Differentiated Care for Antiretroviral Therapy for Key Populations: Case Examples from the LINKAGES Project
|
|
- Abraham Williams
- 1 years ago
- Views:
Transcription
1 Differentiated Care for Antiretroviral Therapy for Key Populations: Case Examples from the LINKAGES Project NOVEMBER 2017
2 An estimated 37 million people are living with HIV today. A response to the need for providing services in a variety of ways is called differentiated care or differentiated service delivery. Under this approach, HIV services across the cascade are adapted to reflect the preferences of various groups of people living with HIV. By simplifying the process and putting clients at the center, health system resources can be to reallocated to those most in need. Differentiated antiretroviral therapy (ART) delivery, a part of differentiated care, aims to improve retention and viral suppression by optimizing models of drug and care delivery. 1 Models fall into four categories: health care worker-managed group; client-managed group; facility-based individual; and out-of-facility individual. The case studies presented here from FHI 360 s LINKAGES projects in Botswana, Haiti, Kenya, and Malawi are examples of the out-of-facility individual model, sometimes referred to as the community model. LINKAGES is funded by the U.S. President s Emergency Plan for AIDS Relief (PEPFAR) and U.S. Agency for International Development (USAID). The project aims to accelerate the ability of governments, key population (KP) organizations, and private-sector providers to collaboratively plan, deliver, and optimize services that reduce HIV transmission among KPs and extend life for those who are HIV-positive. LINKAGES Botswana The LINKAGES project in Botswana has adopted differentiated ART service delivery to enhance links to care and treatment for two KP groups men who have sex with men (MSM) and female sex workers (FSWs). Integrated clinical services are provided in the community through outreach at mobile clinics or drop-in centers with a one-stop-shop approach. Both HIV testing services (HTS) and ART services are offered in the same location, making it easy for those who are newly diagnosed with HIV to be immediately linked to care and treatment. For those who are diagnosed HIV positive, the baseline laboratory tests are requested, but clients are initiated on ART immediately. Also, adherence counseling sessions are reduced from three sessions prior to initiation to just one, and subsequent sessions are conducted during follow-up visits. Individuals with signs of opportunistic infections or comorbidities are referred to traditional ART clinics for further evaluation. Additionally, patients who are stable on treatment receive multi-month prescriptions and can pick up a two-month supply of medication. Clinical visits are conducted every six months but refills are done at the community level during outreach and at drop-in centers. Emergency refills for up to 14 days are available to any KP member who has missed an appointment or has traveled to another location (away from the base clinic) and can be dispensed at public health facilities or at LINKAGES-supported facilities. Nonclinical staff at drop-in centers are also trained to provide emergency refills as part of task-shifting and to allow KP individuals the flexibility of accessing treatment outside normal working hours. A total of 3,477 FSWs were reached with HIV prevention services between October 2016 and September More than 81 percent of those who were eligible for HIV testing and counseling were successfully linked to testing services (n=2,831), and resulted in a 13 percent case-finding rate (n=358). Sixty-eight percent (n=242) of those who tested positive were
