Chronic Care of HIV

Exploring Peer Mentor Retention in Tanzania

Peer mentors, expert patients, and other non-clinical community-based workers are increasingly relied upon to be a bridge between the HIV patient community and the health facility. In Tanzania, where there is a critical health workforce...

Empathy as tool for minimizing the self-stigma and binding groups together

This success story shares the experience of a young woman who, when diagnosed as HIV-positive, received support from ASSIST-trained Peer Mentors in Tanzania. The peer mentors helped her gain skills to manage her health and provided...

Cost-effectiveness of implementing the chronic care model for HIV care in Uganda

"Cost-effectiveness of implementing the chronic care model for HIV care in Uganda", a new journal article by Edward Broughton, Martin Muhire, Esther Karamagi, Herbert Kisamba, was recently published in the International Journal for Quality...

The ASSIST Experience: Reducing rejection rate in viral load testing across 15 districts of northern Uganda

Mirwais Rahimzai

Regional Director for East Africa, USAID ASSIST/URC

The overall goal of the USAID/ASSIST program in Northern Uganda is to increase access and quality of health care using high-impact interventions with special focus on areas of laboratory infrastructure, HIV/AIDS, TB, malaria, maternal, neonatal and child health (MNCH), family planning and nutrition.  USAID ASSIST rolled out viral load (VL) monitoring in the region in July 2015 and the gaps identified included high rejection rates arising from low sample quality, non-adherence to the eligibility criteria, and incomplete documentation on the request form as well as incomplete utilization of r

The impact of quality improvement projects on TB treatment outcomes in Piggs Peak Hospital, Swaziland

TB is the most common opportunistic infection for people living with HIV in Swaziland. A problem of unfavorable treatment outcomes identified in Piggs Peak Hospital was addressed through training and implementation of quality improvement...

The effectiveness and efficiency of implementing the chronic care model for HIV care in Uganda

The chronic care model (CCM), is an integrated, population-based approach to providing health care for those with chronic diseases that involves patient self-management support, delivery system design and decision-support for clinicians...

Self Management Progress Form

The self management (SM) progress form provides an opportunity to health workers to have an in-depth understanding of the factors responsible for HIV-related challenges that clients face while in care and further to monitor client progress...

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

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...

The Chronic Care Model is making its mark in Central Uganda

Martin Muhire

Improvement Advisor, Uganda, USAID ASSIST Project/URC

Throughout my time of working on HIV chronic care, I learned that an improvement of one component of the chronic care model is always amplified by working on the other components. A case in point: an improvement in patient self-management required that the goals patients set and progress made toward meeting those goals be well documented for reference during joint planning between a health worker and a patient. Teams had to first work on improving the level of accuracy and completeness of records for them to have reliable self-management data.