HIV and AIDS

HIV Peer Mentors in Morogoro

As coverage of HIV prevention, care and treatment services expands and programs mature, greater attention is being paid to strengthening the capacity of health systems to provide and sustain high quality HIV and AIDS services, including antiretroviral therapy (ART), prevention of mother-to-child transmission (PMTCT), voluntary medical male circumcision (VMMC), HIV counseling and testing, integration of HIV services with other clinical services, home-based care and community support, injection safety, and medical waste management.

Improvement methods help HIV and AIDS programs to: 1) provide services for all who need them, 2) retain all those who access services in the continuum of care, and 3) achieve optimal health outcomes for all those who are retained in care.  Strategies to improve coverage of HIV-infected mothers by PMTCT services, especially in antenatal care and at delivery, and improve the follow-up of mother-baby pairs can maximize the uptake of PMTCT services and promote HIV-free survival by assuring that all eligible infants and mothers get needed PMTCT services.  Adult treatment, care, and support can be improved by applying a chronic care model to service delivery and strengthening linkages with community and home-based care.

Experiences of quality improvement coordination, strengthened partnerships and achieving good results from Tanzania's PHFS intervention

Monica Ngonyani

Quality Improvement Advisor, Tanzania, USAID ASSIST Project/URC

Partnership is a common phenomenon in health care delivery literally standing for ‘working together’ but is always difficult to build, nurture and maintain. Sometimes this is because of existing but silent inter-partner and inter-disciplinary territories within the health care systems, lack of trust among would-be partners and silent competition for resources.

Achieving better HIV care with engaged health care workers

Sarah Smith Lunsford

Senior Improvement Advisor, Research & Evaluation, USAID ASSIST/EnCompass LLC

As we work toward ending the global HIV epidemic by the year 2030, optimizing the health workforce has never been more important. PEPFAR 3.0 directs investment to target regions and services to achieve epidemic control. Yet, as countries strive to achieve more with less, what activities and approaches will best support and enable increased utilization of the existing health workforce to deliver and sustain quality HIV/AIDS services? An engaged health workforce is more productive, stays on the job longer, and provides better care.

Empowering Frontline Health Care Providers to Communicate Improvement Results

Joseph Kundy

Quality Improvement Adviser, Tanzania, USAID ASSIST Project/URC

In June 2015, USAID ASSIST supported the Ministry of Health and Social Welfare (MOHSW) of Tanzania to conduct the first National Forum on Improving Pediatric and Youth AIDS Services. The forum brought together various stakeholders working in health sector to share knowledge and experiences in improving pediatric HIV and AIDS services. The forum was mainly intended to bring frontline health care providers to share how they managed to apply quality improvement techniques to attain particular results. 

"Listening to the voice of the patient – If it is worth doing it, it’s worth documenting’’: Lessons from the Tanzania Pediatric ART Improvement Forum

Elizabeth Hizza

Senior Quality Improvement Adviser, Tanzania, USAID ASSIST Project/URC

The First National Forum on Accelerating Pediatric HIV and AIDS Services to share experiences in improving access, care, and retention to care for HIV infected children below 15 years was staged in June 2015 in Dar es Salaam Tanzania. The forum was organized by the Ministry of Health and Social Welfare (MOHSW) in collaboration with the ASSIST project and other PEPFAR Implementing Partners (IPs) and brought together 260 health care providers and HIV/AIDS patients to share experience on ongoing efforts to improve ART programming for children and youth.   

USAID ASSIST has successfully coordinated the First Tanzania National Forum on Improving Pediatric and Youth AIDS Services

Delphina Ntangeki

Improvement Advisor, KM and Communications, Tanzania, USAID ASSIST Project/URC

In an attempt to raise the tempo and quality of efforts directed towards accelerating access to Antiretroviral Therapy (ART) to children, ASSIST Tanzania, along with the Ministry of Health and Social Welfare (MOHSW), PEPFAR, and implementing partners (IPs), organized the First National Forum on Improving Pediatric and Youth AIDS Services, a two-day conference that brought together about 260 participants from all walks of life to share experience and promising interventions in ensuring that children and youth receive quality ART care.

What needs to be done to reduce HIV stigma in health facilities

Diana Chamrad

Senior Technical Advisor, Vulnerable Child and Family Programs, USAID ASSIST Project/URC

On June 3rd, I participated in an expert consultation on "Scaling up HIV Stigma Reduction in Health Facilities", hosted by the USAID Health Policy Project (HPP).  Presenters described recent major strides in understanding how stigma and discrimination (S&D) act as barriers to an effective HIV response.  

Enabling knowledge and experience sharing among health care providers through multi-facility interaction

Delphina Ntangeki

Improvement Advisor, KM and Communications, Tanzania, USAID ASSIST Project/URC

In February 2015, the Partnership for HIV-Free Survival (PHFS) in Tanzania conducted the second PHFS National Learning Platform which took place in Mbeya Region. This was preceded by the first National Learning Platform conducted in April 2014 in Dar es Salaam. The National Learning Platform was planned as part of the quality improvement framework for PHFS that was designed by the Tanzanian PHFS National Steering Committee, under the global leadership of the USAID ASSIST Project.

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