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.

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.

Listening to the voices of community health workers

Donna Bjerregaard

Senior Technical Advisor, Initiatives Inc.

In 1505, the Polish Parliament stated, "Nothing new without the common consent." Today we understand that ‘nothing about us without us’ is the rallying cry for inclusion and change.    

Conmemorando en Nicaragua el día internacional de lucha contra el VIH

Oscar Nuñez

Chief of Party, Nicaragua, USAID PrevenSida/URC

Dr. Oscar Nuñez Director del Proyecto USAID|PrevenSida brindando declaraciones a los medios de comunicación. Fotógrafa: Dra. Yudy Wong.

Nicaragua commemorates International AIDS Day

Oscar Nuñez

Chief of Party, Nicaragua, USAID PrevenSida/URC


Red Odetrans (NGO) health care associate giving an HIV rapid test to a health fair visitor. Photo credit: Dr. Yudy Wong.

Lessons Learned from Applying Collaborative Improvement Methodologies to Strengthen the Performance and Productivity of HIV Human Resources

Since 2009, the USAID Office of HIV/AIDS has actively supported the application of collaborative improvement methodologies to improve the performance and productivity of HIV service providers, including at the community level. Collaborative improvement engages a large number of teams in applying process improvement to achieve a common objective, using common indicators, and actively fostering sharing of learning and successful practices across all teams to favor large-scale improvement.

Community improvers impress district and national officials in Mahalapye, Botswana

Cecil Haverkamp

Chief of Party, Botswana, USAID ASSIST/URC


Participants in a Community Improvement Learning Session in Botswana. Photo by URC.

Gender integration in quality improvement: Increasing access to health services for women in rural Mali

Anemia is one of the leading contributors to infant and maternal mortality and morbidity in Mali. The causes of anemia are many and complex, but are influenced by social norms and cultural beliefs as well as lack of access to health and social services. It is in this context that USAID, through the USAID ASSIST Project in Mali, is supporting sites and communities in the Bougouni Health District in the Sikasso Region to reduce the incidence of anemia among pregnant women and children under five years old.

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