Tanzania-Kenya knowledge exchange for the Partnership for HIV-Free Survival: Reflections and recommendations

The Partnership for HIV Free Survival (PHFS) is a six-country initiative to support current national efforts to improve PMTCT, maternal and infant care, and nutrition support for HIV-positive women and their exposed infants. As part of its...

Experiences of quality improvement coordination, strengthened partnerships and achieving good results from Tanzania's PHFS intervention

Monica Ngonyani

Quality Improvement Advisor, Tanzania, USAID ASSIST Project/URC

Partnership is a common phenomenon in health care delivery literally standing for ‘working together’ but is always difficult to build, nurture and maintain. Sometimes this is because of existing but silent inter-partner and inter-disciplinary territories within the health care systems, lack of trust among would-be partners and silent competition for resources.

Using adapted quality-improvement approaches to strengthen community-based health systems and improve care in high HIV-burden sub-Saharan African countries

Community-based interventions are essential to achieving long-term retention in HIV care. This article in the July 2015 Volume 29 Supplement 2 edition of the Journal of the International AIDS Society presents four case studies of community...

USAID Office of Health Systems Brownbag: Applying Improvement Methods in the Partnership for HIV-Free Survival

Crystal City, VA

This brownbag presentation by Amy Stern and Anisa Ismail of URC provided an overview of the strategies, results, and key learning to date from quality improvement activities for prevention of mother-to-child transmission of HIV in pilot sites in Uganda, Tanzania, Kenya, and Lesotho that are being supported by the USAID ASSIST Project under the Partnership for HIV-Free Survival (PHFS).

A health worker's perspective on improving PMTCT services through a community-based system in Mozambique

Percina Paulo Mathe

Maternal and Child Health Nurse, Licilo Health Post/Mozambique

The following blog is written by Percina Paulo Mathe, a health worker in Mozambique,and was originally published in January. ASSIST is highlighting Percina's story as as part of World Health Worker Week (April 6-10). The original Portuguese entry is below the English translation.

My name is Percina Paulo Mathe, I’m a 32-year-old maternal and child health nurse in Licilo in Gaza Province, Mozambique.

After my training on PMTCT, I found it was hard to apply it in my community because there were many barriers to the community approach. For example, often all the information about a patient stayed within the hospital without being passed on to those in their own community or neighborhood who could support the patient. Language was also a barrier; sometimes topics were not explained in the hospital in the same terms as in the community, whereas using a common language would increase what is truly understood by the patient and the community, taking into account the rumors that exist in the community.  For me such incomplete communication was like trying to fight a poisonous tree by just cutting off some branches; leaving the trunk and the roots means that when the rain comes, the tree will just grow back.

PHFS Community Demonstration Project in Gaza Province, Mozambique

This short report describes the Partnership for HIV-Free Survival (PHFS) Community Demonstration Project and its involvement in 38 villages in the catchment areas of three health facilities in Gaza Province, Mozambique. The demonstration...