Using adapted quality-improvement approaches to strengthen community-based health systems and improve care in high HIV-burden sub-Saharan African countries
Community-based interventions are essential to achieving long-term retention in HIV care. This article in the July 2015 Volume 29 Supplement 2 edition of the Journal of the International AIDS Society presents four case studies of community-based quality improvement projects in South Africa, Malawi and Mozambique.
The Mozambique case describes work supported by the USAID ASSIST Project under the Partnership for HIV-Free Survival (PHFS) to apply a community health system strengthening model in 39 villages linked to three health facilities in Gaza Province of Mozambique to increase the number of HIV-infected pregnant women attending antenatal. The case describes how the intervention connected the health facilities with a network of existing community groups to mobilize these groups and increase their capacity to work as a system to effectively reach all households in a community.