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.

Making Community Systems the Bedrock of Global Health Investments

ICHC Blog Series

This post is part of the Institutionalizing Community Health Conference blog series.

By: Kate Thomson, Head of Community Rights and Gender Department, Global Fund

Above: Tibre Desu is one of 38,000 female health extension workers trained by the Government of Ethiopia, with support from the Global Fund, to bring basic health care closer to people’s homes. (The Global Fund / Petterik Wiggers)

Why parent education is key to saving these children in Uganda

Mary Nabisere

Quality Improvement Advisor, USAID ASSIST Project

(Caregivers in a meeting with a health worker. Photo credit: Mary Nabisere)

Evaluation de Base de la Qualité des Soins VIH/SIDA en République Démocratique du Congo

L’objectif du projet ASSIST en RDC est maintenant d’améliorer la rétention dans les soins et assurer une bonne adhérence au traitement pour les personnes vivant avec le VIH (PVVIH) y compris les enfants et les femmes enceintes dans les formations sanitaires cibles. ASSIST collaborera avec le Projet PROVIC dans les sites de Kinshasa, de la Province Orientale et au Haut Katanga et avec le Projet PROSANI dans la province du Lualaba. ASSIST sera entièrement responsable de toutes les activités d'amélioration de la qualité dans les formations sanitaires cibles.

Paquet des changements : Amélioration de la qualité des soins et traitement HIV/SIDA en RDC

Le projet ASSIST de l’USAID est exécuté en la République démocratique du Congo (RDC) par University Research Co., LLC (URC) pour accompagner le Ministère de la santé dans sa lutte contre le VIH/SIDA sous financement PEPFAR en collaboration avec les partenaires de mise en oeuvre notamment PROVIC et PROSANI.

Democratic Republic of Congo Final Country Report

The USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, managed by University Research Co., LLC (URC), provided technical assistance to the Ministry of Health (MOH) in the Democratic Republic of Congo (DRC) from October 2013 to December 2016 to improve nutrition services for HIV clients and improve HIV care and treatment services for persons living with HIV (PLHIV).

Improving the Identification of HIV-positive Children in Uganda: Tested changes and how they were implemented

The USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project is working with the Ministry of Health (MOH), districts, implementing partners, and health facilities in Uganda by applying improvement methods to improve HIV care and family health services in primary care and
referral facilities and apply lessons from pilot facilities to other sites. ASSIST Uganda is also working with the Ministry of Gender, Labor and Social Development and implementing partners to apply standards to improve services for vulnerable children and families.

Integrated people-centered health services baseline assessment: South Africa

In the Nelson Mandela Metro Municipality in Eastern Cape Province, South Africa, ASSIST is working to make care more people-centered with the WHO Framework on integrated people-centered health services. This baseline report details the methodology and findings at baseline from patient interviews, patient focus group discussions, provider interviews, and decision maker interviews.

Improving Coverage in the HIV Continuum of Care Response: Tested Changes and Guidance from Uganda

Since April 2013, ASSIST worked with the MOH and implementing partners in Uganda through applying improvement methods to implement the HIV continuum of response (COR) across 41 districts. The HIV COR collaborative uses a model that illustrates the flow of clients within a health facility and highlights the major gaps within the HIV continuum of response for health facilities to address. This change package addresses the first two gaps of linkage and coverage.