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HIV/AIDS

WHO recommendations for clinical mentoring to support scale-up of HIV care, antiretroviral therapy and prevention in resource-constrained settings


7 August 2006

ISBN 92 4 159468 3

Clinical mentorship is a system of practical training and consultation that fosters ongoing professional development to yield sustainable high-quality clinical care outcomes. Expertise in managing antiretroviral therapy and opportunistic infections is often not found on the district management team in programmes that are starting to scale up HIV treatment. A clinical mentor in the antiretroviral therapy context is a clinician with substantial expertise in antiretroviral therapy and opportunistic infections who can provide ongoing mentoring to less-experienced HIV clinical providers by responding to questions, reviewing clinical cases, providing feedback and assisting in case management. This mentoring occurs during site visits as well as via ongoing phone and e-mail consultation. Clinical mentoring is critical to building successful district networks of trained health care workers for HIV care and treatment in resource-constrained settings.

This publication discusses the rationale and relevance of clinical mentoring to the public health approach to scaling up HIV care and antiretroviral therapy. This discussion is based on the Planning consultation on clinical mentoring: approaches and tools to support scaling-up of antiretroviral therapy and HIV care in low-resource settings, Geneva, Switzerland, 7–8 March 2005 and the Working meeting on clinical mentoring: approaches and tools to support the scaling-up of antiretroviral therapy and HIV care in low-resource settings, Kampala, Uganda, 16–18 June 2005 (Annexes 1 and 2).


These guidelines have been released for country adaptation and to help with the emergency scale-up of antiretroviral therapy (ART) in resource-limited settings. Interim guidelines are regularly revised based on early implementation experience. Please send comments, suggestions and requests for adaptation assistance to: imaimail@who.int.

For country adaptation, most IMAI publications, modules and recording forms are also available in Word and/or InDesign formats. To request these formats please send an email to imaimail@who.int.


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