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HIV/AIDS |
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Control of communicable diseases standard 6: HIV/AIDS People have access to the minimum package of services to prevent transmission of HIV/AIDS.
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Key indicators (to be read in conjunction with the guidance notes)
- People have access to the following essential package of services during the disaster phase:
- free male condoms and promotion of proper condom use;
- universal precautions to prevent iatrogenic/nosocomial transmission in emergency and health-care settings;
- safe blood supply;
- relevant information and education so that individuals can take steps to protect themselves against HIV transmission;
- syndromic case management of sexually transmitted infections (STIs);
- prevention and management of the consequences of sexual violence;
- basic health care for people living with HIV/AIDS (PLWH/A).
- Plans are initiated to broaden the range of HIV control services in the post-disaster phase (see guidance note 1).
Guidance note
1. HIV control: during the post-emergency and rehabilitation phase of disasters, the expansion of HIV control activities will be based on an assessment of local needs and circumstances. Involvement of the community, especially people living with HIV/AIDS (PLWH/A) and their carers, in the design, implementation, monitoring and evaluation of the programme will be crucial to its success. In addition to services already implemented during the initial phase, more comprehensive surveillance, prevention, treatment, care and support services should be introduced. The provision of antiretroviral medications to treat PLWH/A is not currently feasible in most post-disaster humanitarian settings, although this may change in the future as financial and other barriers to their use fall. Protection and education programmes to reduce stigma and to protect people against discrimination should be implemented as soon as is feasible.
Note
Caritas Internationalis members cannot endorse standard 6 in the Control of Communicable Diseases section as it relates to the promotion of condom use, or standard 2 in the Control of Non-Communicable Diseases section concerning the Minimum Initial Service Package (MISP). By the same token, Caritas Internationalis members cannot endorse standards related to the use of condoms or the MISP which might appear in other parts of this handbook.
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