Hiv prevention in a military setting
This presentation is the property of its rightful owner.
Sponsored Links
1 / 30

HIV Prevention in a Military Setting PowerPoint PPT Presentation


  • 70 Views
  • Uploaded on
  • Presentation posted in: General

Prevention. STI Syndromic Management. V. Mass Awareness Campaigns. Education & Training included in all steps. HIV Screening. V. V. HIV Diagnostics. Infrastructure Development. HIV Care & Treatment Management Training. HIV Prevention in a Military Setting.

Download Presentation

HIV Prevention in a Military Setting

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Hiv prevention in a military setting

Prevention

STI Syndromic Management

V

Mass Awareness Campaigns

Education & Training included in all steps

HIV Screening

V

V

HIV Diagnostics

Infrastructure Development

HIV Care & Treatment Management Training

HIV Prevention in a Military Setting

Department of Defense HIV/AIDS Prevention Program (DHAPP)

Naval Health Research Center


Components of hiv prevention in a military setting

Develop plans with the military to achieve its HIV prevention goals

Mass awareness campaigns

Education and training (instructor training, peer education, workplace)

Behavioral change communication (BCC)

HIV screening [prevalence, voluntary counseling & testing (VCT)]

HIV/AIDS surveillance

Sexually transmitted infection (STI) syndromic management

Occupational exposure prevention

Policies and procedures for HIV-positive military

Long-term treatment and HIV management

Components of HIV Prevention in a Military Setting


Develop plans with military to achieve their hiv prevention goals

Develop Plans With Military to Achieve Their HIV Prevention Goals

  • Make contact with appropriate personnel within the military

  • Create liaison with US in-country Embassy

  • Work with the individual country to identify its needs and potential solutions

  • Work with other programs such as Centers for Disease Control and Prevention, Global AIDS Program, Joint United Nations Programme on HIV/AIDS, and US Agency for International Development


Hiv aids policies

HIV/AIDS Policies

Policies should encompass the following components:

