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 ➔ Pregnant women eligible for lifelong ART, patients with a CD4 count lower than 100, patients at clinical stage 4 and those who have MDR or XDR TB are eligible for fast-tracked ART. This means ART must commence within two weeks of becoming eligible. Other forms of treatment for all HIV+ adolescent and adult patients include: eligible for ART must be transferred to the wellness programme for regular follow-up and repeat CD4 count testing; to avoid HIV transmission to partners and children; prophylaxis for patients asymptomatic for TB; annual pap smears. ➔ 119
Government-funded programmes and services for vulnerable children in SA ➔ PEP treatment for children who have been sexually assaulted Children who have been sexually assaulted may access PEP after the assault. xxxiii The treatment is free. PEP is available if the child has been sexually assaulted and tests HIV negative. If the child is not emotionally ready to be tested and counselled when reporting the assault, or if the test results are not available, the child should be started on PEP with a three-day starter pack while waiting to be tested or for the results to become available. If the results come back positive, the child should be counselled and referred to appropriate services for management and support. If the results come back negative, a full course of PEP treatment should be provided. xxxv Targeted beneficiaries Children (and adults) who have been sexually assaulted will qualify for PEP if: to the SAPS or to a state health facility within 72 hours of the assault; and HIV at the time they present at the health facility. xxxiv Hospitals and certain primary health clinics A combination of AZT and Lamivudine is administered when the child presents at the health facility. The child must thereafter return at one-, two- and three-weekly intervals for further medication. The child must return at three- and six-monthly intervals for further HIV testing. ➔ 120
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Department of Health<br />
➔<br />
Pregnant women eligible<br />
<strong>for</strong> lifelong ART, patients<br />
with a CD4 count lower<br />
than 100, patients at<br />
clinical stage 4 <strong>and</strong><br />
those who have MDR<br />
or XDR TB are eligible<br />
<strong>for</strong> fast-tracked ART.<br />
This means ART must<br />
commence within two<br />
weeks of becoming<br />
eligible.<br />
Other <strong>for</strong>ms of<br />
treatment <strong>for</strong> all HIV+<br />
adolescent <strong>and</strong> adult<br />
patients include:<br />
<br />
eligible <strong>for</strong> ART must<br />
be transferred to the<br />
wellness programme<br />
<strong>for</strong> regular follow-up<br />
<strong>and</strong> repeat CD4 count<br />
testing;<br />
<br />
to avoid HIV<br />
transmission to<br />
partners <strong>and</strong> children;<br />
<br />
prophylaxis <strong>for</strong><br />
patients asymptomatic<br />
<strong>for</strong> TB;<br />
<br />
annual pap smears.<br />
➔<br />
119
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