3 successfully initiated on ART, an improvement of 12 percent compared to the previous year. (See Figure 1.) Similarly, the implementation of the one-stop-shop model in August 2016 led to an increase in the proportion of MSM who were diagnosed with HIV and who were initiated on treatment (from 38 percent in the first year to 58 percent in the second year). Therefore, same-day ART initiation in the community enhances links from HTS to enrollment into care and ART initiation among both KP groups. (See Figure 2.) Figure 1. Clinical cascade for female sex workers % % % 70% 60% 50% 40% 30% 20% 10% 0 FY 16 FY 17 Positives Initiated on ART % Initiated on ART 0% Figure 2. Clinical cascade for men who have sex with men % 50 58% 60% % 32 50% 40% 30% % 10% 0 FY 16 FY 17 Positives Initiated on ART % Initiated on ART 0%
4 LINKAGES Haiti The LINKAGES project in Haiti focuses on MSM and FSWs. Its goal is to improve access to and support for uptake of HIV prevention, testing, and care and treatment services for these KP groups. The program has scaled up access to ART among FSWs and MSM by integrating ART delivery within ten (three MSM and six FSW) existing KP-focused service delivery sites in the nine-month period from October 2016 to June Following the World Health Organization s recommendation and adoption by the Ministry of Health, all nine centers began implementing test and start in July A multidisciplinary health care team is available at the site level (medical doctors, nurses, lab technicians, psychologist, pharmacist, and social workers). This team is trained not only in HIV counseling, care, and treatment, but also on provision of KPfriendly services in order to ensure that KPs are able to access the existing services without fear of stigma and discrimination. Three of the sites are operated by Fondation SEROvie, a KP-led organization that provides HIV prevention and HIV testing services, along with critical community engagement and empowerment activities. Before the introduction of ART services at these sites, MSM who tested positive at a SEROvie center or at a mobile testing drive were referred to other public and private ART sites. After the addition of ART services at SEROvie sites, the ART initiation rate among MSM improved from less than 18% to over 70%, even reaching 94% in one quarter (Figure 3). The increased ART initiation rate among MSM is due to the availability of ART at SEROvie, thus removing the need for referral and links to care and treatment at other health facilities. Figure 3. Improved initiation on ART for HIV-positive MSM Started ART initiation in LINKAGES sites 18% % % % 97 71% % % 77% FY16 Q1 FY16 Q2 FY16 Q3 FY16 Q4 FY17 Q1 FY17 Q2 FY17 Q3 FY17 Q4* % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% HTC_POS TX_NEW % linked to ART
5 The other six sites are operated by FOSREF, an organization providing services for FSWs. Before ART service was added to these sites, HIV-positive FSWs were referred to other public and private clinics for ART, and the percentage of FSWs initiated on treatment was less than 17%. After the addition of ART services at these sites, the ART initiation rate has been consistently over 45% and has been over 78% in the past three quarters (Figure 4). Figure 4. Improved initiation on ART for HIV-positive FSWs Started ART initiation in LINKAGES sites 67% 78% 89% 93% 100% 90% 80% 70% % % 50% 40% % 15% 17% FY16 Q1 FY16 Q2 FY16 Q3 FY16 Q4 FY17 Q1 FY17 Q2 FY17 Q3 FY17 Q4* HTC_POS TX_NEW % linked to ART 30% 20% 10% 0% In the sites that did not previously have a safe space for KPs to conduct social activities and meetings, safe spaces were added. In addition to ART provision at these centers, all nine sites offer community ARV distribution to HIV-positive FSWs and MSM to reinforce patient retention in treatment and care. Peer navigators are responsible for delivering the ART, and clients can receive an ARV supply for 2-3 months depending on their adherence. This strategy is mostly used by HIV-positive patients who cannot regularly come to pick up their ARVs because of the distance or their busy schedules.
