This policy brief provides guidance and resources for implementing recommendations to integrate community health workers (CHWs) into community-based efforts to prevent chronic disease. It contains evidence that demonstrates the value and impact of CHWs in preventing and managing a variety of chronic diseases and examples of programs that engage CHWs, needed legislation, and recommendations for comprehensive policies to build capacity for an integrated and sustainable CHW public health workforce. Resources to assist state health departments and others in making progress with CHWs are also included.
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Adherence to ART
This webpage provides guidance and recommendations from the Centers for Disease Control and Prevention (CDC) for using antiretroviral treatment (ART) not only to improve health outcomes for people living with HIV but also for HIV prevention. It also provides guidance for clinicians and community-based HIV prevention providers about regularly assessing and supporting ART adherence.
This document details the benefits of antiretroviral therapy as HIV prevention, including the importance of HIV testing, linkage to and retention in medical care for persons diagnosed with HIV, and adherence to prescribed HIV treatment regimens. It puts treatment as prevention in perspective and looks at challenges and the future of HIV prevention. The document also details how CDC funding supports and expands prevention services for persons living with HIV and lists a variety of related references.
This document reviews information about the number of people in the United States engaged in five stages of HIV care from a comprehensive analysis released by the Centers for Disease Control and Prevention in July 2012 based on HIV prevalence data from 2009 and other data sources. The document also includes charts showing HIV care by race/ethnicity, age, risk group, and gender.
The Common Patient Assistance Program (PAP) Application can be used to apply for any pharmaceutical assistance program (PAP) offered by pharmaceutical companies. The application was developed collaboratively by the Department of Health and Human Services, nine pharmaceutical companies, the National Alliance of State and Territorial AIDS Directors, and community stakeholders.
This chapter from the CDC’s compendium focuses on evidence-based behavioral interventions that address medication adherence behaviors among persons living with HIV and are identified as either best-evidence or good-evidence through a literature efficacy review.
This curriculum focuses on botanicals commonly used by the Hispanic population. After reviewing this slide set with speaker notes, participants should to be able to: 1) explain the interplay of HIV treatment, botanical remedies and spirituality in Latino patients; 2) describe some benefits and risks of common botanical remedies, and 3) encourage Latino patients to disclose botanical use through effective provider-patient communication techniques.
This article, written by a panel convened by the International Association of Physicians in AIDS Care, provides recommendations related to linkage of persons living with HIV to medical care, retention in care, and improved adherence to antiretroviral therapy (ART). The recommendations cover specific issues such as substance use and mental health disorders and ones relevant to specific populations: pregnant women, incarcerated individuals, homeless and marginally housed individuals, and children and adolescents.
These slides from a webinar on January 16, 2013 address evidence-based recommendations for improving entry into and retention in care, and improving medication adherence for persons living with HIV infection. Topics include monitoring, successful intervention approaches, and review of practical resources. There is also a link to the recorded webinar.
This table reviews a number of HIV medication adherence strategies and organizes them by the most appropriate provider types and settings.
This site is a free resource for qualified healthcare providers, where they can create, print, and document personalized treatment plans for their patients in English or Spanish. It also has a link to a tool designed for patients to create free medication schedules and receive reminders by text or email about taking and refilling medications.
This site allows registrants to create, read, print, and update free medication schedules in English or Spanish. It also can be set to provide reminders by text or email about taking and refilling medications. Options include a mobile application.
This presentation by Charles B. Hicks, M.D., is a case-based review of strategies to individualize and optimize HIV management in the primary care setting. Dr. Hicks looks at current guidelines for when to start antiretroviral therapy (ART), how to assess patients considering ART, and choices for initial ART. It is also available for CME credit (see trainings). Registration, which is free, is required to download the slides.
This document includes guidance, tools, and helpful hints for health care providers and staff who work with patients with chronic disease in various ambulatory care settings. The Medication Adherence Project of the New York City Department of Health and Mental Hygiene with the assistance of medical care providers developed this guide in response to identified needs to help clinicians communicate more effectively with their patients about medical adherence.
ART for HIV Prevention
This webpage provides guidance and recommendations from the Centers for Disease Control and Prevention (CDC) for using antiretroviral treatment (ART) not only to improve health outcomes for people living with HIV but also for HIV prevention. It also provides guidance for clinicians and community-based HIV prevention providers about regularly assessing and supporting ART adherence.
This document details the benefits of antiretroviral therapy as HIV prevention, including the importance of HIV testing, linkage to and retention in medical care for persons diagnosed with HIV, and adherence to prescribed HIV treatment regimens. It puts treatment as prevention in perspective and looks at challenges and the future of HIV prevention. The document also details how CDC funding supports and expands prevention services for persons living with HIV and lists a variety of related references.
These guidelines were revised in March 2012 to include a new antiretroviral drug cost table and a new section on HIV and older patients. Key updates include: initiation of antiretroviral treatment (ART) in treatment-naive patients, an expanded discussion on the use of hormonal contraception in women living with HIV, new information related to HIV/Hepatitis C coinfection, recent data on pharmacokinetic interactions between drugs commonly prescribed for HIV-infected patients, timing of initiation of ART in patients with HIV who are diagnosed with tuberculosis, and the role of effective ART in preventing HIV transmission.
This video features Melanie Thompson, M.D., chairperson of the International AIDS Society- USA (IAS-USA) Antiretroviral Therapy Guidelines Panel. Here she talks with Fred Schaich about IAS-USA's new treatment guidelines, ways to step up prevention efforts, and advice for clinics on patient monitoring and follow up.
This document reviews information about the number of people in the United States engaged in five stages of HIV care from a comprehensive analysis released by the Centers for Disease Control and Prevention in July 2012 based on HIV prevalence data from 2009 and other data sources. The document also includes charts showing HIV care by race/ethnicity, age, risk group, and gender.
This downloadable document, provided by the World Health Organization (WHO), provides information related to considering antiretroviral treatment as a key element of HIV prevention and as a major part of the solution to ending the HIV epidemic.