Improving care for patients on antiretroviral therapy through a gap analysis framework
The United States President's Emergency Plan for AIDS Relief's (PEPFAR) goal of an AIDS-Free Generation places increasing focus on improving the quality of care for patients on antiretroviral therapy (ART), which is known to improve viral suppression and reduce transmission. As access to ART increases globally, quality issues are a growing concern, to decrease the number of patients lost to follow-up and achieve better clinical outcomes among patients on ART. This article, published in the July 2015 Volume 29 Supplement 2 edition of the Journal of the International AIDS Society, describes an innovative management tool for HIV program managers utilizing a gap analysis framework. The framework helps managers to track three key areas of ART care quality: coverage, retention, and wellness. The article present results of applying the framework to improve ART care in five Health Center IVs in Buikwe District, Uganda, work was funded by PEPFAR through the USAID Health Care Improvement Project.