Launch of updated MSF’s HIV/TB Clinical Guide for Primary Care (2018)

Ian Proudfoot
for on 09/10/2018

We are delighted to announce the launch of the updated MSF HIV/TB Clinical Guide for Primary Care (2018). Originally a practical training guide for nurses in the early years of MSF’s engagement with HIV in South Africa, MSF’s HIV/TB Clinical Guide has expanded as understanding of HIV management grew, and the readership has widened to include doctors working in primary care clinics.

With significant changes in the WHO’s 2016 and 2018 eligibility criteria and ART guidelines, and a growing understanding of our clinician’s needs in the field, it became clear that a thorough revision and the addition of more topics was needed.

This 9th edition features several exciting additions designed to meet the needs of all clinicians caring for people living with HIV and TB in primary care sites.

Clinical Guide 2018 News Image

What’s new?

  • Primary care focus: With the release of MSF’s HIV/TB Clinical Guide for hospital level care (2018), the updated Guide now caters exclusively for the clinician working in primary care settings. Clear guidelines are given throughout on when to refer for hospital-level care.
  • Expanded content: The updated guide has grown from 15 to 26 chapters to cover organ-specific diseases (dermatology, GIT, liver, mental health, neurology, NCDs, renal respiratory, and SRH). It also includes the emerging areas of antibiotic prescribing and resistance, malnutrition and weight loss, patient support and HIV/TB/SRH care for key populations.  
  • WHO guideline focus: While earlier editions have tended to favour South Africa’s national HIV guidelines, this new edition uses WHO guidelines as the primary frame of reference, thus reaching a wider international audience of both MSF and health ministry clinicians.  
  • E-learning course collaboration: MSF’s basic e-learning course, first launched in 2015, consists of four modules (HIV overview, ART, PMTCT and TB) to provide a solid foundation for clinicians just starting out in HIV care. The interactive, user-friendly online format is designed to tutor the learner comprehensively through chapters 1-7, 9 and 12 of the HIV/TB Clinical Guide. The e-learning course has also undergone a substantial update and restructuring so that the course and 2018 HIV/TB Guide now work closely with each other. The new e-learning edition will go live by end-October.  
  • Additional resources available on the SAMU website: The HIV/TB Clinical Guide is designed as a practical handbook for the consulting HIV clinician and steers away from academic fine print. However, those wanting more detail can access a wealth of related resources on the SAMU website (under resources/MSF HIV/TB guide 2018) which are also extensively referenced throughout the book. The PDF version of the Guide includes hyperlinks to referenced websites.
  • Updates and corrections posted: Updates to the 2018 Guide and corrections of mistakes will also be published on the SAMU website as they become available or identified. Feedback from users is welcomed, using

Download the PDF version of the HIV/TB Clinical Guide for Primary Care (2018) here.

Coming soon: A French version of the Guide is currently being translated and is expected by mid-2019.

Acknowledgements: This updated edition would not have been possible without extensive collaboration within MSF. Valuable contributions were made by MSF experts based in Brussels and from the intersectional AIDS Working Group. We also gratefully acknowledge the historic contributions of our esteemed colleagues in South Africa’s national health department.