Integrating HIV clinical services

Clinical description

HIV services are part of the EHP. This section shows the standard schedule for the minimum package of clinical HIV interventions to be delivered within the established service points. Table 2 on page 12 outlines the HIV interventions to be offered at various service delivery points. Refer to the page number for details on how to deliver the specific intervention.

HIV Care Clinic (HCC)

• HCC is an integration in the same clinic setting for:

o HIV exposed children o ART

• Establish HCC services in ART and MNCH clinics.
• HCC is designed to facilitate clinical monitoring, preventive services and ART for family members

affected by HIV.

• Make family appointments to encourage family members to attend clinic together for HIV services.
• Family members can be seen in the consultation room at the same time or seen individually if there

are sensitive issues to discuss.

12 Table 2: Integrated provision and scheduling of clinical HIV services Integrating HIV clinical services Interventions that are provided only under special circumstances are marked with brackets (●)

Integr. outreach Postnatal Clin.

Exp Child FUP Fam Plan Clin In-Patients Maternity ART Clinic STI Clinic U5 Clinic TB Clinic Page OPD ANC HIV Service Schedule Diagnosing HIV infection and exposure 15 Ascertain status at each visit (●) ● (●) ● ● ● ● ● (●) ● ● (●)

HIV-related diseases 22 When diagnosed ● ● (●) (●) ● ● ● ● ● HIV and COVID-19 35 At every clinical review visit ● ● ● ● Provider initiated family planning (PIFP) 46 At every scheduled visit ● ● Cotrimoxazole preventive therapy (CPT) 48 At every scheduled visit ● ● ● ● ● ● TB Preventive Therapy (TPT) 50 Dispense for 1, 2 and then 3 monthly thereafter (●) ● Infant and child feeding 107 At every visit (●) ● ● ● ● ● ● Starting ART 76 As soon as possible (●) ● ● ● ● ● Continuing ART 83 Monthly for the 1st 3 months; 3-6 m. thereafter (●) ● ● ● ● ● Management of labour and delivery 105 On admission ● Newborn care and postnatal follow up 106 After delivery ● ● Integrated mother/infant follow-up 106 At first opportunity when mother known HIV+ ● ● ● ● Infant HIV prophylaxis 108 At first opportunity when mother known HIV+ ● ● ● ● (●) ● Pre-exposure prophylaxis (PrEP) 111 Dispense and test for HIV every 3 months ● ● ● Post exposure prophylaxis (PEP) 112 As soon as possible after risk exposure ● ● ● eMTCT Strategy