some amount of task shifting/team-based care is already taking place in many settings; this module provides further guidance on how to maximize this approach for greater impact.
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HEARTS provides a set of locally adaptable tools for strengthening the
management of CVD in primary health care.
HEARTS is designed to enhance implementation of WHO PEN by providing:
• operational guidance on further integrating CVD management
• technical guidance on evaluating the impact of
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CVD care on patient outcomes.
For countries not using WHO PEN, CVD management can still be integrated into
primary health care. The process of implementing HEARTS will vary, depending
on country context, and may require a significant reorienting and strengthening
of the health system. At some sites, existing CVD management services may be
reoriented toward a risk-based approach, while other sites may adopt a public
health approach, strengthening management of particular risk factors such as
hypertension. Whether or not introducing CVD management into primary care is a
new intervention, successful implementation will require engagement with national and local health planners, managers, service providers, and other stakeholders.
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Retest and treat: a review of national HIV retesting guidelines to inform elimination of mother-to-child HIV transmission (EMTCT) efforts
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Review
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PMTCT private sector engagement
SAATHII (Solidarity and Action Against The HIV Infection in India); Elizabeth Glaser Pediatric AIDS Foundation
(2019)
C2
Accessed: 30.10.2019
Guidance
Second Edition
Monitoring and Evaluation
Prevention of mother-to-child transmission (PMTCT) of HIV - Protocol
Medecins Sans Frontieres
(2017)
C2
MSF International AIDS Working Group
Start Free Stay Free AIDS Free (2019 report)
UNAIDS
(2019)
C2
Miles to go
UNAIDS (Joint United Nations Programme on HIVAIDS)
UNAIDS (Joint United Nations Programme on HIVAIDS)
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C2
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Closing Gaps
Breaking Barriers
Righting injustices
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UNAIDS; World Health Organization; fhi360; et al.
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C_WHO
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For Populations At Risk For HIV
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(2009)
C_WHO
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Реализация комплексных программ по профилактике ВИЧ/ИППП среди секс-работников: ПРактИЧескИе Подходы на осноВе соВместных меРоПРИятИй
Всемирная организация здравоохранения (World Health Organization); UNFPA; UNAIDS; et al.
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C_WHO
Blueprint for the provision of comprehensive care for trans persons and their communities in the Caribbean and other anglophone countries
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C2
Accessed: 06.11.2019
Prevention and Treatment of HIV ands other sexually transmitted infections among men who have sex with men and transgender people
World Health Organization; UNAIDS; UNDP; et al.
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C_WHO
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HIV/AIDS Programme
Policy Brief
Transgender HIV/AIDS Health services
TargetHIV
(2019)
C2
Best Practices Guidelines
Accessed: 06.11.2019
HIV and young men who have sex with men
World Health Organization; UNFPA; UNAIDS; etc al.
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C_WHO
Technical Brief
Damon Barrett, Gonçalo Figueiredo Augusto, Martiani Oktavia, Jeanette Olsson, Mira Schneiders and Kate Welch provided background papers and literature reviews which informed this technical series.
