THE “CIRCLE OF CARE’’ FOR ADVANCED HIV DISEASE
Starting in 2017, the MSF Nsanje intervention evolved from a general linear HIV/TB support model aimed at achieving the 90-90-90 goals towards a focus on enhancing AHD care, a model that we call “the circle of care”. When PLHIV start ART, it is for the long-term, but along that journey patients might disengage from and re-engage into
care. Maintaining perfect adherence depends on the treatment itself (being accessible, efficient and well tolerated), the degree to which the environment is welcoming, as well
as the capacity to overcome several barriers in life.
The model includes interventions and packages of care to ensure continuum of care, communication, alignment, collaboration and coherence between the community, PHC and hospital. The patient with AHD remains central to this circular process.
MSF closes HIV/AIDS project after 25 years in Malawi
If we can’t avoid people getting sick from cholera, we must at least avoid them dying from it
