TABLE 6.1Potential differentiated care needs and approaches to viral hepatitis

Who? HCV-infected persons categoryWhat? Care needsWhere? SiteBy whom? Caregiver
Clinically well and stableStandard care package: counselling, adherence support, treatment initiation and monitoringFacility-based, including primary care or community-based settings, and mobile/outreachPhysician or nurse
Advanced liver disease or serious comorbidities, hepatocellular cancer (HCC), previous treatment failureRequiring more intensive clinical support and follow up: management of liver-related complications (e.g. variceal bleed, ascites, encephalopathy, HCC treatment)Facility-based – hospitalPhysician
Mental health issues, people who inject drugs or engage in alcohol misuse, adolescents, migrantsRequiring more intensive psychosocial/mental health support, or intercultural and language supportCan be facility-based or community-based, harm reduction sitePhysician and counsellor/peer support

From: 6, Simplified Service Delivery for a Public Health Approach to Testing, Care and Treatment for HCV Infection

Cover of Guidelines for the Care and Treatment of Persons Diagnosed with Chronic Hepatitis C Virus Infection
Guidelines for the Care and Treatment of Persons Diagnosed with Chronic Hepatitis C Virus Infection [Internet].
Geneva: World Health Organization; 2018 Jul.
© World Health Organization 2018.

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