Antiretroviral agents are not yet considered essential medications by international public health experts and are not widely used in the poor countries with high HIV prevalence. With the collaboration of Haitian CHWs experienced in the delivery of home-based and directly observed treatment for TB, an AIDS-prevention project was expanded to deliver HAART to a subset of HIV patients deemed most likely to benefit. The study concludes that directly observed therapy (DOT) with HAART can be delivered effectively in poor settings if there is an uninterrupted supply of high-quality drugs.
The report discusses Partners in Health (PIH) HIV work in one of Haiti's poorest areas. PIH launched a small pilot project integrating AIDS care with prevention efforts. PIH found that such projects are replicable and may enhance primary health care. CHWs played a crucial role in developing a stronger approach to HIV/AIDS as well as scaling up primary health care.
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