6 LINKAGES Kenya LINKAGES Kenya operates in 16 counties and provides a comprehensive package of services to FSWs, MSM, and male sex workers (MSWs) to reduce new HIV infections and extend the lives of those who are HIV positive. The implementation of differentiated ART service delivery in two settings has resulted in an increase of individuals being started on treatment. The first example is about a collaboration between visiting clinicians and a drop-in center operated by Family AIDS Initiative Response (FAIR), a nongovernmental organization serving FSWs in Nakuru and Narok counties. At this drop-in center in Rongai subcounty, Nakuru, 124 HIV-positive FSWs access services. FAIR works with the Ministry of Health (MOH) through the Rongai subcounty hospital. HIVpositive FSWs who visit the drop-in center used to be referred there for initiation of care and treatment. Due to the constraints of distance and FSWs preference to access care at the dropin center, the clinician now schedules one day a month at the drop-in center usually to coincide with FSWs psychosocial support group meetings to attend to registered FSWs and dispense ART. FSWs who are stable (have been on treatment for at least a year and are adherent to medication) are seen by the clinician each quarter, whereas those who are unstable (nonadherent, recently started ART, have a regimen change or a comorbid condition) are seen more frequently. Initially, FSWs requiring routine blood tests needed to go to the subcounty facility, but since October 2017 this has been done by the clinician at the drop-in center. The clinician transports the blood samples to the subcounty facility for testing and returns with results at subsequent visits. This differentiated service model started in November 2016 with 15 HIV-positive FSWs and now serves 50 FSWs. In the second example, differentiated ART service delivery was integrated into existing KPfocused services at drop-in centers in four counties. Before the launch of differentiated services, the drop-in centers already had health care workers providing HIV testing and screening and treatment for sexually transmitted infections (STIs). With the introduction of differentiated services, LINKAGES Kenya now provides HIV treatment for KP members at five drop-in centers run by implementing partners in four counties: Bar Hostess Empowerment and Support Program (BHESP), Health Options for Young Men on HIV, AIDS, and STIs (HOYMAS), Keeping Alive Societies Hope (KASH), and International Centre for Reproductive Health-Kenya (ICRH-K). The MOH accredited the drop-in centers, each of which is partnered with an MOH facility within the county, through which they obtain antiretroviral (ARV) drugs and reporting tools, and receive on-the-job training and mentorship from the county health management teams. ART initiation and refills for HIV-positive KP members are done at the drop-in center. Blood samples are collected at the drop-in center and sent to the MOH facility for testing and monitoring of viral load. Results are returned within two to three weeks. Under this model, 118 FSWs and 115 MSM/MSWs are receiving ART. Numbers are expected to grow, since these four facilities are now equipped to provide this service to their communities.
7 LINKAGES Malawi In Malawi, HIV prevalence is 8.8 percent among the general population and much higher among key populations: 17.5 percent for MSM and 63 percent for FSWs. In addition, 24 to 34 percent of people do not know their HIV status, and an estimated 14 percent of those who know they are HIV positive are not yet on treatment. 2 However, data on the treatment gap among KPs are limited, and the prevailing structural barriers such as stigma and discrimination, a hostile legal environment, and unfriendly health care services point to a much higher gap. As one FSW explained during a support group meeting, We would rather miss or buy ART Figure 5. Ongoing peer education session at one of the Malawi drop-in centers from dubious sources than queue at an ART clinic within a hospital facility to avoid meeting our clients or potential clients who would in turn dump us if they see us at ART clinic. In response to concerns like this, LINKAGES Malawi collaborated with the government s HIV/AIDS department and district health officers to develop and operate drop-in centers for FSWs and MSM in two of the project s six operational districts. The services are provided by clinicians and nurses from government-run or private-sector health care facilities on specific days of the week and by LINKAGES clinical staff who are trained in service provision. The project also recruited peer navigators (HIV-positive FSWs) who volunteer to support their peers with counseling and adherence to ART. Apart from the use of the drop-in centers, people living with HIV are also recruited through other outreach service sites jointly supported and run by LINKAGES, the Ministry of Health, and other stakeholders. Of the 1,278 FSWs on ART within the LINKAGES Malawi project in FY17, 66 percent were initiated and retained on treatment through the drop-in centers (Blantyre [487] and Mangochi [353]) and 34 percent through other facilities. At the drop-in centers, linkage to ART among those who tested HIV positive was 97 percent, with 100 percent still retained on treatment. LINKAGES offers an excellent and unique approach to delivering the HIV prevention, care, and treatment package to complement the traditional public health approach, but as a country we need to improve the comprehensiveness of our business so that we adequately reach out to all unique groups, including key populations, with HIV services. -- Frank Chimbwandira, deputy director of HIV/AIDS Department, during a visit to some DICs References 1. International Aids Society. [Internet]. Geneva (Switzerland); c [updated 2017; cited 2017 Nov 15]. Available from: Also see: 2. Ministry of Health, Government of Malawi. Malawi population-based HIV impact assessment: MPHIA Lilongwe: MOH; 2016.