  • Medical readiness

  • Social norms of community

  • Training

  • Prevention

  • Confidentiality

    • Human rights

  • Testing

  • Surveillance

  • Care


Hiv aids prevention develop a strategic plan

Prevention

V

STI Syndromic Management

Mass Awareness Campaigns

HIV Screening

Education & Training included in all steps

V

HIV Diagnostics

Infrastructure Development

V

HIV Care & Treatment Management Training

HIV/AIDS Prevention Develop a Strategic Plan


Hiv aids prevention develop a strategic plan1

Prevention

V

STI Syndromic Management

Mass Awareness Campaigns

HIV Screening

Education & Training included in all steps

V

HIV Diagnostics

Infrastructure Development

V

HIV Care & Treatment Management Training

HIV/AIDS Prevention Develop a Strategic Plan

  • Safe blood supply

  • Occupational exposure intervention


Hiv aids prevention develop a strategic plan2

Prevention

V

STI Syndromic Management

Mass Awareness Campaigns

HIV Screening

Education & Training included in all steps

V

HIV Diagnostics

Infrastructure Development

V

HIV Care & Treatment Management Training

HIV/AIDS Prevention Develop a Strategic Plan

  • Safe blood supply

  • Occupational exposure intervention

  • Surveillance

  • Voluntary counseling & testing


Hiv aids prevention develop a strategic plan3

Prevention

V

STI Syndromic Management

Mass Awareness Campaigns

HIV Screening

Education & Training included in all steps

V

HIV Diagnostics

Infrastructure Development

V

HIV Care & Treatment Management Training

HIV/AIDS Prevention Develop a Strategic Plan

  • Safe blood supply

  • Occupational exposure intervention

  • Surveillance

  • Voluntary counseling & testing

  • CD4 counts

  • Viral load

  • Role of rapid tests


Hiv aids prevention develop a strategic plan4

Prevention

V

STI Syndromic Management

Mass Awareness Campaigns

HIV Screening

Education & Training included in all steps

V

HIV Diagnostics

Infrastructure Development

V

HIV Care & Treatment Management Training

HIV/AIDS Prevention Develop a Strategic Plan

  • Safe blood supply

  • Occupational exposure intervention

  • Surveillance

  • Voluntary counseling & testing

  • CD4 counts

  • Viral load

  • Role of rapid tests

  • Manage HIV

  • Treat endemic infectious disease

  • Treat OI, TB, malaria


Hiv aids prevention develop a strategic plan5

Prevention

V

STI Syndromic Management

Mass Awareness Campaigns

HIV Screening

Education & Training included in all steps

V

HIV Diagnostics

Infrastructure Development

V

HIV Care & Treatment Management Training

HIV/AIDS Prevention Develop a Strategic Plan

  • Safe blood supply

  • Occupational exposure intervention

  • Surveillance

  • Voluntary counseling & testing

  • CD4 counts

  • Viral load

  • Role of rapid tests

  • Communication & coordination

  • Treatment clinics

  • Laboratories

  • Blood banks

  • Training facilities

  • Pharmacies

  • Manage HIV

  • Treat endemic infectious disease

  • Treat OI, TB, malaria


Hiv aids prevention develop a strategic plan6

Prevention

V

STI Syndromic Management

Mass Awareness Campaigns

HIV Screening

Education & Training included in all steps

V

HIV Diagnostics

Infrastructure Development

V

HIV Care & Treatment Management Training

HIV/AIDS Prevention Develop a Strategic Plan

  • Safe blood supply

  • Occupational exposure intervention

  • Surveillance

  • Voluntary counseling & testing

  • Ambush Theater

  • Radio & TV programs

  • Billboards

  • Promotional materials

  • CD4 counts

  • Viral load

  • Role of rapid tests

  • Communication & coordination

  • Treatment clinics

  • Laboratories

  • Blood banks

  • Training facilities

  • pharmacies

  • Manage HIV

  • Treat endemic infectious disease

  • Treat OI, TB, malaria


Hiv aids prevention develop a strategic plan7

Prevention

V

STI Syndromic Management

Mass Awareness Campaigns

HIV Screening

Education & Training included in all steps

V

HIV Diagnostics

Infrastructure Development

V

HIV Care & Treatment Management Training

HIV/AIDS Prevention Develop a Strategic Plan

  • Prophylactic medicine for sexual contacts

  • Follow-up to ensure effective drug regimen

  • Sexual health training for patients

  • Safe blood supply

  • Occupational exposure intervention

  • Surveillance

  • Voluntary counseling & testing

  • Ambush Theater

  • Radio & TV programs

  • Billboards

  • Promotional materials

  • CD4 counts

  • Viral load

  • Role of rapid tests

  • Communication & coordination

  • Treatment clinics

  • Laboratories

  • Blood banks

  • Training facilities

  • pharmacies

  • Manage HIV

  • Treat endemic infectious disease

  • OI, TB, Malaria


Education

Education

  • Identify local social norms & customs

  • Provide:

    • Learning aids (flip charts/diagrams/fact sheets)

    • Visual aids (photographs/posters)

  • Encourage & facilitate:

    • Story-telling (sharing experiences)

    • Group discussions

    • Continuing education


Provide training for

Master trainers

Peer educators

Drama troupes

Counselors

Nurses

Physicians

Laboratory personnel

Pharmacy personnel

Chaplains

Social workers

Senior military staff

Uniformed personnel

Provide Training for:


Prevention

PREVENTION


Occupational exposure intervention prevention

Occupational Exposure Intervention & Prevention

Hospital staff and patients are at high risk for HIV infection, therefore:

  • Assess:

    • Infection control practices

    • Facilities for tuberculosis (TB) isolation and ventilation

  • Provide mandatory training of health care personnel

  • Consider logistics:

    • Design efficient patient care areas (e.g., where to place sharps disposal containers)

    • Identify solutions for sharps and hazardous waste disposal (such as syringes, scalpels)

      • What kind of disposal container is most appropriate to contain waste/sharp

      • Where to place sharps (clean & dirty) so personnel are least likely to incur occupational exposures

    • Maintain ample stock of protective supplies (gloves, biohazard waste, sharps disposal)

  • Decrease multiple uses of sharps

  • Increase hand washing

  • Develop & schedule regular equipment maintenance & waste disposal routines


Hiv screening prevalence surveillance active duty recruits

HIV Screening(prevalence, surveillance: active duty & recruits)

  • Requires personnel who are properly trained and educated

  • Consider logistics: test kits, locations, building, clinics that will ensure confidentially

