Guidelines

  Road  construction  like  any  other  capital  project is  labour  intensive.  The  labour  particularly  the skilled one is often very mobile. A number of studies including the Mode of Transmission Study (MOT) conducted in 2009 shows that mobility is one of the key drivers of the HIV epidemic. The Roads  Sector  recognised  the  need  to  ensure  that  each  road  project  has  a  component  of mitigating  HIV&AIDS  impacts  since  2002  through  the  Road  Sector  Investment  Programme (ROADSIP).These guidelines are to be used by  supervisors, consultants, contractors, service providers and other stakeholders in the sector.These  guidelines  have  further  attempted  to  strengthen  oversight  and  good  governance  by encouraging  joint  monitoring  visits  as  well  as  the  use  of  local  structures  and  evidence  in  the AIDS response    

A minimum package is an important step inadvocating for quality, comprehensive and integrated health services for sex workers. Since 2000 the COH program with funding fromUSAID/PEPFAR has targeted FSWs and their clients with HIV prevention services around HIV testing and counselling, STI treatment services andbehavior change communication. Over the years more services have been availed to FSWs including family planning, screening for tuberculosis andmalaria and formed strong linkages with other implementing partner's under the hospice of the District AIDS task forces. After several years andexperiences working with sex workers COH has come up with this package that is not only for FSWs in the 10 COH district sites but is applicable andappropriate for implementation by any other organization involved in the provision of HIV prevention services to FSW and other key and vulnerablegroups and in community empowerment.

In July 2017, the World Health Organization released the technical update on transitioning to new antiretroviral drugs and guidelines on managing advanced HIV disease. This version of the Zambia Consolidated Guidelines for Treatment and Prevention of HIV Infection provides simplified guidance on a country transition plan, the continued approach that positively affects the continuum of HIV care, while adding to innovative methods that will reduce transmission rates and increase life span for those on treatment. This is all to further accelerate efforts to meet the ambitious Fast-Track target for 2020, including achieving major reductions in the number of people dying from HIV-related causes and the 90–90–90 treatment target

These guidelines present several new recommendations, including the recommendation to provide lifelong ART to all children, adolescents, and adults, including all pregnant and breastfeeding women living with HIV, regardless of CD4 cell count. The guidelines emphasize on the vulnerable transition of adolescence from childhood to adulthood. These guidelines also highlight the management of patients failing second-line ART with third-line ART, who should be managed at higher-level health facilities called Advanced Treatment Centres (ATCs).

HIV testing is critical that people have access to services and ensuring scale up of services. HIV testing and counseling is essential to the prevention and treatment of HIV as it is a critical gateway to services.. However universal knowledge of HIV status remains inadequate. As such, this operational plan was developed collaboratively by the MCDMCH and implementing partners with the goal of aligning stakeholders, identifying best practices for HTC implementation in Zambia, and providing a costed roadmap for achieving universal coverage by 2015. The goal of implementing the operational plan is to achieve 50% HTC coverage among Zambian Females and males aged 15-49 who received an HIV test in the last 12 months and know their results by 2015 (3,816,765 HIV testing between 2014-2015).

These guidelines to UNAIDS’ preferred terminology have been developed for use by staff members, colleagues in the programme’s 10 Cosponsoring organizations, and their partners working in the global response to HIV. Language shapes beliefs and may influence behaviours. Considered use of appropriate language has the power to strengthen the global response to the epidemic. UNAIDS is pleased to make these guidelines to preferred terminology freely available. It is a living, evolving document that is reviewed on a regular basis. Comments and suggestions for additions, deletions, or modifications should be sent to terminology@unaids.org. The boxed list (summary of preferred terminology) overleaf highlights the most important points that we recommend users follow. These guidelines may be freely copied and reproduced, provided that it is not done so for commercial gain and the source is mentioned.  

This document presents the six standards of care for adolescents and young people in Zambia. It seeks to provide a guide for strengthening the coordination and deliverly of quality adolescent friendly health services, and ensuring appropriate monitoring and evaluation (M&E).

The burden of HIV and AIDS continues to pose a major challenge to Zambia's health care system. Infections of children under fourteen (14) years constitute about 10 per cent of all HIV infections in Zambia. Most of these are a result of mother-to-child transmission. Strong government involvement over the past years and the enactment of the National HIV/AIDS/STI/TB Council through an Act of parliament in 2002, has given rise to high levels of awareness on HIV and AIDS and effective interventions at different levels. However, these guidelines are meant to cater for the counselling and testing needs of children up to the age of sixteen (16) years.  

These guidelines provide users with a brief overview of how to go about pretesting and evaluating communication materials, but users should also use their own experiences and judgment to make the best decisions to create the most impact and benefit for the Zambian population  

This paper is intended to provide guidelines for the inclusion of individuals with pre-existing disabilities in HIV/AIDS outreach efforts. It is based on a synthesis of materials collected in the course of the Global Survey on HIV/AIDS and Disability by the World Bank and Yale University. (World Bank: 2004) The strategies for interventions proposed here can provide a framework upon which disability advocates and HIV/AIDS advocates, educators and policy makers can begin to buildinterventions and support mechanisms for‘at-risk’ disabledpopulations.  To date, there have been few HIV/AIDS interventions that have directly targeted (or indirectly included) individuals with disabilityand almost noneof these interventions havebeensystematicallymonitoredor evaluated. The frameworkproposed here therefore, is intended only as a ‘first step’ in a growing body of publications on various aspects of disability-inclusive HIV/AIDSinterventionsandtool kits  

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