Retention in Care

Empowering community groups to support access and retention in HIV care in Muheza, Tanzania

In early 2014, ASSIST, with support from PEPFAR, began the Community Linkages activity in five villages of Muheza District of Tanga Region in Tanzania, building on existing work at the facility level to increase retention in the HIV continuum of care. The Community Linkages component aimed to improve retention in care for people living with HIV (PLHIV) by increasing linkages between health facilities and communities.

Improving care for patients on antiretroviral therapy through a gap analysis framework

The United States President's Emergency Plan for AIDS Relief's (PEPFAR) goal of an AIDS-Free Generation places increasing focus on improving the quality of care for patients on antiretroviral therapy (ART), which is known to improve viral suppression and reduce transmission. As access to ART increases globally, quality issues are a growing concern, to decrease the number of patients lost to follow-up and achieve better clinical outcomes among patients on ART.

Supporting close-to-community providers through a community health system approach: case examples from Ethiopia and Tanzania

This Case Study, published in Human Resources for Health (2015) 13:12, describes how the Community Health System Strengthening model, developed with support from PEPFAR as a strategy to improve community health worker performance, was applied in Ethiopia and Tanzania to increase HIV testing and enrollment and retention in care.

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.

Community Support for the HIV and AIDS Continuum of Response in Uganda

This short report describes the current activities of the USAID ASSIST Project to improve the HIV continuum of response at the community level, working in 20 villages in the catchment area of three facilities in East Central and South Western Uganda.

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.

Facteurs Influençant la Sortie des Patients Vivant avec le VIH du Circuit de Traitement en Côte d'Ivoire

Le problème de perdus de vue est d'autant plus pertinent en Côte d'Ivoire que les taux de perdus de vue se présentent comme les plus élevés comparativement à ceux d'autres pays à faibles et moyens revenus. En outre, l'évaluation de base, réalisée par le Projet d'Amélioration des Soins de Santé de l'USAID ou Health Care Improvement Project (HCI) sur 41 structures sanitaires du projet, a révélé que 66% des patients pré-TARV et 45% des patients TARV étaient perdus de vue dans les 7 mois qui suivent le bilan initial et le traitement ARV respectivement.

Improving Completeness and Accuracy of Data for Elimination of Mother-to-child Transmission of HIV: Tested Changes and Guidance from Uganda

Since April 2013, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, together with other USAID and U.S. 

Centers for Disease Control and Prevention (CDC) partners--Food and Nutrition Technical Assistance (FANTA), Strengthening Partnerships, Results and Innovations in Nutrition Globally (SPRING), and the AIDS Support Organisation (TASO)--have been supporting the Ministry of Health to implement the Partnership for HIV- Free Survival (PHFS) Initiative in 22 health facilities in six districts. The PHFS initiative supports the goal of 'elimination of new HIV infections among children by 2015 and keeping their mothers alive' through scaling up an effective campaign to protect exposed infants from HIV infection and provide optimal nutrition for these infants.

Retention in Care of HIV-exposed Mother-baby Pairs in Kenya

With support from the American people and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Vipingo Health Centre in Kilifi County, Kenya improved retention of mother-baby pairs from 14% to 57% between April and August 2013, while Lutsangani Dispensary retained all seven mother-baby pairs identifi ed through their prevention of mother to child transmission of HIV within the same period. This case study shares the simple steps that improvement teams in the two health facilities used to achieve these results in five months.

Tanzania | Manyara PMTCT/RCH Integration Improvement Collaborative

Date improvement activities began: 
October, 2011
To improve PMTCT services in Reproductive and Child Health Clinics (RCH) through service integration
Implementation package/interventions: