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.

USAID ASSIST Project Semi-Annual Performance Monitoring Report FY18

University Research Co., LLC (URC) and its partners have completed 5.5 years of implementation of the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project. This report is the eleventh Semi-Annual Performance Monitoring...

Measuring productivity and its relationship to community health worker performance in Uganda: a cross-sectional study

The Ugandan Ministry of Health (MoH) established Village Health Teams (VHT) to empower communities to take part in the decisions that affect their health. In Busia District these teams, comprised entirely of volunteers, are responsible for...

The cost-effectiveness of three methods of disseminating information to improve medical male circumcision in Uganda

Uganda is working to increase voluntary medical male circumcision (VMMC) to prevent HIV infection. ASSIST has been supporting efforts in Uganda to ensure provision of high-quality, patient-centered VMMC services. This study compares three...

Improving the retention of mother-baby pairs at Seshote Health Center in Leribe District, Lesotho

Seshote Health Center is a small facility in the rural, mountainous area of Leribe District in Lesotho. In August 2016, with support from USAID, Seshote's eight-member quality improvement (QI) team established an improvement aim: to...

Increasing adult ART uptake under Test and Treat in Lesotho through ART initiation at the village health post level

Globally, Lesotho ranks second in HIV prevalence. Prevalence rates vary among Lesotho’s 10 districts and range from 17% in Mokhotlong to 28% in Maseru (LDHS:2014). In June 2016, per the new Universal Test and Treat (UTT) guidelines...

Increasing Accountability for the Reliability of Rapid HIV Test Results: Observations from Seven Facilities in Rungwe District Council, Tanzania

In Tanzania in 2015, the USAID ASSIST project in collaboration with the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) and implementing partners (IPs) was tasked to support activities to improve the...

Health Worker Engagement and Facility Performance in Delivering HIV Care in Tanzania

With an increasing number of people living with HIV linked to long-term treatment, a productive health workforce is essential to provide quality care. Engaged health workers are more productive and provide higher quality care. This study...

2018 Africa Forum on Quality and Safety in Healthcare

Durban, South Africa

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