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Entries in HIV papers (22)

Friday
Aug292014

Education Drop-in Centers: Communities Promote Learning and School Attendance 

  

Though not a part of the original program design, the USAID and PEPFAR-funded Integrated (HIV Effect) Mitigation and Positive Action for Community Transformation (IMPACT) program in Malawi responded to poor academic performance and high drop-out rates among orphans and vulnerable children in program areas by providing support to educational drop in centers and had very positive results. This brief outlines the IMPACT approach and tips for implementation.

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Friday
Aug292014

Community Health Days: One-stop Shopping for Health and Wellness 

  

As a part of the USAID and PEPFAR-funded Integrated (HIV Effect) Mitigation and Positive Action for Community Transformation (IMPACT) program in Malawi, community health days were held in collaboration with the Ministry of Health and community leaders in hard to reach areas. This brief outlines the program’s community health day approach, how community health days were improved based on learning, and the key results achieved from this program initiative.

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Thursday
Aug282014

Invite Them and They Will Come: Individualized Invitations Bring men to Antenatal Care 

  

Recent efforts to engage husbands antenatal care decisions have been met with limited success. The USAID and PEPFAR-funded Integrated (HIV Effect) Mitigation and Positive Action for Community Transformation (IMPACT) program in Malawi took a new approach – sending a letter from the antenatal care nurses requesting the husband’s presence at the next antenatal care appointment. This brief discusses the approach, implementation challenges, and tips for implementation.

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Thursday
Aug282014

There’s an App for That: A job aid for Community-based PMTCT Care

  

The USAID and PEPFAR-funded Integrated (HIV Effect) Mitigation and Positive Action for Community Transformation (IMPACT) program developed a pilot mobile application to streamline and individualize a manual developed by the Ministry of Health for health surveillance assistants. This brief discusses the development and rollout of the application, the challenges experienced while using this application, and tips for implementation.

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Monday
Aug252014

A System that Protects Children: Connecting the Dots on Child Protection

  

As a part of the Integrated (HIV Effect) Mitigation and Positive Action for Community Transformation (IMPACT) program in Malawi, CRS and partners implemented an approach to create a protective net for vulnerable children across nine districts. This brief describes the IMPACT program’s approach to child protection, addresses program implementation challenges, and provides tips for implementation of similar programs.

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Monday
Aug252014

Vulnerability in the era of ART: Learning from Co-locating HIV and Livelihoods Programs

  

CRS led two programs in the same communities in Malawi for four years: the FFP-funded Wellness and Agriculture for Life Advancement (WALA) program and the PEPFAR-funded Integrated (HIV Effect) Mitigation and Positive Action for Community Transformation (IMPACT) program. This brief describes the results of a qualitative study on the experiences and benefits of integration of these two programs.

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Monday
Aug252014

Expert Clients: Supporting the Continuum of Care in Malawi 

  

As a part of the Integrated (HIV Effect) Mitigation and Positive Action for Community Transformation (IMPACT) program in Malawi, CRS and partners have introduced an Expert Client model to improve retention in care, increase uptake of HIV services, reduce service provider workload and strengthen referral linkages. This brief describes IMPACT’s Expert Client program model, outlines research results on its effectiveness, and lists suggestions for future implementation.

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Monday
Aug252014

No Longer a Burden: People Living with HIV as a Resource to their Communities

  

CRS and partners conducted a study as a part of the Integrated (HIV Effect) Mitigation and Positive Action for Community Transformation (IMPACT) program in Malawi, which revealed a transformation in the role of people living with HIV in participating communities. This brief outlines the results of the study, which showed that many people living with HIV in these communities are said to be among the healthiest and most successful and have become role models not only for others living with HIV, but also for their communities at large.

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Wednesday
Mar132013

From Provider-Oriented to Client-Driven Care: Report on the Development and Testing of a Take-Home Monitoring Tool for People Living With HIV in Cameroon

From Provider-Oriented to Client-Driven Care: Report on the Development and Testing of a Take-Home Monitoring Tool for People Living With HIV in Cameroon   

This report provides client-driven care information and tools to program staff who work with people living with HIV.

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Friday
Apr202012

Achieving Sustainability in HIV Care and Treatment Programs Using the AIDSRelief Site Capacity Assessment (SCA) Tool: The Experience of AIDSRelief Ethiopia

The Site Capacity Assessment tool developed by AIDSRelief lists a set of indicators related to capacity in twelve program components that are critical to delivering quality care and treatment in a consistent and sustainable way. An initial SCA was conducted in February 2010 at St. Luke Hospital in Ethiopia.  This paper documents results and lessons learned.

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Thursday
Apr192012

Male Involvement in Prevention of Mother-to-Child HIV Transmission (PMTCT) Program in Southwest Shoa Zone, Oromia Region, Ethiopia

As part of Continuous Quality Improvement, AIDSRelief Ethiopia identified low male involvement in prevention of mother-to-child transmission programs and decided to implement a Small Tests of Change approach designed to increase male testing. Strategies that were successful in increasing male partner testing included (1) educating providers of the importance of male partner involvement and its impacts on the mothers’ wellbeing and babies’ outcomes, (2)intensified use of partners “invitation cards” and (3) repeated requests for male partner testing at each health providers’ encounter with the mothers.

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Thursday
Apr192012

Impact of a Horizontal Approach in Vertical Program: The Experience of AIDSRelief Ethiopia in Strengthening Laboratory Diagnostic Capacity

AIDSRelief Ethiopia supported six health facility laboratories in providing essential HIV services with the goal of strengthening the overall laboratory capacity.  Laboratory Quality Improvement Tools (LQITs) were created for rapid identification of service gaps. Based on assessment findings, AIDSRelief adopted a multi-faceted strategy to improve laboratory performance in these areas: systems support, infrastructure and material support, and human resource capacity support.

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Thursday
Apr192012

A Sustainable Approach to Strengthening Continuity of HIV Care and Treatment Services by Linking Hospitals to Health Centers

Hospitals, health centers and community-level support need to be systematically linked to optimize patient outcomes through monitoring and prevention of loss to follow-up. AIDSRelief Ethiopia implemented its care delivery model that links hospitals, health centers and the community, at St. Luke hospital and its surrounding five government health centers. The model and lessons learned are documented here.

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Thursday
Apr192012

Fostering Integration of Data Demand and Information Use (DDIU) and Continuous Quality Improvement (CQI) in HIV Care and Treatment

AIDSRelief Ethiopia supported DDIU and CQI activities in six health facilities to assist them in taking ownership of their data and to analyze, share and use their data to drive decisions and quality improvement initiatives in all program areas. The DDIU and CQI approach and results are documented by AIDSRelief Ethiopia in this paper.

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Thursday
Apr192012

Community-Based Treatment Services (CBTS): The Ethiopia Experience

The AIDSRelief Care and Treatment Model incorporates Community-Based Treatment Services (CBTS) that provide the essential link between activities at the health facilities and those within the community. This paper documents the successes, challenges and lessons learned of AIDSRelief Ethiopia in providing CBTS to HIV patients through the mobilization of adherence case managers, adherence supporters and community volunteers.

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