Challenges for the family doctor when managing a woman with HIV / AIDS who has given birth to a healthy child

The article examines the global issue of the importance of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), which remains a serious public health challenge despite progress in prevention, treatment and care of this problem. HIV / AIDS continues to affect the lives of millions, with a particularly high prevalence in sub-Saharan Africa and increasing cases in Eastern Europe and Central Asia.The challenges that arise for the general practitioner – family medicine physician when managing patients with HIV / AIDS are presented. The article describes a clinical case of a patient with HIV / AIDS who gave birth to a healthy child. The example illustrates the visits to the family physician and discussion of problems associated with taking antiretroviral therapy, vaccination and treatment of concomitant diseases. The main challenges for the family doctor: combating stigma (the patient faced refusals to sign declarations), ensuring adherence to antiretroviral therapy – the woman stopped therapy due to misconceptions about side effects, organizing vaccinations (the patient was afraid of vaccinations because of HIV) and coordinating social support. The article emphasizes that antiretroviral therapy reduces the risk of HIV transmission from mother to child to 1%, which is confirmed by the patient’s case.The article also analyzes the factors that influence the prevalence of HIV / AIDS, including cultural stigma, access to health services and public policy. It describes how differences in social and economic conditions, access to preventive services and stigma affect the difference in infection rates between regions and the state of HIV / AIDS in Ukraine. It analyzes the reform of medicine in Ukraine, in which the family doctors play a key role in ensuring long-term care for patients. The role of family doctors in ensuring the longevity of patients with HIV / AIDS and the need for further education and support from government institutions are highlighted. The article shows the importance of a regional approach to overcome the HIV / AIDS epidemic and the role of family doctors in solving this global problem, focusing on the need to ensure access to treatment, the need for additional training for doctors, increased payment for working with such patients, and a comprehensive approach to reducing stigma and improving access to treatment.