The Acquired Immune Deficiency Syndrome and Human Immunodeficiency Policy Plan

The acquired immune deficiency syndrome and human

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The Acquired Immune Deficiency Syndrome and Human Immunodeficiency Policy Plan Programs such as Global Health Initiatives (GHIs) advocating for AIDS/HIV are beneficial in providing funding helpful in prevention, education and vaccination to prevent the epidemic of these diseases (Biesma, Brugha, Harmer, Walsh, Spicer & Walt, 2009). Despite aggressive education program and campaign, HIV/AIDS continues to be on the rise due to the lack of vaccination related to cost effectiveness and misleading information, a public health issue in need of advocacy (Leeper, 2010). The Center for Disease Control introduced the Antiretroviral Therapy (ART) for prevention and treatment of opportunistic infection (OIs) that cause immunosuppression in HIV infected patient (Kaplan, Benson, Holmes, Brooks, Pau & Masur, 2009). The vaccine does not cure the disease, however it serves as an agent to prevent HIV both by lowering the viral load in individuals that has been tested positive preventing OIs such as Pneumocystis pneumonia (PCP) which causes 90% of infected patient CD4 count <200 cell/ul.(Kaplan et. al., 2009). District of Columbia (DC) has the highest incident of HIV/AIDS rate in the United States. In an effort to curtail this epidemic the District has increased HIV education, encouraged
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HEALTH ADVOCACY CAMPAIGN 6 needle exchange and HIV testing (Center for Disease Control and Protection, 2010). A proposed mobile clinic to test individuals and provide ART in an effort to decease the transmission of infections. State Reporting and Disclosure Requirement The debate on HIV exceptionalism and the ethical dilemmas regarding mandatory testing for HIV and AIDS continue to be a concern. According to the World Health Organization, any form of testing without informed consent is ineffective and unethical (Bayer & Edington, 2009). Maryland passed a state law (Bill 991) taking out the requirement for written consent, reducing the legal requirement for the content of the pretest counselling. If a patient refused test it would be noted in his medical file (Brown, 2008). In Washington District of Columbia along with the National Institute of Health a test- and-treat strategy was implemented to control the transmission of HIV (Walensky, Paltiel, Losing, Morris, Scott, Rhode & Freedberg, 2010). Reporting the number of individuals tested and treated can improve the life span of 1.1 years. The aim is to test and treat early with ART individuals diagnose with HIV with a CD4 count -<350 (Walensky et. al., 2010). These policies will impact advocacy for my campaign to bring changes to the number of people infected. Politics and Legislative Process According to Lanier, nurses play a role in promoting, advocating, and protecting the health, safety and rights of patient (Milstead, 2013, p. 46). Despite the fact nurse would prefer not to be involved in political activity, however their involvement plays a vital role in making decision and health policy changes.
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HEALTH ADVOCACY CAMPAIGN 7 My proposed policy change would be to implement a bill for voluntary testing requiring to be covered by health insurance regardless of the reason for a visit to the emergency room. This could make the test-and treat program more effective in treating potential HIV patients decreasing the spread of infection. Many states has laws for pretest counselling, however New
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