USAID ASSIST Project Experience Improving HIV Services
This technical report summarizes the experience of the United States Agency for International Development (USAID) Applying Science to Strengthen and Improve Systems (ASSIST) Project and its predecessor, the USAID Health Care Improvement Project, improving HIV services with support from the U.S. President's Emergency Plan for AIDS Relief (PEPFAR).
As a health systems strengthening project, USAID ASSIST improves service quality and outcomes by strengthening national capacity for a sustainable response. The project also seeks to generate new knowledge to increase the effectiveness and efficiency of applying improvement methods in low- and middle-income countries. Through an innovative implementation research strategy, USAID ASSIST is conducting research on the cost-effectiveness of HIV improvement interventions, validity of improvement indicator data, the scale-up and sustainability of better HIV practices, and the institutionalization of the capacity to continuously improve HIV and other programs.
The report summarizes the key learning to date from HIV improvement activities supported by the USAID ASSIST and HCI projects about improving the quality of HIV care in USAID-assisted countries. It summarizes the scope and results of project experience supporting frontline providers in 18 countries to improve compliance with clinical standards for treatment, care and support of adults and children, HIV counseling and testing, prevention of mother-to-child transmission, voluntary medical male circumcision, integration of HIV services with tuberculosis, family planning, nutrition, and maternal and child health services, support for vulnerable children and families, and blood/injection safety. The report also describes results of work to support national HIV care improvement strategy development, strengthen the productivity and performance of the health workforce, strengthen district management to support quality HIV services, strengthen community-facility linkages, and integrate gender considerations to improve HIV service delivery.
A list of key ASSIST and HCI publications related to improving HIV services is included in an appendix.