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In Uganda, HIV care services, including antiretroviral therapy (ART), are provided through differentiated service delivery models, which are used to improve prevention, identification, diagnosis, treatment, and support for people who require HIV services. The models adapt the location, providers, frequency, and intensity of services to meet client needs and desires. Though usually reserved for stable…
To improve health outcomes among ART clients, the USAID-funded Supporting an AIDS Free Era (USAID SAFE) supports the Ministry of Health (MoH) in Copperbelt, Central, and Northwestern provinces in Zambia to implement differentiated service delivery (DSD) models, including multi-month scripting and dispensation (MMSD). These models aim to improve viral load (VL) suppression and retention rates…
The transitioning of women on ART to TLD in the three SAFE-supported regions was greatly affected by the Tsepamostudy findings, which led to clinicians initially not enrolling women of childbearing age on TLD. USAID SAFE intensified the integration of FP services into the HIV program at all supported facilities to increase the confidence of clinicians…
One of the mandates of the MEASURE Evaluation project is to strengthen the collection, analysis, and use of routine health information system (RHIS) data for the delivery of high-quality health services. JSI, through MEASURE Evaluation, developed the Performance of Routine Information System Management (PRISM) Framework and suite of tools in 2011 for global use in…
One of the mandates of the United States Agency for International Development (USAID)-supported MEASURE Evaluation project is to strengthen the collection, analysis, and use of routine health information system (RHIS) data for the delivery of high-quality health services. JSI, through MEASURE Evaluation, developed the Performance of Routine Information System Management (PRISM) Framework and suite of tools…
In Ghana, key populations (KPs) such as female sex workers and men who have sex with men prefer anonymity to avoid stigma and discrimination. This results in social exclusion and low utilization of healthcare services, and makes it challenging to reach them with HIV services. JSI’s USAID Strengthening the Care Continuum project developed the Healthy…
The Zambian health system continues to face challenges due to an ever-increasing HIV care and treatment burden from 1.2 million PLHIV. Most clients, many from underserved communities, travel long distances to ART facilities, incur high transport costs, experience long wait-times (3-6 hours), and bear high opportunity costs. In 2015, a community ART model was designed…
HIV prevalence among men who have sex with men (MSM) is 16 times (18.1%) that of the general male population (1.1%) in Ghana (GAC et al. 2018). As such, the National HIV and AIDS Strategic Plan (NSP) espouses the public health and rights-based approaches to mitigate HIV infection among MSM. The media is a critical…
This guide is intended for health workers, EPI focal points at the Woreda Health Office (WoHO), and Primary Health Care Unit (PHCU) levels. It provides step-by-step instructions on how to implement various quality improvement (QI) tools and methods and serves as a practical tool for supervisors to use on supportive supervision visits to the health…
The Lango sub-region in northern Uganda has 2.4 million people: 80% live in rural communities and 50% are below 15 years. HIV prevalence is 7.2%, above the national average of 6.2%. USAID’s Regional Health Integration to Enhance Services North, Lango (RHITES-N, Lango) project, implemented by John Snow, Inc (JSI), is committed to improving client access…