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Table 2 Key Messages in PALM PLUS

From: From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi

Key Message PALM PLUS Section(s) where key message appeared
Inhaled corticosteroids control asthma →13* Asthma care
Smoking? Urge your client to stop. Cough, COPD care, Using inhalers and spacers
Cough ≥3 weeks? Exclude TB →34* Fever, Unwell, Lymphadenopathy, Cough, Treating HIV, Suspecting TB, Treating TB, Pregnancy
Prevent MDR/XDR TB. Urge adherence to TB treatment. Suspecting TB, Treating TB
Status unknown? Test for HIV →28* Unwell, Lymphadenopathy, Psychiatric, Headache, Cough, Ear, Throat/Mouth, Abdominal Pain, Diarrhoea, Rash, Pregnancy
Prevent AIDS with routine HIV care →29* Psychiatric, Diarrhoea, Diagnosing HIV, Routine HIV Care, Treating HIV, ART Follow-up, PMTCT, Treating TB
HIV? Manage client and family. Diagnosing HIV, Routine HIV Care, Treating HIV, PMTCT
Pregnant with HIV? Give PMTCT, routine ante natal and HIV care. Routine HIV Care, ART Follow-up, PMTCT, Pregnancy
• Educate about STI
• Urge adherence
• Treat partner/s
• Give condoms
• 'Stick to 1 partner'
• Test for HIV
Lymphadenopathy, Female Genital Symptoms, Genital Ulcer Syndrome, Other Genital Problem, Pregnancy
Fever ≥3 weeks? Exclude malaria →1, then TB →34* Fever, Unwell
  1. *Indicates page number in PALM PLUS guideline to turn to for more information related to key message