[TLD_Master_Trainers] Updated TLD and PMTCT training slides

[tld_master_trainers at mailman.knowledgehub.org.za]

Dear colleagues,

 

The following training presentations and case studies have been updated and
are available on the Knowledge Hub Master Trainer repository:

*	Abridged ART guideline and TPT training slides
*	PMTCT training slides
*	Nondumiso: Viral load management case study
*	Melissa: PMTCT case study

 

https://www.knowledgehub.org.za/lms/course/view.php?id=28 

 

These presentations include the following changes:

1.	Valproate is safe to use with DTG.
2.	The best regimen for a pregnant woman that was previously exposed to
ART, but who is not currently on ART, is: 

a.	TLD (if she had a previously suppressed VL), or 
b.	ALD (if she had an elevated VL, or no VL result available whilst
previously on ART).

3.	Pregnant women who had TPT deferred in pregnancy because her CD4 was
> 100 should be reconsidered for TPT at six weeks post-delivery, as 12 weeks
is not aligned with any EPI visit.
4.	Cervical cancer screening must align with the Cervical cancer policy
to screen every three years in women LHIV (if the previous smear was
normal).
5.	Regarding the risk of NTDs, the risk is lower than previously
reported, i.e. 0.1% on EFV vs 0.3% on DTG. TEE is therefore recommended for
women wanting to conceive or women pregnant in the first six weeks of
pregnancy (while the neural tube is still open). However, we still have to
enable her to make an informed choice by:

a.	Understanding her fertility intentions and pregnancy status
b.	Providing her with the information on risks (new figures) and
benefits 
c.	We should continue to strongly recommend contraception for any women
who do not currently want to become pregnant, and give her a choice of
contraceptive options. We continue to strengthen integration of family
planning into ART services as a priority.

 

Note that the ART and PMTCT national guidelines available on the Knowledge
Hub are the current versions approved by the National Department of Health.

 

The training videos from the July provincial training workshops are now live
on the Knowledge Hub
https://www.knowledgehub.org.za/lms/course/view.php?id=28.

 

Kind regards,

 

Knowledge Hub 

National Department of Health

info at knowledgehub.org.za <mailto:info at knowledgehub.org.za>  

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