Entries in HIV treatment (18)
This case study describes a promising practice for reducing tuberculosis-HIV co-infection. The approach introduces practical, sustainable control measures to prevent tuberculosis infection at antiretroviral treatment sites.
To foster greater acceptance of people living with HIV, a partner of Catholic Relief Services in North East India instituted both a staff training program and complementary changes in its management approach. As a result, health staff's attitudes changed, stigma declined and the quality of care improved in treatment facilities.
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From 2004 to 2012, AIDSRelief Nigeria provided HIV care and treatment to more than 100,000 people through a network of 34 health facilities. During that time, nearly every program activity emphasized strengthening health systems. This new case study outlines AIDSRelief’s contributions to strengthening health systems for HIV services in Nigeria.
This case study – the third in a series – documents transition of the AIDSRelief antiretroviral treatment program to the Churches Health Association of Zambia. It is hoped that the case studies will assist other implementers as they embark on the road to transition.
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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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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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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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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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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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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This case study documents AIDSRelief strategies for increasing male involvement in HIV care and treatment. Strategies, employed in Kenya, Uganda, Zambia and Nigeria, included: (1) conducting a gender analysis of the program (2) promoting support groups for men (3) strengthening couples’-based interventions (4) involving men in antenatal care and PMTCT services.
This case study documents the transition of AIDSRelief responsibility for overall management of a large antiretroviral treatment program to the Rwanda Ministry of Health. It is hoped that the Rwanda case study will contribute to the learning of other countries, working in AIDSRelief or other programs, as they embark on the road to transition.
This pilot had two strategic objectives: to provide quality care and assistance to people whose lives are at risk because of malnutrition, and to promote community based initiatives to improve the nutritional status of its members. Clients received Ready to Use Therapeutic Food (RUTF) and/or High Energy Protein Supplement (HEPS) in three settings: antiretroviral therapy (ART) clinics, hospices and home-based care (HBC) programs.