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PLHIV are most commonly involved in tasks related to education, counselling, adherence support and patient tracing.
It covers topics such as general knowledge of HIV/AIDS and ART, counselling, adherence support, medical history-taking, triage, examination and referral of patients and follow-up of patients.
While acknowledging that different groups have particular strengths – for example in stigma reduction, counselling, adherence support, or home-based care among others – networks enable PLHIV to learn from one another, share resources and encourage income generation.
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Even under the current economic and agro-political conditions, they used up to 20% less PPPs than in comparable standard operating farms in the region as a result of expert counselling and adherence to the "threshold of damage" principle [43].
In professional situations, ample time might be available prior to use to ensure a perfect fit and to give extensive counselling on adherence, but it is unlikely this will apply to the general population in case of a pandemic.
This finding is consistent with previous studies that were not able to correct for misclassified deaths [16] and highlights the need for adapted counselling and adherence support interventions for patients on long-term ART.
Interventions focused primarily on medication counselling or adherence.
Skills development in counselling, including adherence counselling, was incorporated into training and support workshops for nurse-trainers.
The first response to a worsening trend in CD4 or viral load was counselling about adherence to treatment.
To achieve a better outcome, case management in ACF strategy should be strengthened through enhanced patient-centred counselling and adherence support.
In particular, as nurses' role in evaluating and monitoring patients increases, models that rely less on nurses and more on other cadres such as trained lay counsellors for counselling and adherence may be able to staff programmes more easily.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com