2.11.2 Key References and Supporting WHO Guidelines

Bezanson, K., Pouteau, K., Mnthambala, A., Stephany, P., Chiwewe, D., Kumumbala, R., et al. (2006). Do health care workers with HIV/AIDS have delayed initiation of antiretroviral therapy and higher mortality when compared with other patients in Malawi? XVI International AIDS Conference, Toronto, Canada.

Corbett EL, Dauya E, Matambo R, Cheung YB, Makamure B, Bassett MT, et al. (2006). Uptake of workplace HIV counselling and testing: A cluster-randomised trial in Zimbabwe. PLoS Medicine, 3(7), e238.

Corbett, L. (2007). Health worker access to HIV/TB prevention, treatment and care services in Africa: Situational analysis and mapping of routine and current best practices. Unpublished manuscript.

Gilks CF, Crowley S, Ekpini R, Gove S, Perriens J, Souteyrand Y, Sutherland D, Vitoria M, Guerma T, De Cock K. (2006)The WHO public-health approach to antiretroviral treatment against HIV in resource-limited settings. The Lancet:368(9534):505-510.

Makombe, S. D., Jahn, A., Tweya, H., Chuka, S., Yu, J. K., Hochgesang, M., et al. (2007). A national survey of the impact of rapid scale-up of antiretroviral therapy on health-care workers in Malawi: Effects on human resources and survival. Bulletin of the World Health Organization, 85(11), 851-857.

World Health Organization. (2009). Integrating gender into HIV/AIDS programmes in the health sector: Tool to improve responsiveness to women's needs.

Supported by Existing Guidelines:

  • ILO/WHO PEP guidelines, 2008- Free of user charges 2.4.5: Free of user charges:
  • 2.4.5 Post-exposure prophylaxis services, including drug supply, should be offered free of user charges. Adequate resources to fund the entire package of PEP services (section 2.5.2) should be identified at the outset; budgets must be sufficient to cover the cost of medicine and staff salaries as well as the costs associated with testing, counselling, developing and supplying educational materials, staff training and case reporting. There are also costs associated with disseminating information to generate awareness among frontline service providers, health care workers and the community. Quality assurance and controls should also be fully funded. Budgeting decisions are usually made in relation to the availability of antiretroviral therapy for people living with HIV. Some of the training costs could be shared by, or absorbed into, existing budgets for antiretroviral therapy and HIV prevention, which would help to mobilize resources for PEP as an integral part of these other services.

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