Box 5.1How to improve the implementation of policy and guidelines on co-trimoxazole prophylaxis at the national level

  • Adapt WHO guidelines to the national context
  • Strengthen national and local drug supply management systems to ensure the sustained availability of co-trimoxazole at health care facilities
  • Secure funding for providing co-trimoxazole prophylaxis to ensure that no user charges for co-trimoxazole are imposed
  • Coordinate with malaria programmes at the country level regarding recommendations related to the intermittent preventive treatment of malaria in pregnancy and seasonal malaria chemoprophylaxis for children younger than 5 years
  • Provide co-trimoxazole prophylaxis to eligible people at TB, maternal, newborn and child health and opioid substitution therapy services
  • Scale up the training and sensitization of health care workers
  • Increase co-trimoxazole prophylaxis knowledge at the community level
  • Ensure that a human rights framework is used: for example, people with HIV should always consent to using co-trimoxazole prophylaxis
  • Ensure that high-quality co-trimoxazole formulations are provided
  • Monitor the toxicity of adverse reactions, particularly in chronic use of co-trimoxazole prophylaxis
  • Assess adherence to policies and the impact on population health

From: 5, THE USE OF CO-TRIMOXAZOLE PROPHYLAXIS FOR HIV-RELATED INFECTIONS AMONG ADULTS, ADOLESCENTS AND CHILDREN

Cover of Guidelines on Post-Exposure Prophylaxis for HIV and the Use of Co-Trimoxazole Prophylaxis for HIV-Related Infections Among Adults, Adolescents and Children: Recommendations for a Public Health Approach
Guidelines on Post-Exposure Prophylaxis for HIV and the Use of Co-Trimoxazole Prophylaxis for HIV-Related Infections Among Adults, Adolescents and Children: Recommendations for a Public Health Approach: December 2014 supplement to the 2013 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection.
Geneva: World Health Organization; 2014 Dec.
Copyright © World Health Organization 2014.

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