We document and disseminate various results, trainings, and resources from our research, programs, and projects.
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…
APN is effective in identifying new HIV positive clients as we move towards HIV epidemic control 2020. However, GBV poses a threat to achieving that goal. Establishing timely preventive GBV response strategies to prevent GBV occurrence and building health worker skills and the capacity to respond and engage with communities is critical for sustained epidemic…
The USAID DISCOVER-Health Project (DISCOVER), implemented by JSI Research & Training Institute (JSI), supports the Ministry of Health (MOH) to improve access to and utilization of quality HIV services in Zambia. DISCOVER was among the first MOH partners to roll out PrEPafter May 2018 scale-up approval and is currently providing oral PrEPservices to AGYW in…
Early in the COVID-19 emergency, in the face of relentless misinformation, the Ministry of Health Zambia needed to project authority as the most credible source of COVID-19 information in Zambia. USAID DISCOVER-Health worked in the background to support well-managed strategic partnerships between MOH/ZNPHI and civic leaders, donors, UN agencies, the private sector, other implementing partners,…
In Uganda, UPHIA (2016-2017) found only 84% of people living with HIV know their status. The Uganda national consolidated HIV prevention, care, and treatment guidelines (2018) recommend assisted partner notification (APN) as a strategy to achieve widespread testing of those at risk. Through this approach, an individual testing positive is supported to disclose, to their…
Nationally, at least 95% of male clients are tested for HIV before surgery, as part of the VMMC service package. However, this led to an HIV positivity yield of around 0.1%, compared to 5% in the general male population. Therefore, using the HIV-risk screening tool in this population would identify those at high HIV-risk and…
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