{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:42:48Z","timestamp":1777383768415,"version":"3.51.4"},"reference-count":51,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2011,10,13]],"date-time":"2011-10-13T00:00:00Z","timestamp":1318464000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>To combat morbidity and mortality from the worldwide epidemic of the human immunodeficiency virus (HIV), the United States Congress implemented a President's Emergency Plan for AIDS Relief (PEPFAR) in 30 resource-limited countries to integrate combination antiretroviral therapy (ART) for both prevention and cure. Over 35% of eligible persons have been successfully treated. Initial legislation cited palliative care as an essential aspect of this plan but overall health strengthening became critical to sustainability of programing and funding priorities shifted to assure staffing for care delivery sites; laboratory and pharmaceutical infrastructure; data collection and reporting; and financial management as individual countries are being encouraged to assume control of in-country funding. Given infrastructure requisites, individual care delivery beyond ART management alone has received minimal funding yet care remains necessary for durable viral suppression and overall quality of life for individuals. Technical assistance staff of one implementing partner representing seven African countries met to clarify domains of palliative care compared with the substituted term \u201ccare and support\u201d to understand potential gaps in on-going HIV care. They prioritized care needs as: 1) mental health (depression and other mood disorders); 2) communication skills (age-appropriate disclosure of HIV status); 3) support of care-providers (stress management for sustainability of a skilled HIV workforce); 4) Tied Priorities: symptom management in opportunistic infections; end-of-life care; spiritual history-taking; and 5) Tied Priorities: attention to grief-related needs of patients, their families and staff; and management of HIV co-morbidities. This process can inform health policy as funding transitions to new priorities.<\/jats:p>","DOI":"10.1177\/1049909111419292","type":"journal-article","created":{"date-parts":[[2011,10,13]],"date-time":"2011-10-13T21:14:17Z","timestamp":1318540457000},"page":"279-285","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Palliative Care and Support for Persons with HIV\/AIDS in 7 African Countries"],"prefix":"10.1177","volume":"29","author":[{"given":"Carla S.","family":"Alexander","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Memiah","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne B.","family":"Henley","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Kaiza-Kangalawe","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Dar-es-salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Joyce","family":"Shumbusho","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Dar-es-salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Obiefune","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine-Institute of Human Virology, Abuja, Central State, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Enejoh","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine-Institute of Human Virology, Abuja, Central State, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winifred","family":"Stanis-Ezeobi","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine-Institute of Human Virology, Abuja, Central State, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charity","family":"Eze","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine-Institute of Human Virology, Abuja, Central State, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehekhaye","family":"Odion","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine-Institute of Human Virology, Abuja, Central State, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald","family":"Akpenna","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine-Institute of Human Virology, Abuja, Central State, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amana","family":"Effiong","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Jos, Plateau State, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Miriti","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samson","family":"Aduda","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Oko","sequence":"additional","affiliation":[{"name":"Catholic Relief Services, Abuja, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gebremedhin D.","family":"Melaku","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Addis-Abbaba, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cyprien","family":"Baribwira","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Kigale, Rwanda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassina","family":"Umutesi","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Nyamasheke, Rwanda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mope","family":"Shimabale","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Lusaka, Zambia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Mugisa","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Amoroso","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Institute of Human Virology, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,10,13]]},"reference":[{"key":"bibr1-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciq180"},{"key":"bibr2-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1097\/PPO.0b013e3181f684e5"},{"key":"bibr3-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7408.209"},{"key":"bibr4-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2006.09.033"},{"key":"bibr5-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-10-6"},{"key":"bibr6-1049909111419292","first-page":"1197","volume-title":"Oxford","author":"Stjernsward