In 2016, MoHCC launched the new ART National guidelines. These guidelines recommend a baseline CD4 count test for all new patients and subsequent use of Viral Load testing as the gold standard for monitoring response to ARVs. However, in recognition of our limitations to offer viral load to all patients, the guidelines also recommend continued use of CD4 test 6 monthly to monitor effectivenessof ART. Data from DHIS2 indicates that only 17% of patients initiated on ART from Jan-March 2019 had baseline CD4 count. Moreover, the national viral load coverage still remains low at 44% as at December 2018.
It is against this background that MOHCCis strongly recommending with immediate effect, stepping up use of CD4 count monitoring in the management of PLHIV through the following:
-ALL patients being initiated on ART should have a baseline CD4 count
-Any ART patient on treatment for at least 6 months and has not had a CD4 test done in the past6 months should have CD4 count before end of August 2019.
To this effect the Ministry has pushed supplies of CD4 reagents to all districts to suppport this exercise.
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Hello nurses!!We have published 3 new CPD activities this weekend.We are now heading towards the practising certificate renewal season and we have exciting news from the Nurses Council Of Zimbabwe about how you will utilise this platform to renew your licences.Official communication will be out soon.Meanwhile enjoy learning and keep refreshed.We are looking for an even more exciting 2020 and we welcome ideas and suggestions from you on our whatsapp helpline 0786954412