Scaling up with other HIV interventions and services Q.31 How
should national and district health authorities manage
interventions during the period of scaling up revised
recommendations on lifelong antiretroviral therapy? Scaling up
interventions across an entire national health system can be
achieved using different approaches. Some national authorities
will adopt phased implementation in order to maintain control
over an expanding set of new interventions. More rapid, blanket
implementation of new recommendations might also be considered.
An approach that documents early learning about implementation,
rapidly sharing those lessons with other
districts/implementation sites and monitoring the consistency of
service delivery is advisable. WHO guidelines advocate that ARV
interventions to prevent postnatal transmission of HIV make
breastfeeding even more advantageous for child development and
survival. While ARV interventions are being scaled up, national
authorities that have decided to promote and support br