8 This document was made possible by the generous support of the American people through the United States Agency for International Development (USAID) and the U.S. President s Emergency Plan for AIDS Relief (PEPFAR). The contents are the responsibility of the LINKAGES project and do not necessarily reflect the views of USAID, PEPFAR, or the United States Government. LINKAGES, a five-year cooperative agreement (AID-OAA-A ), is the largest global project dedicated to key populations. LINKAGES is led by FHI 360 in partnership with IntraHealth International, Pact, and the University of North Carolina at Chapel Hill.
PERFORMANCE INDICATOR REFERENCE SHEETS FOR KEY POPULATIONS
Linkages Across the Continuum of HIV Services for Key Populations Affected by HIV (LINKAGES) Project PERFORMANCE INDICATOR REFERENCE SHEETS FOR KEY POPULATIONS OCTOBER 2017 Introduction LINKAGES Across
Direct Clinical Services
Health4Men Health4Men Established in 2008 as a project of the Anova Health Institute, in partnership with the South African Department of Health, and in response to the NSP. The brief was to develop MSMfocused
ADOLESCENTS AND HIV:
Elizabeth Glaser Pediatric AIDS Foundation Until no child has AIDS. Photo by Eric Bond/EGPAF, 2015 ADOLESCENTS AND HIV: PRIORITIZATION FOR ELIZABETH GLASER PEDIATRIC AIDS FOUNDATION PROGRAMS, ADVOCACY
APPLICANT REQUEST FOR MATCHING FUNDS. IMPORTANT: To complete this form, refer to the Instructions for Matching Funds Requests.
APPLICANT REQUEST FOR MATCHING FUNDS IMPORTANT: To complete this form, refer to the Instructions for Matching Funds Requests. SUMMARY INFORMATION Applicant CCM GHANA Funding request which this matching
Providing Stigma-free HIV Services to Sex Workers in Botswana: a Healthcare Worker Perspective
Providing Stigma-free HIV Services to Sex Workers in Botswana: a Healthcare Worker Perspective Neo N Monnapula Social Worker Nkaikela Youth Group Tlokweng, Botswana Slogan: Sex Workers Health is the Nation
Reintroducing the IUD in Kenya
Reintroducing the IUD in Kenya Background Between 1978 and 1998, the proportion of married Kenyan women using modern contraceptive methods rose from only 9 percent to 39 percent. However, use of the intrauterine
World Food Programme (WFP)
UNAIDS 2016 REPORT World Food Programme (WFP) Unified Budget Results and Accountability Framework (UBRAF) 2016-2021 2 Contents Achievements 2 Introduction 2 Innovative testing strategies 2 Access to treatment
WHO HIV Drug Resistance Prevention and Assessment Strategy. Dr Richard Banda Technical Officer, HIV Drug Resistance WHO Inter-country Support Team
WHO HIV Drug Resistance Prevention and Assessment Strategy Dr Richard Banda Technical Officer, HIV Drug Resistance WHO Inter-country Support Team Eastern & Southern African Countries (ESA) 2 The HIV epidemic
increased efficiency. 27, 20
Table S1. Summary of the evidence on the determinants of costs and efficiency in economies of scale (n=40) a. ECONOMETRIC STUDIES (n=9) Antiretroviral therapy (n=2) Scale was found to explain 48.4% of
The Global Fund s role as a strategic and responsible investor in HIV/AIDS: Paediatrics and PMTCT
The Global Fund s role as a strategic and responsible investor in HIV/AIDS: Paediatrics and PMTCT Peter McDermott Managing Director, CIFF 19 th Board meeting, Geneva 6 th May 2009 Investment Criteria Measurable...change
Monitoring HIV/AIDS Programs: Participant Guide
Monitoring HIV/AIDS Programs: Participant Guide A USAID Resource for Prevention, Care and Treatment Module 9: Monitoring and Evaluating Prevention of Mother-to-Child Transmission Programs September 2004
Annex A: Impact, Outcome and Coverage Indicators (including Glossary of Terms)
