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Dec162013

AIDSRelief Final Report: Providing Treatment, Restoring Hope

AIDSRelief Final Report: Providing Treatment, Restoring Hope   

When the first PEPFAR programs launched in 2004, many people did not believe it was possible to deliver high-quality, sustainable HIV treatment in low-resource settings.

Over the next nine years, AIDSRelief and other PEPFAR partners exceeded all expectations, delivering HIV care and treatment to more than 700,000 people in 10 countries, including nearly 400,000 who enrolled on antiretroviral therapy.

This final report on AIDSRelief outlines key outcomes and lessons learned. It describes approaches and methods that contributed to the initiative's success.

Download the PDF (2 MB)

Watch the video

Reports are also available for each of the individual AIDSRelief country programs:

    

AIDSRelief Ethiopia
Download the PDF (1.1 MB)

AIDSRelief Guyana
Download the PDF (1.3 MB)

AIDSRelief Haiti
Download the PDF (1.2 MB)

AIDSRelief Kenya
Download the PDF (1.4 MB)

AIDSRelief Nigeria
Download the PDF (1.3 MB)

    

AIDSRelief Rwanda
Download the PDF (1.25 MB)

AIDSRelief South Africa
Download the PDF (1 MB)

AIDSRelief Tanzania
Download the PDF (1.4 MB)

AIDSRelief Uganda
Download the PDF (1.5 MB)

AIDSRelief Zambia
Download the PDF (1.4 MB)

 

AIDSRelief Highlights

Durable viral suppression

Viral suppression, 88.2%; retention, 83%; mortality, 7.8%; loss to follow up, 10.6%

In the seven AIDSRelief country programs where viral load surveys were conducted, the average viral suppression proportion—the gold standard for treatment success—was 88.2%, a rate comparable to or better than those seen in industrialized countries.

Strengthened human resources

More than 30,000 participants—doctors, nurses, pharmacists, and other health care workers— attended training sessions that built and strengthened their skills to provide highquality HIV services.

Contributed to national guidelines

The AIDSRelief consortium was the first PEPFAR implementer to campaign widely for the use of tenofovir-based first-line regimens and one of the first to advocate for earlier ART initiation, measures which have now been recommended by WHO and adopted as standard guidelines in many countries. In most countries, AIDSRelief was also a principal contributor to prevention of mother-to-child transmission (PMTCT) guidelines, advocating for the most effective regimens which greatly reduce infections in children and keep their mothers healthy.

Expanded treatment

Map of AIDSRelief countries: Ethiopia, Haiti, Guyana, Kenya, Nigeria, Rwanda, Tanzania, Uganda, and Zambia
Click to enlarge

AIDSRelief leveraged the reach of faith-based health networks to complement and expand the reach of the public health systems into underserved communities. By 2009, about 15% of Ugandans on ART were receiving treatment through AIDSRelief-supported facilities. In Guyana, AIDSRelief supported 30% of adults in HIV care and treatment programs.

Increased use of accurate, timely data

AIDSRelief facilities developed a culture of evidence-based decision making, analyzing patient and program data and using the information to make informed decisions that addressed gaps in program operations and services.

Transition to local partners

AIDSRelief transitioned management of its care and treatment programs to local partners while maintaining high-quality service. Fourteen local partners in eight countries went on to secure new PEPFAR grants to manage the care and treatment programs established through AIDSRelief.

Reliable supply chain

AIDSRelief built robust supply chain mechanisms to ensure a continuous supply of medicines and other essential products. There were no stock-outs of AIDSRelief supplies during the program.

 

Contents

Executive Summary
 
3
Our Call to Action
 
4
Exceptional Treatment 5
PEPFAR: From Emergency Response to Sustainable Development 5
AIDSRelief Countries 6
By the numbers 7
Engaging Communities to Improve Adherence
 
7
Strategic Information 8
Leveraging the Power of Faith-Based Networks 8
Continuing, Locally Owned Education
 
9
The Health Systems Foundation 9
Electronic Information Systems 9
Infrastructure and Equipment 10
Laboratory Strengthening 10
Pharmaceutical and Supply Chain Management 11
Quality Improvement 11
Assessing Capacity for Sustained Care and Treatment 12
The AIDSRelief Capacity Strengthening Approach
 
Grounded in Transition 13
AIDSRelief Transition Partners
 
14
Conclusion 15
Annex: AIDSRelief in Ten Countries
 
16

 

Publication details

Publisher: Catholic Relief Services (October 2013)
Booklet: 15 pages
Language: English
Dimensions: 8.5 x 11 inches

Posted on December 16, 2013

 

         

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