  • Develop policy to standardize and ensure quality of:

    • Laboratory testing

    • Counseling guidelines

    • Personnel training

  • Offer & encourage counseling upon screening

  • Testing options for HIV positives:

    • HIV rapid testing

    • ELISA testing

    • CD4 counts

    • Behavioral risk surveys to understand risk behavior

  • Provide follow-up for positives


Surveillance

Surveillance

Develop surveillance tools:

  • Conduct seroprevalence survey

  • Use data to:

    • Estimate HIV infection prevalence in each military

    • Map prevalence trends over time

    • Estimate resource burden

    • Create annual reports

    • Set up a sentinel population


Voluntary counseling testing vct

Voluntary Counseling & Testing (VCT)

  • Ensure privacy of information/confidentially

  • Be sensitive & aware of the potential discrimination & stigmatization the patient may encounter

  • Ensure patient receives test results

  • Provide & encourage counseling


Behavior change communication bcc

Behavior Change Communication (BCC)

Multi-level tool to promote and sustain risk-reducing behavior change in individuals and communities via tailored health messages in a variety of communication channels

BCC can help:

  • Increase safe sex practices

  • Reduce stigma

  • Increase demand for VCT, mother-to-child transmission

  • Increase clinic visits for STIs, opportunistic infections (OIs), TB


Safe blood supply

Safe Blood Supply

  • Provide personnel training

  • Develop screening algorithm for blood supply usage

  • Develop infrastructure capabilities


Mass awareness campaigns

Provide media such as “Ambush Theater” that are more likely to be accepted in the community

Develop mass media programming to include military-specific characters and themes

Consider culture-specific language, behaviors, and perceptions when designing campaigns

Identify myths and misconceptions

Communication tools that can be utilized for mass awareness include:

Radio

Films/video

Posters

Newspapers

Bulletin boards

Training events

Mass Awareness Campaigns


Infrastructure development

INFRASTRUCTURE DEVELOPMENT


Communication coordination

Communication & Coordination

  • Establish phone and e-mail communication

  • Improve Internet technology support

  • Establish office so that information can be updated and communicated to all members of the organization

  • Specify job descriptions and tasks for which each staff member/organization is responsible

  • Limit number of levels of management


Department of defense executed hiv aids rudimentary civilian construction refurbishment projects

Department of Defense-Executed HIV/AIDS Rudimentary Civilian Construction/Refurbishment Projects

  • Design & construct:

    • HIV/AIDS education & training facilities

    • Clinics, especially VCT centers

    • HIV/AIDS diagnostic laboratories

    • Blood banks & blood collection centers

    • Supply warehouses solely supporting HIV/AIDS programs (e.g., climate-controlled, secure storage for antiretroviral pharmaceuticals)

    • Small AIDS treatment and care hospitals

    • Other (considered on a case-by-case basis)


Laboratory equipment procedures

Laboratory Equipment & Procedures

  • Laboratory tests & equipment may include:

    • Rapid test kits

    • ELISA machine

    • CD4 counter

    • Microscope

    • Magnetic bead CD4 cell separation materials

  • Develop testing algorithm to ensure accuracy of positive HIV test results


Hiv care and management

HIV CARE andMANAGEMENT


Hiv diagnostics staging capability

HIV Diagnostics & Staging Capability

  • Provide laboratory infrastructure and equipment

  • Provide personnel training

  • Conduct HIV disease monitoring (CD4 lymphocyte count, viral load, consider alternative options in resource-poor settings)

  • Consider role of rapid tests (evaluation of rapid tests as available)


Sti syndromic management

STI Syndromic Management

Coinfection of STI increases likelihood of HIV transmission & acquisition:

  • Syndromic management reduces HIV infection rates & provides an opportunity for HIV prevention education

    Provide preventive medicine:

  • Establish programs to contact and test past sexual contacts of known STI patients

  • Know current pharmacological data, sensitivities, most-effective drug regimens

  • Set up clinics where patients may be followed up for progress

  • Provide intensive sexual health training for STI patients


Hiv care and treatment management training

HIV Care and Treatment Management Training

  • Provide:

    • Management of HIV

    • Treatment of endemic infectious diseases in HIV seropositives

    • Treatment for OIs, TB, and malaria


  • Login