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.

Cote d'Ivoire | ART and PMTCT Demonstration Collaborative

Date improvement activities began: July, 2008 Date of end of collaborative: June, 2010 Aims/objectives: To improve the quality of services provided at health facilities providing ART treatment and PMTCT services. Initial assessments of...

The Partnership for Quality Improvement to Improve PMTCT and ART Services in Tanzania: Assessment of Results, Capacity, and Potential for Institutionalization

The USAID Health Care Improvement Project was asked by USAID in 2007 to assist the Tanzanian Ministry of Health and Social Work (MoHSW), regional and district level stakeholders, and implementing partners to set up a national Quality...

Toward “real time” HIV/STI diagnosis in the HIV/AIDS Program of Mexico City

Problem: The HIV Program of Mexico City (HIVPMC ) gives Voluntary Counseling and Testing (VCT) with rapid tests to MSM, SW, TTT and other groups like female partners of HIV+ men and offers HIV confirmation for PMTCT and other City programs...

Improving access to HIV testing and other basic health services in rural areas of Malawi through mobile clinics

Problem: Malawi struggles to provide health care to citizens living in remote rural areas where villages may be 15 km or more from health centers that provide HIV testing and other basic services. The goal of this project was to provide...

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...

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