Implementing the HIV “treat all” guidelines in Namibia: patient and health provider perspectives
In late 2015, the World Health Organization announced new treatment guidelines recommending that anyone who has tested positive for HIV should begin antiretroviral therapy (ART) as soon as possible. In light of this policy, the Government of Namibia included “treat all” in the 2016 National Guidelines for ART, and began nation-wide implementation in April 2017. Project SOAR is generating evidence on how the national rollout of the treat all guidelines and decentralization of ART services affect client-level treatment outcomes, quality of ART services, and treatment costs in Namibia.
This brief summarizes the perspectives of clients and providers regarding ART service delivery during the early phase of the rollout. The brief also highlights differences in views and experiences among clients pertaining to central versus decentralized ART services.Download Brief