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.

Increasing male partner participation in PMTCT in Burundi

En français USAID and PEPFAR, through the USAID ASSIST Project, support Burundi’s Ministry of Public Health and the Fight against AIDS (MSPLS) to improve the quality of PMTCT services in Burundi. The project helped form quality improvement...

Addressing the 3rd 90 Gap through Integrated Health Delivery Camps in 4 Health Facilities in Nwoya District, Uganda

In 2014, the Joint UN Program on HIV/AIDS set ambitious goals to eliminate the HIV/AIDS epidemic by 2020 through the 90-90-90 three-pronged approach. The Uganda Ministry of Health. together with implementing partners including ASSIST,...

Tanzania Partnership for HIV-Free Survival (PHFS) Implementation Experience and Change Package

Since September 2013, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project has been working with other USAID partners and UN agencies in Tanzania including EGPAF, Delloite – Tunajali, Baylor – Tanzania, JHPEIGO,...

VMMC Continuous Quality Improvement and External Quality Assessment Toolkit

The VMMC Continuous Quality Improvement (CQI) and External Quality Assessment (EQA) Toolkit was developed to help VMMC service providers, site managers, implementing partners, and program leaders to understand CQI and EQA methods and how...

What are we learning about the process of implementing community client led HIV care?

Harriet Komujuni

Quality Improvement Officer, Uganda, USAID ASSIST Project/URC

In Uganda, health facilities have traditionally been responsible for distributing antiretroviral medications (ARVs) to HIV-positive clients; however, the health facilities are often crowded, which can lead to delays in service and discourage clients from adhering to their lifesaving antiretroviral treatment (ART). To reduce congestion within health facilities and better distribute essential medications to those in need, the new ART policy guidelines recommend a differentiated care approach to HIV care and treatment.

8th Southern African AIDS Conference

Durban, South Africa

Improving viral load monitoring at health facilities providing HIV care: Tested changes and guidance from Uganda

UNAIDS’ 90-90-90 Strategy has set treatment targets to help bring to an end the AIDS epidemic by 2020. According to this strategy, 90% of all people living with HIV will know their HIV status; 90% of all people with diagnosed HIV infection...

Improving voluntary medical male circumcision standards adherence and post-procedure follow-up in Uganda: A mixed methods study

Voluntary medical male circumcision (VMMC) has been demonstrated to reduce the transmission of HIV by 60% from HIV-positive women to HIV-negative men. Scaling up VMMC services requires that they be of high quality, socially accepted, and...