J","year":"2003","edition":"3"},{"key":"bibr7-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-010-0046-4"},{"key":"bibr8-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000173"},{"key":"bibr9-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-010-9706-z"},{"key":"bibr10-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1080\/09540120903038366"},{"key":"bibr11-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2006.11.001"},{"key":"bibr12-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2009.10.003"},{"issue":"2","key":"bibr13-1049909111419292","first-page":"76","volume":"12","author":"Bravo P","year":"2010","journal-title":"AIDS Rev"},{"key":"bibr14-1049909111419292","doi-asserted-by":"publisher","DOI":"10.2190\/41X8-42QW-2571-H20G"},{"key":"bibr15-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951504040180"},{"key":"bibr16-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1353\/anq.2008.0009"},{"key":"bibr17-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.04.011"},{"key":"bibr18-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2010.08.003"},{"key":"bibr19-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1258\/095646206777323409"},{"key":"bibr20-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2009.01.001"},{"key":"bibr21-1049909111419292","doi-asserted-by":"publisher","DOI":"10.4314\/eamj.v83i8.9456"},{"key":"bibr22-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-584"},{"issue":"1","key":"bibr23-1049909111419292","first-page":"e1","volume":"57","author":"Filler SJ","year":"2011","journal-title":"J AIDS [CDC]"},{"key":"bibr24-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1177\/1545109710361383"},{"key":"bibr25-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2008.04.008"},{"key":"bibr26-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2010.02513.x"},{"key":"bibr27-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200406003-00008"},{"key":"bibr28-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1177\/1545109710361383"},{"key":"bibr29-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.10.012"},{"issue":"3","key":"bibr30-1049909111419292","first-page":"4","volume":"66","author":"Saunders C","year":"2003","journal-title":"Pharos Alpha Omega Alpha Honor Med Soc"},{"key":"bibr31-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1097\/01.NJH.0000306714.50539.1a"},{"key":"bibr32-1049909111419292","author":"Mugisa E","journal-title":"Assessment of palliative care services at ART treatment sites that received training in PC: the AIDS relief Uganda"},{"key":"bibr33-1049909111419292","author":"Kaiza A","journal-title":"CD4 cell counts below 100 as \u201cRed Flag\u201d indicator of critical need for Palliative Care Services for patients in HIV\/AIDS care and treatment clinics in Tanzania"},{"key":"bibr34-1049909111419292","author":"Effiong A","journal-title":"Pilot project at Nigerian antiretroviral (ART) sites to reduce staff stress that may inhibit integration of pain management, end-of-life and mental health issues for PLWHA"},{"issue":"2","key":"bibr35-1049909111419292","first-page":"126","volume":"21","author":"Justice AC","year":"1999","journal-title":"J Acquir Immune Defic Syndr"},{"key":"bibr36-1049909111419292","doi-asserted-by":"crossref","unstructured":"Alexander CS. Specific Types of Illness and Sites of Care: HIV\/AIDS. In  Manuel LL, Librach SL Palliative Care: Core Skills and Clinical Competencies. 2nd ed. St Louis, MO: Elsevier Saunders; 2011: 372\u2013390.","DOI":"10.1016\/B978-1-4377-1619-1.00026-3"},{"key":"bibr37-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-8-271"},{"key":"bibr38-1049909111419292","author":"Rai Y","year":"2008","journal-title":"J Happiness Stud"},{"key":"bibr39-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1097\/01.NJH.0000306714.50539.1a"},{"key":"bibr40-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1177\/105413730701500103"},{"key":"bibr41-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(03)00117-7"},{"key":"bibr42-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czm006"},{"key":"bibr43-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.352"},{"key":"bibr44-1049909111419292","doi-asserted-by":"publisher","DOI":"10.4065\/81.11.1435"},{"key":"bibr45-1049909111419292","first-page":"38","volume":"24","author":"Zerden ML","year":"2006","journal-title":"Southern Afr J HIV Med"},{"key":"bibr46-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e3181777a5f"},{"issue":"71","key":"bibr47-1049909111419292","first-page":"82","volume":"15","author":"Collins PY","journal-title":"A systematic review. AID. 2006;2"},{"key":"bibr48-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008525"},{"key":"bibr49-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-010-0061-5"},{"key":"bibr50-1049909111419292","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-148-2-200801150-00002"},{"key":"bibr51-1049909111419292","doi-asserted-by":"publisher","DOI":"10.1177\/014107680109400918"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049909111419292","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1049909111419292","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049909111419292","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:27:24Z","timestamp":1777368444000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049909111419292"}},"subtitle":["Implementation Experience and Future Priorities"],"short-title":[],"issued":{"date-parts":[[2011,10,13]]},"references-count":51,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.1177\/1049909111419292"],"URL":"https:\/\/doi.org\/10.1177\/1049909111419292","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10,13]]}}}