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Guidelines for the Implementation of Reliable and Efficient Diagnostic
Testing and counseling for human immunodeficiency viurs (HIV) is now recognized as a priority in national HIV programs because it is the gateway to HIV/AIDS prevention, care, treatment, and support interventions. These guidelines describe a process for implementing government approved, same-visit HIV testing in the Region of the Americas.
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Antiretrovirals: Efforts of Latin America and the Caribbean toward the universal access
Access to antiretrovirals (ARV), the drugs used to kill or inhibit the multiplication of the HIV, is a global priority. But treatment is not yet reaching most of people in need.
This page contains information about the Latin America and Caribbean efforts to expand access to antiretrovirals. Among the highlights are the three subregional negotiations (Caribbean, Central America and 10 Latin American countries), in which the ministries of health, with the support of PAHO and other organizations, managed to substantially reduce the price of these medicines.
In addition, this page provides several tools useful to expand access to ARV, such as protocols, lists of drug manufacturers of acceptable quality, recommendations on procurement and an overview of relevant policies and legislation.
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Untangling the of price reductions: a pricing guide for the purchase of ARVs for developing countries (MSF)
This guide contains elements help buyers in the decision-making process for the purchase of drugs at reasonable prices. It includes the antiretroviral prices offered by originator companies and some generic companies in low- and middle-income countries. It is meant to provide potential buyers with clear verified data. This information is intended for use by government and non-profit procurement agencies, as well as other bulk purchasers of antiretrovirals, including health facilities and non governmental organizations (NGOs). PDF
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Building Blocks: Guidelines for Antiretroviral Treatment in Adults for Latin American and Caribbean Countries
This guidebook is based on the recommendations of a PAHO advisory group (August 2001) as well as on the document, "Expansion of Antiretroviral Treatment in Low-Resource Settings" (WHO, 2002). The web page contains access to an abstract plus the full text (in Spanish) divided into individual PDF chapters.
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Building Blocks: Proceedings of the Consultations on Standards of Care for Persons Living with HIV/AIDS in the Americas
This document is a narrative of the process involved in the development of the Building Blocks Framework. The summary report explaining the framework is found under Comprehensive Care Guidelines for Persons Living with HIV/AIDS in the Americas.
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Scaling Up Antiretroviral Therapy in Resource-Limited Settings (WHO, 2001)
These guidelines are intended to support and facilitate the proper management and scale-up of ART in the years to come by means of a public health approach, the key tenets of which are:
1) scaling up antiretroviral treatment programmes to meet the needs of people living with HIV/AIDS in resource-limited settings; 2)standardization and simplification of ARV regimens to support the efficient implementation of treatment programmes; 3)ensuring that ARV treatment programmes are based on the best scientific evidence, in order to avoid the use of substandard
treatment protocols that compromise the outcome of treatment in individual clients and create the potential for the emergence
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Building Blocks: Comprehensive Care Guidelines for Persons Living with HIV/AIDS in the Americas
This summary report provides an operational definition of HIV/AIDS comprehensive care and outlines the core components of HIV/AIDS care. It presents a care model, outlined in a Building Block Framework, that is meant to provide guidance in the development of policies and strategies and promote discussion about the full spectrum of care required to meet the needs of PLHAs, their families, and caregivers.
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Building Blocks: Women and HIV/AIDS Prevention and Care Strategies
The Women and HIV/AIDS: Prevention and Care Strategies manual is part of the Building Block series for HIV/AIDS comprehensive care. The purpose of this manual is to provide information that can be used to develop training programs and workshops that enable health care workers to respond competently and compassionately to HIV affected women, their partners, and their families. Among the topics highlighted are: clinical diagnosis of HIV in women; mother to child transmission interventions; voluntary and confidential counseling and testing; sexual health, including safe sex; family planning; emotional support and counseling; personal and environmental hygiene; universal precautions; and food safety.
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