title: Adaptation of a general primary care package for HIV-infected adults to an HIV centre setting in Gaborone, Botswana.
abstract: BACKGROUND
  As life expectancy of HIV-infected patients improves due to antiretroviral treatment (ART) and the importance of associated co-morbidities and chronic diseases increases, preventive care will become increasingly important. Adaptation of existing preventive guidelines to local environments will become a priority for HIV treatment programmes.
  
  
  METHODS
  Guidance from the World Health Organization, a focused evidenced-based literature review, Botswana national guidelines, Botswana-specific morbidity and mortality data and centre-specific data were used to adapt a published general primary care package for limited-resource areas to our centre's specific setting.
  
  
  RESULTS
  The preventive care package contains recommendations on tuberculosis prevention, malnutrition, depression, cervical and breast cancer, hepatitis B coinfection, cardiovascular risk factors, external injury prevention, domestic violence screening, tobacco and substance-abuse counselling, contraception and screening and treatment of sexually transmitted infections.
  
  
  CONCLUSIONS
  This preventive care package addresses the comprehensive health needs of HIV-infected adults in the FMC in an evidence-based manner. The process of combining clinic-specific prevalence data, national guidelines, regional literature and assessment of public-sector resources to adapt an existing general package could be utilised to develop similar guidelines in other resource-limited locales.
authors.affiliation: Botswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Davis
authors.forename: Premal
authors.initials: P
authors.lastname: Patel
authors.forename: Abid
authors.initials: A
authors.lastname: Sheikh
authors.forename: Gabriel
authors.initials: G
authors.lastname: Anabwani
authors.forename: Michael A
authors.initials: MA
authors.lastname: Tolle
mesh_terms: D000293:Adolescent; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D001902:Botswana; D003151:Community Health Centers; D003191:Comprehensive Health Care / Q000191:economics / Q000379:methods* / Q000458:organization & administration*; D003363:Cost Control; D003906:Developing Countries; D005260:Female; D015658:HIV Infections / Q000191:economics / Q000628:therapy*; D006293:Health Promotion / Q000191:economics / Q000379:methods* / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D017410:Practice Guidelines as Topic; D011320:Primary Health Care