Second International Congress Drug Therapy in HIV Infection 18-22 November 1994 Glasgow, UK

TRAINING FOR CLINICAL MANAGEMENT IN RESOURCE POOR SETTINGS

LATIF AS
University of Zimbabwe School of Medicine, Harare, Zimbabwe

Int Cong Drug Therapy HIV 1994 Nov 18-22;2:Abstract No. 8.3
AIDS 1994, Vol. 8 (Suppl. 4);S7

The pandemic of HIV infection in some Southern African countries has reached such proportions that many hospitals in the region report that up to 40% of all medical admissions are related to HIV infection, The lack of skilled manpower, the high costs of hospitalisation and the shortage of in-patient bed space necessitate that patients be treated mainly as outpatients and only those that require in-patient care be admitted. Primary care clinics in Zimbabwe and Botswana provide comprehensive health care to all those that seek health care. Such facilities provide not only curative and preventive care but also maternal and child health care, antenatal care as well as family planning, These facilities are run by nursing personnel trained in examining patients and in prescribing medications in accordance with national guidelines. Nursing personnel delivering care at primary care clinics and their tutors were trained in the management of HIV associated illnesses.

After the common HIV associated illnesses were identified clinical management flowcharts and training materials for the use of the flowcharts were developed, Training materials were field and modified, Following this facilitators and trainers were trained, Trainers included those involved in basic nursing training, in service training and post-basic training.

Topics covered in the training course included: generalised lymphadenopathy, fever, headache, diarrhoea, weight loss, oral thrush, respiratory conditions, skin conditions and asymptomatic HIV infection, Separate modules covering the STD associated syndromes urethral discharge, genital ulcer disease, vaginal discharge, pelvic inflammatory disease, bubo, scrotal swelling and ophthalmia neonatorum. The course materials were evaluated by trainees on completing the course.

Presenting author: LATIF AS

1994-11-18
8.3

Originally published in AIDS Volume 8, Supplement 4 and hosted with permission of the publisher Lippincott Williams & Wilkins, 250 Waterloo Road, London, SE1 8RD, UK. Tel: +44 (0)20 7981 0700 Fax: +44 (0) 7981 0701

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