Government-funded programmes and services for vulnerable - Unicef
Government-funded programmes and services for vulnerable - Unicef Government-funded programmes and services for vulnerable - Unicef
Department of Health ➔ until HIV infection is ruled out and/or the mother has stopped breastfeeding; provision of CTX and ART for all HIV+ infants until the child’s immune system is restored. Treatment for HIVinfected children between 1 and 15 years includes: children between the ages of one and five years who are symptomatic and at WHO’s clinical stages 3 or 4 of the disease or who have a CD4 count less than or equal to 25% or an absolute count less than 750 cells/mm³; children between the ages of 5 and 15 years of age who are symptomatic and at the WHO’s clinical stages 3 or 4 or who have a CD4 count less than 350 cells/mm³; medical criteria for ART eligibility, there are a number of social criteria that must also be met before ART can be prescribed for children. There must be at least one identifiable caregiver who is able to ➔ 117
Government-funded programmes and services for vulnerable children in SA ➔ supervise medication. (All efforts must be made to ensure that the social circumstances of vulnerable children, for example, orphans, are addressed so that they can receive treatment.) xxxi It is further recommended that the child’s status is disclosed to another adult in the house to ensure ongoing support. Treatment for HIV+ children older than 15 and adults xxxii than 15 (adolescents) and adults who are HIV+ and meet the following criteria qualify for ART: have a CD4 count equal to or less than 200 cells/mm³ regardless of clinical stage; are at WHO clinical stage 4 regardless of CD4 count. adults who are either pregnant or have TB qualify for lifelong ART if: their CD4 count is equal to or less that 350 cells/mm³; or they have MDR/XDR TB. ➔ 118
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<strong>Government</strong>-<strong>funded</strong> <strong>programmes</strong> <strong>and</strong> <strong>services</strong> <strong>for</strong> <strong>vulnerable</strong> children in SA<br />
➔<br />
supervise medication.<br />
(All ef<strong>for</strong>ts must be<br />
made to ensure that the<br />
social circumstances<br />
of <strong>vulnerable</strong> children,<br />
<strong>for</strong> example, orphans,<br />
are addressed so<br />
that they can receive<br />
treatment.) xxxi It is<br />
further recommended<br />
that the child’s status<br />
is disclosed to another<br />
adult in the house<br />
to ensure ongoing<br />
support.<br />
Treatment <strong>for</strong> HIV+<br />
children older than 15<br />
<strong>and</strong> adults xxxii<br />
<br />
than 15 (adolescents)<br />
<strong>and</strong> adults who are<br />
HIV+ <strong>and</strong> meet the<br />
following criteria<br />
qualify <strong>for</strong> ART:<br />
have a CD4 count<br />
equal to or less<br />
than 200 cells/mm³<br />
regardless of clinical<br />
stage;<br />
are at WHO clinical<br />
stage 4 regardless of<br />
CD4 count.<br />
<br />
adults who are either<br />
pregnant or have TB<br />
qualify <strong>for</strong> lifelong<br />
ART if:<br />
their CD4 count is<br />
equal to or less that<br />
350 cells/mm³; or<br />
they have MDR/XDR<br />
TB.<br />
➔<br />
118
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