Improving the Identification of HIV-positive Children in Uganda: Tested changes and how they were implemented
The USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project is working with the Ministry of Health (MOH), districts, implementing partners, and health facilities in Uganda by applying improvement methods to improve HIV care and family health services in primary care and referral facilities and apply lessons from pilot facilities to other sites. ASSIST Uganda is also working with the Ministry of Gender, Labor and Social Development and implementing partners to apply standards to improve services for vulnerable children and families.
This document summarizes learning from 25 sites located in several districts in Uganda where ASSIST provided support to improve HIV counselling and testing (HCT) for children under 15 years of age. This improvement work focused on the following two objectives:
- Increase the number of children tested to reach 80% of the expected number within 12 months.
- Generate, develop, and disseminate knowledge products, including a change package, describing how to redesign paediatric HIV care to achieve improvements in the quality of services.
This change package is intended to provide other quality improvement teams that will be starting on improvement work in paediatric HCT a general idea and act as a guide for issues that have to be considered and innovations that can be done to improve paediatric HCT. Teams are urged to adapt these changes to suit their clinic settings and not to simply replicate these change ideas.