IMPACT INDICATORS (INDICATORS PER GOAL) HIV/AIDS TUBERCULOSIS MALARIA Reduced HIV prevalence among sexually active population Reduced HIV prevalence in specific groups (sex workers, clients of sex workers,
Technical guidance for Round 9 Global Fund HIV proposals
Technical guidance for Round 9 Global Fund HIV proposals Broad Area Service Delivery Area TREATMENT Prevention and assessment of HIV drug resistance (HIVDR) This technical brief provides key information
AIDSFree HIV Partner Notification Handbook
This presentation is made possible by the generous support of the American people with support from the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) and the United States Agency for International
Ever enrolled Currently enrolled Ever on ART Sub- County Adults Peds Total Adults Peds Total Adults Peds Total Adults Peds Total
In September 2004, the Kenya Medical Research Institute (KEMRI) and University of California, San Francisco (UCSF), supported by the President s Emergency Plan for AIDS Relief (PEPFAR)/Centers for Disease
WHAT IS STAR? MALAWI ZAMBIA ZIMBABWE SOUTH AFRICA
UNITAID PSI WHAT IS STAR? The UNITAID/PSI HIV Self-Testing Africa (STAR) Project is a four-year initiative to catalyze the market for HIV self-testing (HIVST). The project will be implemented in two phases,
EARLY INTERVENTION SERVICES I. DEFINITION OF SERVICE
EARLY INTERVENTION SERVICES I. DEFINITION OF SERVICE Support of Early Intervention Services () that include identification of individuals at points of entry and access to services and provision of: 1.
GLOBAL AIDS RESPONSE PROGRESS REPORTING (GARPR) 2014 COUNTRY PROGRESS REPORT SINGAPORE
GLOBAL AIDS RESPONSE PROGRESS REPORTING (GARPR) 2014 COUNTRY PROGRESS REPORT SINGAPORE Reporting period: January 2011 June 2013 Submission date: April 2014 I. Status at a glance Singapore s HIV epidemic
Ministry of Health PEER NAVIGATION. Peer Navigation Protocol PROTOCOL SUBTITLE LINE 1, CALIBRI LIGHT (22PT), ALL CAPS SUBTITLE LINE 2 JAMAICA 2017
Ministry of Health PEER NAVIGATION PROTOCOL Peer Navigation Protocol SUBTITLE LINE 1, CALIBRI LIGHT (22PT), ALL CAPS SUBTITLE LINE 2 JAMAICA 2017 JANUARY 2017 Peer Navigation Protocol Jamaica 2017 This
Promoting FP/RH-HIV/AIDS Integration: A Summary of Global Health Initiative Strategies in Ethiopia, Kenya, Tanzania, and Zambia
Promoting FP/RH-HIV/AIDS Integration: A Summary of Global Health Initiative Strategies in Ethiopia, Kenya, Tanzania, and Zambia The Global Health Initiative (GHI) is an integrated approach to global health
Scaling Up Treatment in Zimbabwe: The path to high coverage
Scaling Up Treatment in Zimbabwe: The path to high coverage IAS Conference Dr. Tsitsi Mutasa-Apollo ART Programme Coordinator, Zimbabwe 30 th June, 2013 Kuala Lumpur, Malaysia Outline Introduction Background
Culturally Relevant Linkages to Care
Culturally Relevant Linkages to Care Matt Ignacio, MSSW Tohono O'odham Jamie Folsom, MS Oklahoma Choctaw Project Managers - National Native American AIDS Prevention Center National Native American AIDS
About FEM-PrEP. FEM-PrEP is also studying various behaviors, clinical measures, and health outcomes among the trial s participants.
Fact Sheet About FEM-PrEP What is the FEM-PrEP clinical trial? FEM-PrEP is a Phase III randomized, placebo-controlled, clinical trial designed to assess the safety and effectiveness of a daily oral dose
To provide you with the basic concepts of HIV prevention using HIV rapid tests combined with counselling.
Module 2 Integration of HIV Rapid Testing in HIV Prevention and Treatment Programs Purpose Pre-requisite Modules Learning Objectives To provide you with the basic concepts of HIV prevention using HIV rapid
Treatment as Prevention in India: What will it take?
