Ensuring an Effective Continuum of Response and Cascade of Care for Persons Living with HIV in Uganda

Continuum of Response

The Continuum of Response (COR) approach seeks to provide clients and their families with the essential prevention, care/support, and treatment services to reduce HIV transmission and disease progression and to maximize health outcomes. Following diagnosis of HIV, the next step along the COR cascade is linking persons living with HIV (PLHIV) to care and treatment, retaining them in care, and ensuring that they receive all recommended services, often referred to as the cascade of care.

Improving Linkages between Health Facilities and Communities in Muheza, Tanzania

In the Muheza District of Tanzania, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project applied the Community Health System Strengthening model to improve linkages between health facilities and communities in order to increase HIV testing and retention in care. Working in five communities, community teams were created from existing community groups to work with the local home-based care volunteer. Teams in each of the communities relayed information from the facility to the community through their community groups and vice-versa.

Tanzania Success Stories: Community Linkages Demonstration Project, Muheza District

Empowering community systems to track lost to follow up

Everything Amina* went through after she stopped using ARVs has remained history as now she has a new and promising life. Although stopping using ARVs was not her choice as the side effects were unbearable; the consequences of leaving the drug were massive. Her health deteriorated and her CD4 rapidly decreased to below 200.

Expert Patient Pocket Guide

This pocket guide, in Swahili, was developed in Tanzania to assist Expert Patients in providing education and support to HIV patients.

Strengthening Community Systems to Increase Uptake and Retention of PMTCT Services in Tanzania

Various factors influence poor uptake and retention of prevention of mother-to-child transmission (PMTCT) of HIV services. Decisions to seek PMTCT care, adhere to treatment, and return for care are complicated and influenced by factors beyond the clinic.

Uganda| Chronic Care Collaborative

Date improvement activities began: 
February, 2011