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Discharge from the hospital is carried out after an additional examination, selection of adequate therapy and improvement in the condition of patients.? Additional information affecting the course and outcome of the disease 1. Formation of adherence to dispensary observation and treatment in a patient with HIV infection [216, 217] (2A) Treatment of HIV infection is carried out for life and requires patients to strictly follow the recommendations of doctors and the regimen of therapy. Compliance with ART and dispensary observation should be considered in the same context of the timeliness and effectiveness of therapy.

At present, the task of attracting and retaining patients within the existing system of care is of paramount importance. The formation of patients' adherence to dispensary observation and treatment of HIV infection is carried out within the framework of a multiprofessional patient-oriented approach using counseling technology.

The formation of adherence to treatment as a specific behavior in relation to taking medications is carried out in the process of communication, trusting interaction with the patient.

Treatment adherence refers to: taking drugs in strict accordance with the doctor's prescription, when the patient: takes the medicine on time; takes it in the dose prescribed by the doctor; following dietary guidelines. WHO recommends that 95% adherence be considered as the threshold value, as it provides the best virological response to ongoing therapy.

At the same time, it is proposed to establish the following levels of adherence assessment: high - the patient takes ?

95% of prescribed doses of ARVs; medium - 85–94%; low - ?

85% In order to implement a multiprofessional approach in healthcare institutions and ensure PLHIV access to non-medical services, care and support, it is advisable to maintain and expand psychological and social counseling, including within the framework of the School of Patients Infected with the Human

In accordance with the standards of primary health care for adults with a disease caused by the human immunodeficiency virus (HIV), approved by orders of the Ministry of Health of Russia (dated November 20, 2018 No.

School of patients infected with human immunodeficiency virus should be organized with a certain frequency of provision and frequency of application.

When organizing the School of patients infected with the human immunodeficiency virus, it is recommended to reflect the following topics: general information about HIV/AIDS, how to maintain your health with HIV infection, the availability of HIV treatment, the birth of a healthy child, interaction with other people. Measures to improve ART adherence Program level measures [127,217,218,219] (2A) availability of all types of medical care, social support, psychological support; development, production, registration and strengthening of the drug supply management system; the use of combination drugs with fixed doses; optimization of the system of medical and social rehabilitation of users of psychoactive substances.