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HIV

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Advancing Progress Toward HIV Epidemic Control

We have been at the forefront of the global HIV response, working to end HIV as a public health threat for more than 30 years. We provide high-quality, contextualized technical assistance and service delivery across the prevention, care, and treatment continuum in partnership with all levels of government, communities, and civil society; and supporting our local partners as countries advance their HIV responses.

From policy formulation, planning, materials development, and training to program evaluation and dissemination, JSI has extensive expertise implementing and strengthening HIV programs in both standalone interventions and in integrated and primary health care settings.

A nurse holds a syringe in her hand

The Minister of Health, Honorable Sylvia T. Masebo, asks a question to a nurse during the event launching injectable HIV prevention (CAB-LA) in Zambia.

Selected Results October 2022–September 2023

1

priority populations reached with HIV prevention interventions

1

people tested for HIV

1

people received ART

1

virally suppressed

1

members of key populations enrolled on PrEP

1

HIV self-test kits delivered

1

adolescent girls and young women received ART

1

children virally suppressed

Technical Expertise Areas

High-quality, person-centered services across the care continuum:
  • Provide HIV testing services, including self-testing, assisted partner notification, and recency testing.
  • Implement strategies to enhance HIV prevention choice and access, including for oral PrEP and long-acting injectable cabotegravir (CAB-LA).
  • Increase uptake of voluntary male medical circumcision in priority age groups.
  • Tailor prevention and care services for key and priority populations.
  • Implement creative approaches to strengthen ART continuation and prevent treatment interruption.
  • Improve viral load coverage and achieve high rates of viral suppression.
Collaborative health systems strengthening:
  • Use human-centered design to build tailored social and behavior change campaigns and program interventions.
  • Help government partners develop national guidance and tools to provide a framework for evidence-based clinical practice.
  • Strengthen primary health care facility and community health infrastructure to better integrate HIV services.
  • Introduce and scale up new medicines, technologies, and other innovations.
  • Build robust strategic information systems for individual client monitoring and early warning systems.
  • Build efficient supply chains for PrEP, condoms, ARVs, lab reagents, and other essential commodities.
  • Support an adequate supply and appropriate skills mix of human resources for health to provide high-quality HIV services along the continuum of care.
Transition to local partners:
  • Offer tailored capacity exchange for rapid, steady, and responsible transition to local partners.
  • Implement an iterative co-creation approach at program inception to facilitate local leadership.
  • Employ adaptive tools to respond to the dynamic nature of growing systems.
  • Use JSI-developed globally recognized organizational and technical capacity assessment tools to assess and measure capacity needs
  • Employ flexible and innovative approaches to strengthen capacity based on local context and needs.
  • Steadily measure progress toward transition while prioritizing high-quality care and sustainability.

Resource Spotlights

Injectable PrEP (CAB-LA)
Injectable PrEP (CAB-LA)

JSI worked closely with the Zambian Ministry of Health and other partners to introduce CAB-LA as an option in the national HIV prevention campaign, which is integrated in primary health care settings.

Measuring Person-Centered HIV Care
Measuring Person-Centered HIV Care

Although many talk of implementing person-centered care, measuring it has remained elusive. Meant to be used in tandem with client feedback mechanisms, this tool helps facilities self-assess HIV person-centered care provision and develop an action plan to strengthen the quality of care.

Integrated Person-Centered Health Services: Translating Learnings from the HIV Response to Pave the Way to Universal Health Coverage
Integrated Person-Centered Health Services

As countries prioritize primary health care as the foundation for achieving universal health coverage, experts recommend expanding HIV-related integrated care within HIV service platforms and in broader primary health care. This report identifies key lessons from the HIV response; offers recommendations to facilitate broader implementation of IPCC; and concludes with an action plan highlighting critical next steps.

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