This manual is designed for health professionals working in high HIV and TB prevalence countries. It summarises the characteristics of both diseases and their interactions. It concentrates particularly on the problems of diagnosis and management both in adults and children and summarises the other HIV related illnesses the clinician might encounter.

Three decades into the HIV pandemic, the goals remain clear: reduce the number of infections,improve the health outcomes of those who are infected, and eliminate disparities in care. And one observation continues to gain credence: families are a powerful resource in preventing, adapting to, and coping with HIV. Recognizing their complex role as educators, mentors, and caregivers, Family and HIV/AIDS assembles a wealth of findings from successful prevention and intervention strategies and provides models for translating evidence into effective real-world practice. Chapters spotlight the differing roles of mothers and fathers in prevention efforts, clarify the need for family/community collaborations, and examine core issues of culture,ethnicity, gender, and diagnosis (e.g., minority families, adolescents with psychological disorders). Throughout, risk reduction and health promotion are shown as a viable public health strategy A reference with considerable utility across the health, mental health, and related disciplines,Family and HIV/AIDS will be a go-to resource for practitioners working with families, researchers studying at-risk populations, administrators seeking to create new (or evaluate existing)prevention and care programs, and policymakers involved in funding such programs.

An estimated forty million people carry the human immunodeficiency virus (HIV), and five million more become newly infected annually. In recent years, many HIV-infected patients in wealthy nations have enjoyed significantly longer, good-quality lives as a result of antiretroviral therapy (ART). However, most infected individuals live in the poorest regions of the world, where ART is virtually nonexistent. The consequent death toll in these regionsâ€"especially sub-Saharan Africaâ€"is begetting economic and social collapse. To inform the multiple efforts underway to deploy antiretroviral drugs in resource-poor settings, the Institute of Medicine committee was asked to conduct an independent review and assessment of rapid scale-up ART programs. It was also asked to identify the components of effective implementation programs. At the heart of the committee's report lie five imperatives: Immediately introduce and scale up ART programs in resource-poor settings. Devise strategies to ensure high levels of patient adherence to complicated treatment regimens. Rapidly address human-resource shortages to avoid the failure of program implementation. Continuously monitor and evaluate the programs to form the most effective guidelines and treatment regimens for each population. Prepare to sustain ART for decades.

Connect multiple resources to form effective strategies to deal with AIDS An effective strategy to deal with the AIDS epidemic is to have a wide range of scientists, clinicians, front-line workers, and clients distribute theory, care, and resource knowledge geometrically through all levels. The Geometry of Care: Linking Resources, Research, and Community to Reduce Degrees of Separation Between HIV Treatment and Prevention shows how to link bottom-up and top-down approaches to advance care, services, resources, training, theory, and policy analysis. Leading authorities draw upon behavioral and organizational theory to discuss the development of the frameworks necessary to effectively disseminate knowledge to benefit those needing care and to protect the community from further risk. The Geometry of Care builds a powerful case for the development of sustained links among academic resources and the community. Practical strategies are provided to set up a dynamic response framework to integrate the latest advances in treatment and prevention. The first section focuses on System and Program Level Geometry, the second on Patient and Provider Level Geometry. This is the book that shows how to meet the challenge to effectively understand, diagnose, treat, and prevent AIDS simultaneously on multiple fronts. Topics in The Geometry of Care include: expanding strategic care to include patient, community, and medical centers the assessment, dissemination, and integration of new advances the bottom-up development of links among providers, systems, and settings increased communication through the network of generalists and specialists within hospitals examples of infrastructure building at a family health service, a medical center-based AIDS center, and a home-based ambulatory care program how sustained setting/site relationships help to foster customized interventions serving clients better by tracking them through data management integration of prevention and treatment for clients dealing with multiple co-morbidities forging links between Western and traditional medicine tailoring prevention strategies to fit the individual shifting the locus of care to the HIV-positive individual an inter-organizational approach to supporting patient-provider interaction understanding barriers to adherence HIV as a family disease—and the geometry of care as a family issue the need for partnership between patient and primary care provider individuals with HIV and their instrumental role in prevention and transmission much, much more! The Geometry of Care is a unique, horizon-expanding book that is perfect for community workers, community activists, public health professionals, HIV clinical providers, adherence specialists, applied sociologists, and other practitioners dedicated to finding ways to provide the best in care.