Module 5: Management Of Employees With HIV/AIDS At Primary Level - Issues and Background

IMPORTANT ISSUES:

• It is very likely that you will see HIV in your workplace.
• A lot can be done for employees infected with HIV.
• Benefits of active intervention far outweigh the costs.

BACKGROUND TO EXPERIENCE IN HIV:

• Khayelitsha primary care services in public sector with MSF and UCT support.
• Three services (one of which is pilot project integrating HIV and TB services).
• 3 000 regular patients (6 000 on books).
• 1 000 on ART.
• Largely see WHO stage 3 and 4.

WHAT SHOULD BE DONE FOR RECENTLY DIAGNOSED HIV-INFECTED PATIENT?

The list below summarises the actions that can be taken:

• Staging.
• CD4 cell count.
• HIV RNA level or viral load.
• Prevention and treatment.
• Psychosocial support.
• Counselling on sexual behaviour.