Table 1 Responsibilities for provision of aspects of HIV care at different facilities in the initial ART rollout compared with responsibilities for sites in the STRETCH trial
Type of facility | Responsibilities for HIV care in initial ART Rollout | Responsibilities for HIV care for sites in the STRETCH trial |
|---|---|---|
Primary care services | • Voluntary counselling and testing | • Voluntary counselling and testing • Initial CD4 count • Routine HIV care (repeat CD4 counts, clinical staging and TB screening) for patients not requiring ART • Drug readiness training • Baseline bloods • Monthly ART follow-up and issuing of ARVs (after first six months for stable patients) |
ART assessment sites | • Initial CD4 count • Routine HIV care (repeat CD4 counts, clinical staging and TB screening) for patients not requiring ART • Refer patients eligible for ART (Stage IV AIDS or CD4 <200 cells/mm3) to doctor at treatment site • Drug readiness training • Baseline bloods • Monthly ART follow-up and issuing of ARVs | • Initiate uncomplicated patients on ART • Monthly ART follow-up and issuing of ARVs for first six months • Six monthly review and repeat ART prescription for stable patients • Refer complicated patients for initiation and repeat of ART prescription to doctor at treatment site |
ART treatment sites | • Initiation of patients on ART • Monthly review first three months • Six monthly review and repeat ART prescription | • Initiation of complicated patients on ART • Monthly review first three months of complicated patients • Six monthly review and repeat ART prescription for complicated patients |