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.

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...

Nicaragua | Antiretroviral Therapy (ART) Improvement Collaborative

Date improvement activities began: January, 2009 Date of end of collaborative: August, 2010 Aims/objectives: The collaborative aimed to provide early and opportune anti-retroviral therapy (ART) who fall under the treatment initiation...

Feasibility of Proposed Quality Criteria for Monitoring and Improving HIV Services

At the request of the Office of the Global AIDS Coordinator (OGAC), the United States Agency for International Development (USAID) and the Global Fund to Fight HIV/AIDS, Tuberculosis, and Malaria (Global Fund), the USAID Health Care...

AIDSTAR-One Case Studies and Technical Briefs

AIDS Support and Technical Assistance Resources, Sector I, Task Order 1 (AIDSTAR-One) provides assistance in knowledge management, program implementation support, technical leadership, program sustainability, and strategic planning to...

How to Investigate Adherence to Antiretroviral Therapy: An Indicator-Based Approach

The International Network for Rational Use of Drugs (INRUD) has published a set of tools to help HIV program managers accurately assess the level of patient adherence to antiretroviral therapy. The tools can be used as a facility level or...

Assessment of the Quality of HIV/AIDS Services in Malawi

This report assesses the quality of selected HIV/AIDS services in 20 health facilities in Southern Malawi in April and May 2010. The assessment was conducted by Family Health International (FHI) in response to a task order issued under the...

QUALITY IMPROVEMENT INITIATIVES ON MEDICAL DOCUMENTATION IN 16 AIDSRelief PARTNER FACILITIES: SUCCESSES AND CHALLENGES

Problem: AIDSRelief consortium (AR) supports health facilities in Nigeria to rapidly scale up and deliver life-saving antiretroviral therapy. With challenges impeding best outcomes, AR continually identifies for improvement, factors...

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