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.

Integrating Family Planning into HIV Care/ART Services in Uganda

Problem: The Ministry of Health in Uganda identified prevention of HIV infection and improvement of linkages between family planning (FP) services and HIV care and support as a priority for its national Quality of Care Initiative in HIV...

Decentralizing HIV care and TB screening in St. Petersburg, Russia

Problem: As in many large Russian cities, HIV/AIDS services in St Petersburg were traditionally relying on a specialized and well-equipped AIDS Center. However, the rapidly growing number of patients with HIV posed a serious challenge to...

Intensified TB case finding in Swaziland

The increasing number of cases of TB associated with HIV infection in Swaziland has greatly increased the demands on TB and HIV treatment programs. Swaziland has an estimated TB incidence of 1,155 cases per 100,000 population per year (...

Assessment of quality of ART services in the private sector in Uganda

Of Uganda’s 4639 health facilities, 2154 (46 %) are privately owned for profits (PFPs). Of these, 36 are accredited to provide care and treatment to people with HIV/AIDS. To learn more about the quality of HIV care in PFPs, Uganda’s...

Program evaluation of TB-HIV interventions in Thai Binh Province, Vietnam

This 18-month study aimed at increasing the quality and quantity of TB/HIV detection by implementing the TB testing corner at HIV C&T Center in Thai Binh city; conducting routine surveillance of HIV/TB detection and management at...

Translating global recommendations on HIV and infant feeding to the local context: the development of culturally sensitive counselling tools in the Kilimanjaro Region, Tanzania

This article reports QAP efforts to address the intricate and difficult problem of infant feeding in the time of HIV/AIDS. Published in Implementation Science, this research developed one set of job aids to guide counselors in discussing...

Decentralization of HIV Care in St. Petersburg, Russia

To improve access to care and outcomes, the USAID-funded Quality Assurance Project (QAP) and Health Care Improvement Project (HCI) have worked since 2004 in a pilot district (Krasnogvardeisky) of St. Petersburg to develop and then scale up...

Integrating TB and HIV Services in the General Health Care System in Russia

Assurance Project (QAP) began to work with federal and regional health authorities in the Russian Federation to apply the improvement collaborative approach to design a model system on HIV/AIDS treatment, care and support in pilot sites in...

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...

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