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.

Strengthening the community response to HIV in Botswana: A cost estimate of the USAID ASSIST community-based improvement intervention

Against the background of Government of Botswana’s expansion of ART under its Treat All strategy launched in June 2016, ASSIST was asked to support expansion of the availability of quality HIV services through the active involvement of...

Cost-effectiveness of an intervention to improve integration of maternal and child HIV services in Ruvuma Region, Tanzania

USAID is supporting provision of services to people with HIV or those at substantive risk of acquiring it in Tanzania through the PEPFAR program (1). To succeed in addressing the UNAIDS goal of having 90% of people with HIV knowing their...

Analysis of ASSIST program activities for improving the quality of services for PMTCT, 90-90-90 targets, and malaria in Uganda

In the last year of the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project in Uganda, from October 2017 to Dec 2018, ASSIST oriented five USAID implementing partners and their coaches on quality improvement concepts...

Evaluation of a point-of-care HIV testing improvement intervention in Kenya

Obtaining and delivering accurate results from HIV rapid test kits is an important component of addressing the first element of the UNAIDS 90-90-90 strategy. There are several reports of a high proportion of inaccurate results achieved...

Évaluation de la qualité des données des indicateurs d’amélioration du projet ASSIST de l’USAID en Côte d’Ivoire

Les données représentent une composante essentielle de l’approche de l’amélioration de la qualité car elles guident les décisions des EAQ. L’objectif de cette évaluation était de déterminer la qualité des données du projet ASSIST de l’...

Voluntary Medical Male Circumcision Improvement Data Validation in South Africa

With PEPFAR funding, the United States Agency for International Development (USAID) Applying Science to Strengthen and Improve Systems (ASSIST) Project implemented a continuous quality improvement (CQI) program in South Africa from 2014 to...

Partnership for HIV Free Survival (PHFS) Indicators Data Validation Exercise

Uganda’s PHFS activities began in April 2013 in 22 demonstration sites in six districts. Quality improvement (QI) teams were either formed or reconstituted from those existing for previous improvement activities. They were supported...

ASSIST Technical Assistance to CSOs for VMMC Improvement Activities in Uganda: The Case of TASO Gulu

Between October 2017 and September 2018, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project provided above-site technical support to the Ministry of Health, implementing partners (IPs), and civil society...

Task Shifting/Sharing for HIV Services in 26 PEPFAR-supported Countries: A Qualitative Assessment

Task shifting and sharing have been employed as strategies for addressing ongoing human resources for health shortages in low- and middle-income countries. Task shifting refers to moving tasks from a higher or more specialized cadre to a...

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