Treatment as Prevention in India: What will it take? Suniti Solomon, MD FAMS Director, YRGCARE August 26, 2011 ICAAP 10, Busan, South Korea HIV IN INDIA The First Evidence The Numbers.. Source: NACO Prevalence
HIV/AIDS Prevention, Treatment and Care among Injecting Drug Users and in Prisons
HIV/AIDS Prevention, Treatment and Care among Injecting Drug Users and in Prisons Ministerial Meeting on Urgent response to the HIV/AIDS epidemics in the Commonwealth of Independent States Moscow, 31 March
HIV Prevention, Care and Treatment Services in Prisons of North-Eastern States of India
HIV Prevention, Care and Treatment Services in Prisons of North-Eastern States of India About the Project The prevalence of HIV, and other blood borne viruses in prison populations is many times higher
LOGFRAME TEMPLATE FOR SWAZILAND. SIDA s Contributions
1 Outcome 7 countries have addressed barriers to efficient and effective linkages between HIV and SRHR policies and services as part of strengthening health systems to increase access to and use of a broad
Summary of PEPFAR State of Program Area (SOPA): Care & Support
Summary of PEPFAR State of Program Area (SOPA): Care & Support Prepared by E. Michael Reyes, MD, MPH (Original SOPA is a 45 page document) Introduction: Care and Support refers to the broad array of non-art
DEPARTMENT OF HEALTH RESPONSE TO KEY POPULATIONS
DEPARTMENT OF HEALTH RESPONSE TO KEY POPULATIONS KEY POPULATIONS PREVENTION INTERVENTIONS Ms E Marumo HIV PREVENTION STRATEGIES 13 June 2017 1 Background SA has about 7.1 million people living with HIV
Acknowledgments. G2Z Consortium Shannon Weber Diane Havlir Susan Buchbinder Dana Van Gorder Jeff Sheehy
Acknowledgments G2Z Consortium Shannon Weber Diane Havlir Susan Buchbinder Dana Van Gorder Jeff Sheehy Getting to Zero San Francisco: The Power of Collective Impact Zero new HIV infections Zero HIV deaths
Introduction and Course Overview
Module 1 Introduction and Course Overview 1.1: Welcome and Introductory Activity 1.2: Training Objectives and Ground Rules 1.3: Training Pre-Test 1.4: Values Clarification Learning Objectives After completing
History and Program Information
History and Program Information Rita da Cascia/ / Project Positive Match, San Francisco, CA Housing Opportunities for People with AIDS (HOPWA) Special Projects of National Significance (SPNS) Multiple
TB/HIV Care s Experience Setting up PrEP Sites and Engaging Potential Service Users. John Mutsambi and Peggy Modikoe TB/HIV Care
TB/HIV Care s Experience Setting up PrEP Sites and Engaging Potential Service Users John Mutsambi and Peggy Modikoe TB/HIV Care Session Objectives Objectives Define the scope of activities to prepare for
Key Strategic Decisions Common Options Country Examples
REACHING THE THIRD 90: IMPLEMENTING HIGH QUALITY VIRAL LOAD MONITORING AT SCALE Key Strategic Decisions for Countries Designing & Scaling-Up Viral Load Services 1. 2. 3. 4. 5. How will leadership and/or
Protection and resilience: A simple checklist for why, where and how to coordinate HIV and child protection policy and programming
Protection and resilience: A simple checklist for why, where and how to coordinate HIV and child protection policy and programming This document is made possible by the generous support of the United States
Strengthening the Evidence for HIV Investments: Allocative Efficiency of HIV Responses: Results and Experiences
Strengthening the Evidence for HIV Investments: Allocative Efficiency of HIV Responses: Results and Experiences Presentation by: Dr Maxim Berdnikov, Global Fund Importance of Evidence of Impact under the
Early Infant Diagnosis-Malawi Experience. P.N.Kazembe
