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Table 2 Key Messages in PALM PLUS

From: From PALSA PLUS to PALM PLUS: adapting and developing a South African guideline and training intervention to better integrate HIV/AIDS care with primary care in rural health centers in Malawi

Key Message

PALM PLUS Section(s) where key message appeared

Inhaled corticosteroids control asthma →13*

Asthma care

Smoking? Urge your client to stop.

Cough, COPD care, Using inhalers and spacers

Cough ≥3 weeks? Exclude TB →34*

Fever, Unwell, Lymphadenopathy, Cough, Treating HIV, Suspecting TB, Treating TB, Pregnancy

Prevent MDR/XDR TB. Urge adherence to TB treatment.

Suspecting TB, Treating TB

Status unknown? Test for HIV →28*

Unwell, Lymphadenopathy, Psychiatric, Headache, Cough, Ear, Throat/Mouth, Abdominal Pain, Diarrhoea, Rash, Pregnancy

Prevent AIDS with routine HIV care →29*

Psychiatric, Diarrhoea, Diagnosing HIV, Routine HIV Care, Treating HIV, ART Follow-up, PMTCT, Treating TB

HIV? Manage client and family.

Diagnosing HIV, Routine HIV Care, Treating HIV, PMTCT

Pregnant with HIV? Give PMTCT, routine ante natal and HIV care.

Routine HIV Care, ART Follow-up, PMTCT, Pregnancy

STI?

• Educate about STI

• Urge adherence

• Treat partner/s

• Give condoms

• 'Stick to 1 partner'

• Test for HIV

Lymphadenopathy, Female Genital Symptoms, Genital Ulcer Syndrome, Other Genital Problem, Pregnancy

Fever ≥3 weeks? Exclude malaria →1, then TB →34*

Fever, Unwell

  1. *Indicates page number in PALM PLUS guideline to turn to for more information related to key message