World Health Organization : Year 2004 ; Issue 9241592559: Standards for Quality HIV Care ; A Tool for Quality Assessment, Improvement, and Accreditation

By World Health Organization

Book Id: WPLBN0000167252
Format Type: PDF eBook
File Size: 0.4 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 2004 ; Issue 9241592559: Standards for Quality HIV Care ; A Tool for Quality Assessment, Improvement, and Accreditation
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Organization, W. H. (n.d.). World Health Organization : Year 2004 ; Issue 9241592559. Retrieved from http://www.self.gutenberg.org/

Description
Medical Reference Publication

Excerpt
Rationale HIV/AIDS has had a shattering impact on many countries in the past decade, especially those in sub-Saharan Africa and South-East Asia. Prevalence and incidence statistics indicate that many developing countries are likely to be burdened beyond capacity with the significant care needs of increasing numbers of chronically or terminally ill people as a result of this devastating pandemic. This has enormous implications for all aspects of the economic, health and social fabric of the countries most significantly affected by HIV/AIDS. Significant numbers of health care workers are predicted to be at risk of becoming ill or of dying in the short to medium term. This situation is likely to profoundly affect not only the burden and management of the disease but also the economies of the countries that can least afford it.

Table of Contents
Contents Rationale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Quality systems for health care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Intended use of the publication and standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Accreditation as a model for evaluating and improving quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Key principles underpinning the accreditation framework . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Major categories of standards for HIV care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Selecting model standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Using the standards – getting started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Essentials for creating a national accreditation or certification programme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Essentials for implementing the standards in an HIV care site/organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Minimum set of standards to initiate antiretroviral therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Proposed standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 1. Functions related to health care delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 A. HIV testing, counselling and referral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 B. Management of opportunistic infections, including TB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 C. Provision of antiretroviral therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 D. Support for adherence to treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 E. Preventing mother-to-child transmission of HIV infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 F. Palliative care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 G. The rights of people living with HIV/AIDS and reducing stigmatization . . . . . . . . . . . . . . . . . . . . . . . . . 18 2. Functions related to links with communities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 H. Community links . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 I. Promoting health and preventing and treating disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 3. Functions related to the service delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 J. Leadership and human resource management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 K. Man