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.

Strengthening HIV linkage and retention through improved community/facility collaboration in Palla Road, Botswana

This ASSIST case study describes how the community improvement team in Palla Road village worked with facility staff to figure out how to leverage existing community platforms and resources to locate patients who were lost to follow-up (...

Cost-effectiveness of implementing the chronic care model for HIV care in Uganda

"Cost-effectiveness of implementing the chronic care model for HIV care in Uganda", a new journal article by Edward Broughton, Martin Muhire, Esther Karamagi, Herbert Kisamba, was recently published in the International Journal for Quality...

Integrating Gender and Gender-based Violence in Medical and Nursing Curricula in Nicaraguan Universities

In Nicaragua, the USAID ASSIST Project supports the application of continuous quality improvement to integrate HIV prevention and treatment topics in the medical and nursing training programs in nine universities. Baseline data clearly...

The ASSIST Experience: Reducing rejection rate in viral load testing across 15 districts of northern Uganda

Mirwais Rahimzai

Regional Director for East Africa, USAID ASSIST/URC

The overall goal of the USAID/ASSIST program in Northern Uganda is to increase access and quality of health care using high-impact interventions with special focus on areas of laboratory infrastructure, HIV/AIDS, TB, malaria, maternal, neonatal and child health (MNCH), family planning and nutrition.  USAID ASSIST rolled out viral load (VL) monitoring in the region in July 2015 and the gaps identified included high rejection rates arising from low sample quality, non-adherence to the eligibility criteria, and incomplete documentation on the request form as well as incomplete utilization of r

Is Self-Management a Solution to Retention, Adherence and Engagement of HIV Patients to Care? A Case from Mbeya DC, Tanzania

Monica Ngonyani

Quality Improvement Advisor, Tanzania, USAID ASSIST Project/URC


Engagement, adherence and retention to care remain low in many settings and their determinants are often poorly understood. Through this blog we wish to share some promising insights observed from our work in Mbeya DC.

In Pursuit of the Pivot: Reaching and Serving Clients


Project IQ supports the implementation of voluntary male medical circumcision (VMMC) by standardizing quality approaches and building capacity for improved timeliness, accessibility, actionability, and quality of VMMC data, and hosts periodic webinars convening VMMC field staff and implementing partners to discuss essential topics for maintaining and improving the quality of services.

PHFS Quarterly Webinar-August 2016


The impact of quality improvement projects on TB treatment outcomes in Piggs Peak Hospital, Swaziland

TB is the most common opportunistic infection for people living with HIV in Swaziland. A problem of unfavorable treatment outcomes identified in Piggs Peak Hospital was addressed through training and implementation of quality improvement...

Répondre aux besoins des hommes, des femmes, des garçons et des filles dans les services de VIH et ART

La thérapie antirétrovirale (ART) et les soins pour le VIH axés sur le patient étayent le maintien de la productivité et de la qualité de vie des personnes affectées en fonction de leurs besoins, de leurs préférences de mode de vie et de...

The role of Village Child Protection Committees to support vulnerable children with social services: A story from Katuba Village, Uganda

In Katuba village, a village child protection committee was formed to support vulnerable children in the community (mainly those affected and infected with HIV) to access social services. The village child protection committee and the...