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.

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...

Assessing How Quality Improvement Teams Function at the Community Level: The Case of the DREAMS Initiative

The Determined Resilient Empowered AIDS-free Mentored and Safe (DREAMS) initiative has the potential to reduce risky behaviors, increase access to and utilization of HIV prevention and care services in Northern Uganda, and reduce the...

Improving Pediatric Antiretroviral Therapy in Tanzania

The USAID Applying Science to Strengthen and Improve Systems (ASSIST) project worked with the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC), implementing partners (IPs), Regional Health Management Teams...

Supporting Most Vulnerable Children in Accessing HIV and Social Services in Tanzania through Community Quality Improvement Activities

The implementation of community-based Quality Improvement (QI) in MVC service delivery was initiated in 2010 through support of the USAID Health Care Improvement (HCI) project, followed by the USAID Applying Science to Strengthen and...

Going beyond formation of QI Teams: Evidence based intervention gains AGYW get when community QI teams are functional

The USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project established a community-based QI model of addressing HIV risk among AGYW comprising of setting up and making functional community QI teams to: (1) build skills...

Prevent, Find, Link and Retain: The Essential Role of OVC Programming

Catholic Relief Services & the Orphans & Vulnerable Children (OVC) Task Force 2019 OVC Conference:
 

Improving Antiretroviral Therapy Services in Tanzania Change Package

This document focuses on QI activities implemented to improve ART services in Tanzania during ASSIST from 2012 to 2017. At the project’s inception, performance gaps in the ART program were: low enrollment to HIV care, significant retention...

Prevalence of protective tetanus antibodies and immunological response following tetanus toxoid vaccination among men seeking medical circumcision services in Uganda

Tetanus infection associated with men who had male circumcision has been reported in East Africa, suggesting a need for tetanus toxoid-containing vaccines (TTCV). This paper sought to determine the prevalence of tetanus toxoid antibodies...

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