EACS 2023_Abstracts

EACS2023: 59 Formation of public health policy on HIV treatment issues: Asian perspectives S. Pal , B. Gupta , T. Roy HPSI, Meerut, India, TNM Hospital, Mumbai, India General data Abstract category: Access and delivery of care Abstract body Purpose: This is advocacy paper for PLWHIV. People living with HIV needs price discounts anti-HIV drugs, human-rights protection & proper nursing care. Controversy is rang over euthanasia for terminal cases. These are some burning issue for HIVpatients from resource-constrained countries. Appropriate public health program incorporating NGO’s in healthcare set-up are necessary. Method: Cost/availability of oncology drugs is debatable. Over 82% patients in rural India cannot afford Anti-HIV-therapies, so life with HIV is granted as end-game. Since September 1996 various community initiatives are implemented to reduce therapy cost. NGO’s need to facilitate development of sound & sustainable nursing care programs in marnalised communities. Various national & international programs offer drugs, technical assistance. Establish Uniform public health policy to develop of sound/sustainable HIV-care-programs. Results: therapy is out of reach for > 90% patients. Rehabilitation/palliative care plans are non-existent. Concrete proposals done only by 4 NGOs , 13 governments & 11private entities . Of these 9 supported by WHO, 10 NGOs (56%), 2 government (6%) & 5 private entities (38%) & 6 corporate/Pharma sector initiatives. HIV-nursing-care-services implemented together with low-cost-drugs show more positive outcome. Nursing care in rural/tribal areas is abysmal. Conclusions: Community participation of non-proft-organisations in administration of nursing-care/therapeutic-RX is very effective in terms of cost-management, better-compliance. Community mass intervention & low-cost drug-supply-projects has proven useful in rural communities of resource poor-nations. Barcelona-conference-participants can collaborate with NGO-activist to address this issue. Uniform public health policy needed to implement & expand cost-cutting measures to include a broader range of HIV care services. Recommendations: Promoting dialogue between health services & nurses accelerates HIV-care efforts. NGO-health-workers participation increases more compliance they must be involved in Public-health-policy issues. This would reduce difficulties faced by patients from resource poor southern countries. It is essential that we form common guideline manual on this issue affecting Asian countries. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 1 2 1 2 7

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