HIV Prevention: Strategies and Interventions in Brent, UK

This report discusses the public health concern of HIV in Brent, UK and the interventions and strategies implemented to manage it. It also evaluates the effectiveness of these interventions and the role of public health promoters in the interprofessional team.

HIV PREVENTION

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Public health is defined as a science and art which play vital role towards the people in
order to prevent from the disease. It also provides prolong life and improving the quality of life
through the organised efforts and informed choices of society organisation. This includes public
and private. The public health also takes the participation of various social group, communities
and individual in order to create a dependent role which is based on the public health. In this, the
handful behaviour of people is usually providing a core aspect that develop a quality of care for
the patient within a society or a community (Aldon and et. al., 2019). In other words, the public
health is also defined as a science that play a role in the protection towards the safety and
improve the health of communities through education, policy making, and research for the
disease. It also includes the behaviour which is preventive and the nature by reducing the impact
of injury. The main role of public health is to promote the welfare and the entire population make
a in security regards with the people's health and also protect them from the spread of infectious
disease and environmental hazards. However, they also help to ensure the access of safe and
quality care to benefit the population. In this report, the major discussion is based on the HIV
which also called as a human immunodeficiency virus that attack the body's immune system. In
this, if HIV is not treated it can lead to convert into the AIDS which called as acquired
immunodeficiency syndrome. As per this, the discussion includes analysis of public health
concern in the UK location Brent. Moreover, the analysis of intervention is taking place in order
to manage the public health concerns. The evaluation and effectiveness are identified of
intervention which is driven. The role of public health promoters within the interprofessional
team are also evaluated within this report (Cambiano and et. al., 2018).
MAIN BODY
According to the World health organization human immunodeficiency virus is defined as
infection which usually attacked the body immune system in which the target white blood cells
called CD4 cells. Moreover, the HIV destroys these cells and create weakening in the
individual’s immunity against the infection which include tuberculosis and fungal infection.
Whereas, the bacterial infection and some cancerous cells is also observed (Wand and et. al.,
2021). World health organization recommends that every person who has fallen in the risk of
human immunodeficiency virus should assess the testing where the infection can be diagnosed

by using simple and affordable diagnostic test (Giuliani and et. al., 2021). It is very important to
make test to ask HIV for proper counselling and treatment for the individual. In this, taking the
contrast of London, the North West London has 6719 individual living with the HIV virus
whereas 873 of women reside in the London borough of Brent. As per the previous time, the
commissioning services have focused on the therapy which is associated with the HIV alone
without considering how comorbidity affect treatment outcome and total service cost. The
prevalence shows that the government of London is used to conduct various campaign as an
intervention to reduce the impact of HIV in borough of Brent. The people of Brent face various
psychological issues which is associated with the fear due to the HIV. They are unaware about
the causes of HIV which can create more complications. The Government of London used to
conduct various campaigns and camps and they educate the people with the help of healthcare
professionals in the various regions of Brent (Wandera and et. al., 2020).
After a time by the rising cases of HIV can create issue regards to the public health.
Moreover, the government introduce various policy as an intervention to reduce the impact of
HIV in that particular region (Stecher and et. al., 2019). Moreover, Matt Hancock will announce
that they conduct a new goal with a significance that is helpful in the eradicating of HIV
transmission in England by 2030. No new infection within the next decade becoming one of the
first country to reach the UN zero infection target by 2030. The number of policies is conducted
within the workplace which provide the basic framework for company action to reduce the
spread of HIV and they also manage the impact workplace HIV policies make an explicit for
corporate action (Harding-Esch and et. al., 2017).
In the United Kingdom, the National health services provide various guidelines for the
proper intervention of HIV which include antiretroviral drug, emergency HIV drug and
prevention. Moreover, they also provide some aspect and standpoint for those condition which is
not treatable in that how to live with HIV. Whereas, the emergency HIV drug include post
exposure prophylaxis medicine which help to prevent the infection. The post exposure profile
access medicine starts their therapeutic effect within 72 hours of coming into contact with the
virus for it to be effective (Hibbert and et. al., 2018). It is only recommended with the higher risk
of exposure when the sexual partner is positive. Moreover, the post exposure prophylaxis
involves taking of HIV treatment every day for 1 month. They have some side effect which
include nausea, vomiting and sometime restlessness is also observed. In the Brent, the post

