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 Access to HIV/AIDS Care and Patient Retention in Russia

The USAID-funded Quality Assurance Project (QAP) began work in the Russian Federation in 1998, initially supporting the piloting and scale-up of improved systems of care for maternal and child and primary health care. In 2003, USAID asked...

Private-for-Profit HIV/AIDS Care in Uganda: An Assessment

Nearly half of Uganda’s health care facilities are private and for-profit, and a small percentage has been accredited to provide care and treatment to people with HIV/AIDS. However, little is known about the quality of care offered by...

The Zambia HIV/AIDS Workforce Study: preparing for scale-up.

This report presents the findings of a study conducted within 16 healthcare facilities in Zambia that offer voluntary counseling and testing (VCT), prevention of mother-to-child transmission of HIV (P-MTCT), and antiretroviral (ARV)...

HIV and infant feeding: A compilation of programmatic evidence

The United Nations-led process of updating the 1998 international guidelines related to infant feeding and the prevention of maternal-to-child-transmission (pMTCT) of HIV called for a review of recent programmatic experience in addition to...

The impact of a programme to prevent mother-to-child transmission of HIV in Jamaica

Jamaica is experiencing alarmingly high rates of perinatal AIDS, now the second leading cause of death among Jamaican children between one and four years. The United States Agency for International Development (USAID) and the Jamaican...

Situational analysis of TB-HIV co-infection in Russia and four QAP project regions: Samara, Saratov, Orenburg, and St. Petersburg

Several international and domestic efforts have been made in Russia over the last decade to control its dual epidemics of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and tuberculosis (TB). Some success has...

Testing a PMTCT infant-feeding counseling program in Tanzania

This report describes the second phase of a study that developed and tested an integrated program of counselor job aids, mother take-home materials, and counselor training in a healthcare site providing counseling for the prevention of...

Evaluation of knowledge, attitudes, and practices of health care providers toward HIV-positive patients in Tanzania

HIV/AIDS-related stigma has been recognized as one of the largest challenges to improving HIV/AIDS care around the world. Studies suggest that provider stigma may be affecting the quality of care and patient decisions to seek health care...

Rwanda human resources assessment for HIV / AIDS services scale-up. Summary report

As the international community rallies funds to support the expansion of HIV/AIDS services in the developing world, the health human resources crisis presents a significant challenge to achieving HIV/AIDS service delivery goals. This is...

Rwanda human resources assessment for HIV / AIDS services scale-up. Phase 3 report: staffing implications and scenarios for HIV

This report presents findings from Phase 3 of an assessment of the human resources implications of HIV/AIDS services scale-up in Rwanda. The Government of Rwanda is committed to rapidly expanding the delivery of HIV/AIDS care and support...

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