Package

Contents

The essential package

· Voluntary HIV counselling and testing

· Psychosocial support for HIV -positive people and their families

· Palliative care and treatment for pneumonia, oral thrush, vaginal candidiasis and pulmonary tuberculosis

· Prevention of infections with cotrimoxazole prophylaxis for symptomatic HIV -positive people

· Official recognition and facilitation of community activities that reduce the impact of HIV infection

The intermediate package

All of the above plus one or more of the following:

· Active case-finding (and treatment) of tuberculosis among HIV -positive people

· Preventive therapy for tuberculosis for HIV -positive people

· Systemic antifungals for systemic fungal infections (such as cryptococcosis)

· Treatment of Kaposi sarcoma

· Surgical treatment of cervical cancer

· Treatment of extensive herpes with acyclovir

· Funding for community activities that reduce the impact of HIV infection

The advanced package

All of the above plus:

· Triple antiretroviral therapy

· Diagnosis and treatment of opportunistic infections that are difficult to diagnose and/or expensive to treat, such as atypical mycobacterial infections, cytomegalovirus infection, multiresistant tuberculosis, toxoplasmosis and HIV -associated cancers

· Specific public services that reduce the economic and social impacts of HIV, to supplement community efforts that reduce the impact of HIV infection