exposure prophylaxis medicines are also available in the sexual health clinic or genitourinary
medicine clinic. The hospitals are also available for the medicine which comes under the
accident and emergency departments (Hsu and et. al., 2020).
Moreover, for the proper diagnosis, the blood samples are collected which include two
important test such as HIV viral load test and CD4 lymphocyte cell count which usually major
how the HIV has affected the immune system and as according to it the treatment can be started
which depend on the circumstances and consultation with HIV doctors (Sabin and et. al., 2020).
With contrast with the National health services the program of the intervention of antiretroviral
drug which is helpful approach for the treatment of HIV which works by preventing the virus
replication throughout the body it also helpful because it allowed the immune system to repair
itself and prevent the damage in this the combination of HIV drug is used because HIV can adapt
it easily and become more resistant towards the disease (Jaspal and et. al., 2017).
There is various amount of HIV virus which is associated with the blood and it will measure
to see how treatment is going. If it can no longer be measured, it is known as undetectable. Most
of the cases, which shows that the HIV treatment reach with the level of undetectable viral load
within six months of starting treatment. As per this, there are a number of medicines which is
used within the HIV can interact with other medicines prescribed by general practitioners in the
brent over the counter. In the context with the Brent, the government used to create various
camping regards with the medications which are associated with the emergency drug medication
or with the anti-retroviral drug (Kembaren and et. al., 2018). Moreover, the people of Brent use
this drug in order to prevent the consequences and complications of HIV in their region. As per
this, it also includes nasal sprays and inhalers and some of the herbal remedies like St John wort
as well as some recreational drug which is helpful approach towards the HIV because, it creates
a barrier for the infection to replicate themselves in the host body (Rosengarten and et. al., 2020).
The National health services implemented this intervention with a wide scope to prevent the
barrier towards the HIV. Moreover, the undetectable HIV is also managed with the proper
guidelines which is associated with the living with HIV. The proper diet is regulated for the
patient to make their life more comfortable with HIV. These all interventions are evaluated under
various circumstances which helpful to provide the aspect which shows the measurement that the
people use this treatment in order to cure themselves (Kwong and et. al., 2021).

The intervention which is above stated play a vital role in the development and improvement
of quality of life the people in Brent faces the situation which is unconditional. So, this
intervention is show primary approach of care towards them. As per this, the intervention or
strategies have a proper care plan in which the health professionals also play an important role by
creating informative scenario. It helps to provide essential information regarding with the
medication dose and their treatment the health care professionals include medical staff, nurses,
general practitioner provide information which is helpful and make a conductive approach for
the patient by delivering quality of care and health (Laborde-Balen and et. al., 2018).
In this, the HIV has changed from a rapidly deteriorating illness to a complex chronic
disease. In this, the enhancing incidence of mortality which include cancers, liver disease and
also associated with the various cardiovascular diseases (Pallett and et. al., 2020). The North
West London has a serious issue with the human immunodeficiency virus whereas London
borough of Brent faces the same situation as the North West London. As per this, the study
identified that 29% of the people living with the HIV in Brent have a least one comorbidity the
most common was hepatitis followed by the condition of mental illness disorders and
cardiovascular disorders. In this, the comorbidity was more likely seen in the older patient who
have also the risk of cardiovascular disease and diabetes in which the white patient except for
diabetes which was more common in Asian groups (Lazuardi and et. al., 2019).
In this, the nurses and the medical staff usually incorporated with these specific skills and
knowledge about the HIV infection and in everyday practice they share their knowledge with the
maternal and child health concerns and also reduce the harm which can create the stigma within
the healthcare sector in the case of HIV (Levett and et. al., 2020). In this, they also inform the
patients of available treatment options for HIV infection on an ongoing basis in which they
provide the education to patients regards with the side effect, importance of adherence and
scheduling of medicines. In addition, they also provide information regarding the treatment and
care plan in which they ensure that patients are partnered with a primary care provider who can
provide treatment. The nurses and the medical staff also understand the importance of adherence
in minimizing resistance and create awareness of strategies which can be implemented in such a
way which can support the adherence (Mackworth-Young and et. al., 2019). Moreover, the nurse
is having also enough skills and knowledge which is helpful to interpret the diagnostic test for
the HIV antibody testing and provide informed care to person who present for HIV testing. In

this, the proper information regarding with the treatment and appointment it is shared with the
patient and create a zone of compatibility for them (Moseng and et. al., 2017). They also
understand the factor which make the persons vulnerable to HIV infections and also the process
of HIV testing either by point-of-care. In this, they also represent the importance of pre and post-
test counselling for HIV testing and also support clients through the process of notification that is
associated with the partner basis (Moore and et. al., 2020).
CONCLUSION
As per the above discussion, it is analyzed that the HIV is usually associated with the
condition which may create impact in the immune system. Moreover, in the North West London
and London borough of Brent faces the situation of HIV. There are various strategies used by the
borough of Brent which allow to prevent the cause of HIV. There is different preventive strategy
used by the UK that allows to reduce the case of HIV within country. borough of Brent also
creates high level of awareness that allowed to get better prevention through spared of cases of
HIV. Due to lack of education and not having enough information leads to main cause of HIV.
Creating awareness and proper care plan are effective strategy that allow to reduce the increasing
risk of HIV. The government used to implement various intervention which include emergency
drug medication and anti-retroviral medication with the proper dose. In this, the governments
initiate funds and various economic support which is helpful for creating campaigning in order to
regulate information within the social group and community.

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