Maternal Health, HIV, and AIDS: Examining Research Through a Programmatic Lens
Resource and programmatic considerations and issues
Karusa Kiragu, UNAIDS
Kiragu noted that it is important to remember that over half of the women who are eligible for HIV treatment are not receiving it, children even less so with only 26% of those eligible. The five pillars of ‘Treatment 2.0’ are: 1. Optimize drug regimens 2. Simplify monitoring 3. Reduce costs 4. Adapt delivery systems 5. Mobilize communities. She noted that life-long treatment beginning during pregnancy has many benefits. Problems associated with rolling out Option B+ include: infrastructure, human resources reorganization, supply chain changes, decentralization of primary services, service integration, monitoring and evaluation for toxicity and resistance, client retention and adherence.
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