Expansion of Second Line Treatment

 

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From: Dr. B. B. Rewari
Sent: Thursday, December 16, 2010 5:41 PM
To: AIDS Community
Subject: [aids-se] FOR INFO: Expansion of Second Line Treatment
Importance: High

Dear All,

The National AIDS Control Organisation (NACO) has decided to make second line Antiretroviral Therapy (ART) available to all those in need of it - whether they underwent first line treatment in the government sector or private sector. In the first phase, and with immediate effect, universal access to second line treatment would be started at four Centres of Excellence – J J Hospital in Mumbai, GHTM in Tambaram, MAMC in New Delhi and STM in Kolkata. This will be open to patients from any part of the country.

The person in need of second line treatment will have to register at the nearest ART centre. This could be a person with suspected treatment failure, or a person already on second line treatment. The local ART centre will then send the patient’s details to the State AIDS Clinical Expert Panel (SACEP) at these four Centres of Excellence, as per existing operational guidelines, and prior appointment shall be given. The person shall then report to SACEP where further evaluation like viral load tests will be conducted as required. A decision would be taken on whether there is genuine treatment failure necessitating second line treatment.

This pilot initiative would be studied over a period of three months, which would give an indication of the number of additional persons seeking second line treatment, thus enabling capacity addition to proceed in a planned and phased manner for expansion to other Centres of Excellence and ART plus centres.

Thank You.

Dr. B. B. Rewari,
National AIDS Control Organisation (NACO),
New Delhi.

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