Primary Care for HIV-Infected Patients in Resource-Limited Settings

  • Authors: Charles van der Horst, MD; F. Parker Hudson, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 9/4/18 (What's New)

Summary

  • WHO recommends delivery of treatment for chronic diseases at the primary care level (Table 1)[WHO 2002]
  • Possible barriers to the delivery of optimal care in resource-limited countries include a shortage of healthcare workers, lack of financing, scarce service delivery outlets in rural areas, interruptions in the supply of health commodities, poor health infrastructure, and lack of primary care services for people infected with HIV/AIDS[Raynes 2006]
  • Task shifting of HIV care from physicians to associated healthcare providers can be an effective strategy for mitigating physician shortages and can result in equivalent clinical outcomes[Sanne 2010; Ivers 2011; Rich 2012; Rigodon 2012]

Action required