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 Bukedea HC IV, Eastern Uganda

Problem: Bukedea Health Centre (HC) IV is a government health facility in Bukedea district, and serves a s referral point for the lower units. District population is approximatimately 200,000 people and as of March 2011, 452 patients had...

IMPROVING QUALITY OF CARE IN RURAL HIV CLINICS THROUGH CLINICAL DATA AUDITS: EXPERIENCE FROM NORTHERN NIGERIA.

Problem: Quality care of HIV positive patients require well organized health information systems which guide important clinical decisions. Many health centres in resource limited settings rely on paper based health information systems ...

Maximizing Resources Where Resources are Limited: a Rural Health Facility's Efforts to Improve Storage of HIV Records in Uganda

Problem: "In November 2009 we started seeing a surge in the number of patients coming to receive HIV care services at our facility, resulting from a campaign initiated by Bukedea district to test people for HIV. By January 2010 we had...

Spread of PMTCT and ART Better Care Practices through collaborative learning in Tanzania

This evaluation takes place in the context of the “Partnership for Quality Improvement” (PQI) initiative in Tanzania. The partnership was initiated in 2007 by the Tanzania National AIDS Control Program (NACP) and PEPFAR to improve the...

Evaluation of the costs and benefits of the coverage collaborative in Ugandan HIV clinics

The purpose of the study is to measure the effectiveness of the improvement collaborative initiated in November 2009 in Ugandan HIV treatment clinics to increase the proportion of people living with HIV/AIDS (PLWHA) who are under HIV...

Cost Effectiveness Analysis of the Data Management Collaborative in Uganda

The high burden of HIV/AIDS in Uganda is compounded by a substantial deficit in health care workers. To address the problem, the US Agency for International Development’s Health Care Improvement Project in partnership with the Ugandan...

Sustainability of the Effectiveness of a PMTCT Counselor Training Program during National Scale-up | Tanzania

This study evaluated whether a PMTCT Infant Feeding Counseling Program that includes training of counselors, facility supervisors and facility staff, counselor job aids, and mother take-home brochures was fully implemented in program...

Effects of participating in collaborative improvement on the quality of HIV/AIDS care in facilities in Cote d’Ivoire: a comparison of intervention and control sites

Collaborative improvement is one approach being used in many countries to improve prevention of mother to child transmission (PMTCT) and treatment with anti-retroviral therapy (ART) services. Collaborative improvement consists of a network...

Using Collaborative Improvement to Achieve Quality Care for Vulnerable Children in Ethiopia

Date improvement activities began: March, 2008 Date of end of collaborative: February, 2009 Aims/objectives: Ethiopia has been greatly impacted by the devastating effects of HIV and AIDS. Estimates indicate that Ethiopia has over five...

A Rapid Evaluation of the Uganda MoH Training Program on the Use of HIV Patient Monitoring Tools

Due to the chronic nature of HIV/AIDS, accurate, up-to-date patient records are vital to ensuring that HIV/AIDS patients receive quality care. Recognizing this, the Uganda Ministry of Health (MoH) hasdeveloped a set of patient monitoring...

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