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

Table 4 PALSA PLUS organization and content

Domain	Symptom-based algorithms
Respiratory system	Cough and/or difficulty breathing <2 weeks with...	Wheezing/tight chest Sputum production and/or fever and/or pain on breathing/coughing Runny/Blocked nose Pain and tenderness over sinuses Sore Throat and/or mouth Ear problem
	Cough and/or difficulty breathing > = 2 weeks with...	Asthma (TB excluded) COPD (TB excluded) Chronic cough (TB/asthma/COPD excluded) Difficulty breathing(TB/asthma/COPD excluded)
Genito-urinary	Urethritis
	Scrotal swelling or pain
	Balanitis
	Vaginal discharge
	Lower abdominal pain without vaginal discharge
	Genital ulcer syndrome
	Other STIs
HIV with...	Cough and/or difficulty breathing
	Weight loss
	Skin rashes
	Headache
	Eye problems
	Burning feet
	Vomiting
	Diarrhoea
	Abdominal pain (without diarrhoea)
	Psychiatric symptoms
Domain	General clinical management algorithms
Tuberculosis	Suspecting TB
	Diagnosis
	Treatment
	Follow-up
Sexually Transmitted Infections	Approach to a client following sexual abuse
	Approach to a client with an STI
	Approach to the partner of a client with STI
	Cervical screening
	Positive syphilis result
HIV	Diagnosis
	Staging
	Routine care
	ARV initiation
	ARV follow-up and side effects
	PMTCT

ISSN: 1748-5908