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.

What are we learning about the process of implementing community client led HIV care?

Harriet Komujuni

Quality Improvement Officer, Uganda, USAID ASSIST Project/URC

In Uganda, health facilities have traditionally been responsible for distributing antiretroviral medications (ARVs) to HIV-positive clients; however, the health facilities are often crowded, which can lead to delays in service and discourage clients from adhering to their lifesaving antiretroviral treatment (ART). To reduce congestion within health facilities and better distribute essential medications to those in need, the new ART policy guidelines recommend a differentiated care approach to HIV care and treatment.

8th South Africa AIDS Conference

Durban, South Africa

Join us at the Southern African AIDS Conference in Durban!

We will be sharing lessons learned from providing continuous quality improvement technical assistance to voluntary medical male circumcision (VMMC) sites in South Africa to improve service quality and client safety.

Learn more: www.saaids.com

 

Improving voluntary medical male circumcision standards adherence and post-procedure follow-up in Uganda: A mixed methods study

Voluntary medical male circumcision (VMMC) has been demonstrated to reduce the transmission of HIV by 60% from HIV-positive women to HIV-negative men. Scaling up VMMC services requires that they be of high quality, socially accepted, and effective.

Success story: All she needed was continuous engagement with the health facility to achieve HIV viral load suppression

At Palabek-kal Health Center IV in Northern Uganda, 40% of the children and adolescents (2-19 years old) in care have a high (non-suppressed) viral load. A.D (Initials of her name), an 8 year old, has been on anti-retroviral therapy (ART) since June 2013. She is an orphan who lost both her parents to HIV/AIDS at a tender age of 3 years, and is being taken care of by her 60 year old maternal grandfather. In May 2016, following a viral load test, A.D.’s results, at 3,427 copies/ml of blood, confirmed a high viral load.

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