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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
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. Measures of an individual nature: patient education and counseling; mutual support; treatment of depression and disorders caused by the use of psychoactive substances; means of reminder and interaction; VL monitoring; counting the number of tablets; self-report. Pathological anatomical diagnostics 1. Features of pathoanatomical autopsy of those who died from HIV infection.
The bodies of those who died from infectious diseases or if they are suspected are subject to mandatory autopsy in accordance with Federal Law-323, Order of the Ministry of Health of the Russian Federation dated June 6, 2013 No. 354n “On the procedure for conducting post-mortem autopsies”.