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CarePack® - Components

Overview of CarePack® components and the potential impact on individuals with HIV and their household:

Core InterventionsProduct description/quantityImpact on PLWHA and their household
PermaNet® 2.0
  • WHO-recommended long-lasting insecticidal net (LN) for the prevention of malaria and other vector-borne diseases.
  • One or two pieces depending on existing coverage of bednets in a country.
  • Consistent use of insecticide-treated nets is associated with reduction in cases of malaria and all cause mortality among children.1
LifeStraw® Family
  • Instant microbiological purifier delivering at least 18,000 litres of EPA-quality drinking water for a typical family for three years.
  • One piece.
  • The use of safe drinking water is associated with 25% reduction in episodes of diarrhoea, 33% reduction in days with diarrhoea and 24% reduction in episodes of diarrhoea with blood or mucous in stool.2
  • Of all household interventions, filters consistently prevent diarrhoea, with an average 63% reduction.3
Co-trimoxazole prophylaxis (optional)
  • A broad-spectrum antibiotic recommended by the WHO.
  • Distribution depends on country-to-country requirement.
  • The use of co-trimoxazole prophylaxis is associated with 46% reduction in mortality, 72% reduction in malaria, 35% reduction in diarrhoea and 31% reduction in hospitalizations.4
  • This antibiotic has possible beneficial effect on viral load and CD4 cell count.5
Condoms (optional)
  • Effective tool for reducing the risk of infection from the viruses that cause AIDS, other HIV-related illnesses, and other sexually-transmitted diseases (STDs).
  • 120 pcs or as appropriate.
  • Latex condoms, when used consistently and correctly, are highly effective in preventing the sexual transmission of HIV, the virus that causes AIDS. In addition, consistent and correct use of latex condoms reduces the risk of other sexually-transmitted diseases (STDs), including diseases transmitted by genital secretions, and to a lesser degree, genital ulcer diseases.6
IEC material
  • Product usage instructions, tips for HIV prevention, malaria prevention, hygiene, water and sanitation.
  • As appropriate.

Provision of education material is associated with reduction in high-risk behavior, leading to:

  • Reduction in transmission of HIV to others.
  • Reduction in risk of acquiring additional STIs.
  • Reduction in the number of new/ opportunistic infections.


References

1. Lengeler, C. (2004). Insecticide-treated bed nets and curtains for preventing malaria. The Cochrane Database of Systematic Reviews, Issue 2, Art. no. CD000363.

2. Lule, J.R. et al. Effect of home-based water chlorination and safe storage on diarrhea among persons with human immunodeficiency virus in Uganda. Am J Trop Med Hyg. 2005 Nov;73(5):926-33.

3. Interventions to improve water quality for preventing diarrhoea (Review) © 2006 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

4. Mermin, J. et al. Effect of cotrimoxazole prophylaxis on morbidity, mortality, CD4 cell count, and HIV viral load among persons with HIV in rural Uganda. Lancet. 2004 Oct 16;364(9443):1428-34.

5. Mermin, J. et al. Effect of cotrimoxazole prophylaxis on morbidity, mortality, CD4 cell count, and HIV viral load among persons with HIV in rural Uganda. Lancet. 2004 Oct 16;364(9443):1428-34. 6. Centers for Disease Control and Prevention.

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