scaling up nurse-led/-facilitated · 19,289 on cart 18,270 viral suppression 93% 19,675 retained...

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Page 1: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September
Page 2: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Scaling Up Nurse-Led/-FacilitatedInterventions - Practical Examples

Gerjanne ter Beest, RN, Msc, MANP

Page 3: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September
Page 4: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Quality of life

Page 5: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Steps forward in HIV prevention and HIV care

Page 6: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Steps forward in HIV prevention and HIV care

Ambitions

- No HIV transmission

- No deaths by AIDS

- No HIV stigma

- Optimal quality of life for people with HIV

Page 7: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Quality of life

Nursing intervention: PrEP care / Treatment as prevention

Page 8: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Nursing interventionson PrEP care / Treatment as prevention

Page 9: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Quality of life

Nursing interventionson informing about indicator diseases

Page 10: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Quality of life

Nursing interventionson accessible care

Page 11: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Nursing intervention: accessible care

Page 12: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Quality of life

Nursing interventions on starting ART, monitoring side effects , interactions

Page 13: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Quality of life

Nursing interventionson: adherence

Page 14: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Quality of life

Nursing interventionson peer contact, fightingstigma, promoting healthy lifestyle, sexual health

Page 15: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Nursing intervention on: sexual health

Page 16: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Conclusions• We do many nursing interventions• These interventions are not always visible for other

stakeholders

We need to work on visibility• by doing scientific research• by showing nursing leadership• what else can we do??

Page 17: Scaling Up Nurse-Led/-Facilitated · 19,289 on CART 18,270 Viral suppression 93% 19,675 Retained care 23,100 HIV-positive 20,844 Diagnosed and linked to care CONFERENCE | 21-22 September

Thank you

Gerjanne ter Beest, RN, MSc

Rijnstate Hospital Arnhem, the Netherlands

Dutch Society of HIV nursing

[email protected]