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.

Improving Patients Retention in HIV care through adherence to scheduled appointments at St. Anthony’s Hospital, Eastern Uganda.

Problem: In March 2007, St. Anthony’s Hospital Tororo in Eastern Uganda started providing ART services to eligible HIV/AIDS patients. By April 2011, 75 patients were registered for ART care. However, it was observed that patients were not...

Cross-sectional examination of service delivery and costs of community- and home-based care in Tanzania

In Tanzania, like many developing countries, the provision of HIV/AIDS home-based care (HBC) services is not standardized. Few standards exist to guide providers and managers to assess whether HBC services meet desired quality targets. It...

Comparative Study to Assess the Impact of Collaborative Improvement on Customer Satisfaction, Provider Satisfaction, and Services for PLWHA | Cote d'Ivoire

The National Program for Medical Management of People Living with HIV (PNPEC), the Ministry of Health and Public Hygiene, the USAID Health Care Improvement Project (HCI), and several other partners have been implementing a collaborative...

Tanzania | Iringa Region Infant Feeding Improvement Collaborative

Date improvement activities began: August, 2010 Aims/objectives: This aim of this collaborative is to increase rates of exclusive breastfeeding, following baseline assessments that examined infant feeding practices and found low levels of...

Cote d’Ivoire| HIV Care and Treatment-ART and PMTCT Spread Collaborative

Date improvement activities began: October, 2010 Aims/objectives: To improve the quality of services provided at health facilities providing ART treatment and PMTCT services. During this, the spread phase of the collaborative, the work...

Vietnam| TB/HIV Collaborative-Thai Binh Province

Date improvement activities began: April, 2007 Date of end of collaborative: September, 2008 Aims/objectives: To pilot-test a model for TB/HIV integration activities at the provincial level in eight districts of the Thai Binh Province in...

Uganda| Palliative Care Collaborative

Date improvement activities began: June, 2010 Date of end of collaborative: September, 2011 Aims/objectives: The aim of the project was to launch a demonstration improvement collaborative in the area of palliative care to spread, improve,...

Comparison of Coaching Strategies for Improvement Collaboratives in Ugandan HIV/AIDS Health Centres

HCI has been implementing centrally organized collaborative improvement, with coaching provided by technical experts outside the MOH hierarchy, in 113 sites in Uganda to improve health care for patients with HIV/AIDS since 2006. In 2008,...

Tanzania | Tanga Region ART/PMTCT Improvement Collaborative

Date improvement activities began: May, 2008 Aims/objectives: To increase the quality of HIV/AIDS health care services, including PMTCT and ART services through building the capacity of regional and district teams and ART/PMTCT providers...

Strengthening systems and improving health outcomes in Tanzania

In 2007, USAID asked HCI to work in collaboration with the Dutch agency PharmAccess International (PAI) to assist the Ministry of Health and Social Welfare (MoHSW) of Tanzania, regional and district level stakeholders, and implementing...

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