2nd line treatment - Dr. Rewari's note.

[Guest guest]

Dear FORUM,

Re: /message/9411

Thank you Dear Dr. Rewari, for this vital information of more 08 ART centers

providing 2nd line treatment.

This is indeed a boon for people living with HIV and who are accessing 2nd line

treatment.

I take this opportunity to congratulate NACO and the team who had put the

efforts in making this a reality in India.

But also there are other issues like:

(1) The people who were put on 2 drugs combination instead of 3 drugs by private

doctors and who are on 2nd line but with great difficulties bearing the expenses

of the same. They are deprived of the free 2nd line treatment just because they

were treated by private doctors who did not refer them to Govt. hospitals or who

did not had any information on the same. What about them?

(2) There are other hospitals in Mumbai, still, other than JJ who are referring

people to MSF and who are accessing 2nd line treatment from there. What about

them???? Will they be now covered under JJ and its refferal units for ART (other

ART Centers).

(3) Regarding the other tests including viral load which is very expensive as of

now, who will bear the cost of them as of now, will the existing ART centers or

the pts. will themselves have to bear this.

I am sure you will clarify this soon.

As a person living with HIV, I feel proud to be in India and see that 2nd line

roll out programme is implemented.

Once again I take this opportunity in congratulating NACO and the team behind

this successful work.

With best regards,

Vijay Nair

E-MAIL: <vijayrnair@...>

[Guest guest]

Dear Dr Nair

Re: /message/9458

Thanks for your encouraging words. The viral load test will be provided free

after evaluation by a panel of experts at these centres. The panel of experts

will be constituted at each of these 10 centres and will be known as SACEP(Stae

AIDS Clinical Expert Panel).

This panel will evaluate all patients refered from ART centres for conforming

whether they fulfill criteria of clinical or immunological failure and will than

undergo free viral load at one these 10 centres.

 

Regarding private patients, the TRG on ART(includes NGO, Private doctors and INP

representative) has clearly recommneded to NACO to roll out second line

ART first to patients who were enrolled in National Programme from the beginning

and expand in aphased manner after necessary capacity building is done

When there is no third line, NACOs concern is to strictly monitor patients

strictly for adherence for long term continuation on secodn line

Dr B.B.Rewari

 MD,FICP,FIACM,FIMSA,FGSI

Sr.Physician,Dr RML Hospital &

National Programme Officer (ART)

National AIDS Control Organistion,

6th Floor, Chandralok Building,

36, Janpath, New Delhi-110001

Tel; 011-43616677,23731954(O)

Mobile ; 91-9811267610

Fax : 011-23731746

e-mai: <drbbrewari@...>