In a little over a week’s time, the new WHO Consolidated Guidelines on the use of ART for HIV Treatment and Prevention are expected to be released at IAS 2013 in Kuala Lumpur. As the discussion below about Gallant et al’s editorial on whether the world is ready for the US-style ‘treatment for all PLHIV’ guidelines mentions, the standard of care being put in practice in different countries differs greatly. Therefore it is useful to keep a tally of what the national ART guidelines in different countries actually are.
Dr Reuben Granich, of UNAIDS, has worked with Somya Gupta (Consultant, Delhi) to manage a wiki-style listing of the guidelines that they have been able to pull together, which we are reproducing here.
Universal Access to HIV Treatment, Prevention, Care and Support is a global commitment to achieve the Millennium Development Goal 6, which seeks to “halt and reverse the spread of HIV”. The commitment, articulated in the 2006 UN Political Declaration on HIV/AIDS, is led by countries worldwide with support from UNAIDS and other development partners. As part of their efforts to eliminate AIDS, countries develop national HIV/AIDS guidelines for program design and management of people living with HIV. Successful dissemination and application of these evidence-based guidelines are instrumental in achieving universal access.
This database includes the national guidelines on adult and paediatric antiretroviral treatment (ART); HIV testing and counselling (HTC); prevention of mother-to-child transmission (PMTCT); HIV/TB (The Three I’s for HIV/TB); and opportunistic infections (OIs).
The following table lists the most recent guidelines from 79 countries/regions (Last updated: May 2013). Please follow the hyperlinks to download the actual documents.
Guidelines are revised frequently and we are also missing policies for many countries. This is a “wiki-style” effort and we rely on our readers to help us to update this database. Please send any new and/or updated guidelines to
Senior Advisor for Care and Treatment
The database can be downloaded here: GLOBAL GUIDELINES DATABASE March 2013