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.

Reducing the waiting time for HIV/AIDS patients attending Mengo Hospital HIV clinic, an urban hospital in Uganda

Problem: Mengo Hospital is a Non Government faith based private not for Profit hospital and the pioneer of modern medical practices in Uganda and has existed for a hundred and thirteen (113) years thus far. It was established by Dr. Sir...

Facilitating Active Lab Sample Transport (FAST) System Using Public Mini-Buses – Report of a Pilot Program in Swaziland

Problem: With an HIV prevalence on 26% (DHS, 2008), Swaziland remains the hardest hit country. Over 77% of its population is rural, however, ART services were concentrated in hospitals and health centers in the urban areas. ICAP has since...

Soroti District Improvement Report

Problem: Soroti District is located in the North Eastern part of Uganda. The district care system is run according to Ministry of Health policy guidelines. The health system ranges from health centre I up to health centre IV for the case...

COMPLETE INTEGRATION OF TB ASSESSMENT IN HIV/AIDS CARE AT BUSESA HC IV

Problem: Background to the problem addressed Busesa is a government rural Health Centre IV located in Iganga district offering a range of in and out-patient services ranging from MCH, TB, HCT, HIV prevention and treatment services...

The Story of establishing an HIV/AIDS clinic in Tiriri HC IV, Soroti district in Uganda

Problem: In the year 2008, we started seeing HIV+ clients in Tiriri Health Centre (HC) who had been diagnosed through voluntary HIV Counseling and Testing. This presented a problem because the HIV clinic was not established at the facility...

Improving quality of HIV care in a staff limited rural health center in Namutumba District Eastern Uganda.

Problem: In April 2010 Bulange Health Center III stated having an HIV clinic which was being managed by guest clinicians form Nsinze Health Center IV. Two or one clinician would come at the facility and issue colorinoxagole and ARVs to HIV...

Integrating Palliative care in HIV chronic care clinic at Wabulungu HC III, Mayuge District

Problem: In June 2010 the USAID Health Care Improvement (HCI) project commenced the palliative collaborative in Mayuge district with a goal of supporting scale up of palliative care services in low resource setting and sustains quality...

A comprehensive approach for Quality Improvement of TB laboratory service in resource-limited settings

Problem: A multistep plan was designed in order to improve the quality of tuberculosis laboratory diagnosis among the 18 laboratories the Institute of Human Virology of the University of Maryland School of Medicine (IHV-UMSOM) is...

Lessons in providing quality assurance for HIV rapid testing in Malawi

Problem: Malawi is a landlocked country in Southern Africa with a population estimated to be around 14million (NSO, 2008). According to the Antiretroviral Treatment program quarterly report (2009) about 200 000people are tested every three...

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