Early Infant Diagnosis-Malawi Experience P.N.Kazembe MALAWI HIV/AIDS DATA Total population 12.8 million HIV prevalence 14% (15-49 yrs) Antenatal HIV prevalence 15%. 81,000 HIV infected women deliver/yr
A smart and doable investment
90-90-90 A smart and doable investment As of December 2013 Adults and children living with HIV Adults and children newly infected Adult & child deaths due to AIDS 35.0 million [33.2 million 37.2 million]
Strengthening the Integration of PMTCT within MNCH Services
Strengthening the Integration of PMTCT within MNCH Services ACCESS APPROACH While not planned as a major focus of the ACCESS Program, the prevention of mother-to-child transmission of HIV/AIDS (PMTCT)
Contextual overview with reference to MDG Goal 6 and projection for Post-2015
Contextual overview with reference to MDG Goal 6 and projection for Post-2015 10th Partnership Annual Conference Side Event Combating HIV and TB through a joint regional action Helsinki, Finland November
IDU Outreach Project. Program Guidelines
Ministry of Health and Long-Term Care Ministère de la Santé et des Soins de longue dureé Prepared by: AIDS Bureau Revision Date: April 2001 TABLE OF CONTENTS 1 Introduction...1 1.1 Program Goals... 2 1.2
Transport against HIV/AIDS Monitoring and Evaluation Framework report
Transport against HIV/AIDS Monitoring and Evaluation Framework report Jean-Noel Guillossou & Comfort Olatunji, Focal Point HIV & Transport (SD) Transport Unit, South Asia Region December 1, 2008 1 Objective
Women and PrEP: What are local health departments doing?
Women and PrEP: What are local health departments doing? Gretchen Weiss, MPH Director of HIV, STI, & Viral Hepatitis National Association of County and City Health Officials (NACCHO) Illinois HIV/STD Conference
SAFE MALE CIRCUMCISION UPDATE MEETING June 2009 NAIROBI KENYA BOTSWANA SAFE MALE CIRCUMCISION ADDITIONAL STRATEGY FOR HIV PREVENTION
SAFE MALE CIRCUMCISION UPDATE MEETING June 2009 NAIROBI KENYA BOTSWANA SAFE MALE CIRCUMCISION ADDITIONAL STRATEGY FOR HIV PREVENTION INTRODUCTION The Botswana MC Strategy focuses on: 1. Increasing the
GEORGIA STATEWIDE MSM STRATEGIC PLAN
GEORGIA STATEWIDE MSM STRATEGIC PLAN 2016-2021 GEORGIA DEPARTMENT OF PUBLIC HEALTH APPROACH TO ADDRESSING HIV/AIDS AMONG YOUNG AND ADULT GAY, BISEXUAL AND MEN WHO HAVE SEX WITH MEN CONTENT OUTLINE Introduction:
Characterizing the HIV Prevention and Treatment Needs among Key Populations, including Men who Have Sex with Men and Female Sex Workers in Swaziland:
Characterizing the HIV Prevention and Treatment Needs among Key Populations, including Men who Have Sex with Men and Female Sex Workers in Swaziland: From Evidence to Action June 2015 TABLE OF CONTENTS
Positive Health, Dignity, and Prevention in Botswana
Positive Health, Dignity, and Prevention in Botswana Comparing national documents guiding the implementation PHDP with recommendations and guidance from key international public health organizations: a
Effects of the Global Fund on the health system
Ukraine: Effects of the Global Fund on the health system Tetyana Semigina 27 Abstract Ukraine has one of the most rapidly growing HIV/AIDS epidemics in Europe, with estimated numbers of people living with
I know it because I live it An In-clinic peer mentorship scheme to improve outcomes in adolescents living with HIV
I know it because I live it An In-clinic peer mentorship scheme to improve outcomes in adolescents living with HIV Theme: Working with Patients and Communities Alison Barnes, MSN MPH HIV in the UK Over
IFMSA Policy Statement Ending AIDS by 2030
IFMSA Policy Statement Ending AIDS by 2030 Proposed by IFMSA Team of Officials Puebla, Mexico, August 2016 Summary IFMSA currently acknowledges the HIV epidemic as a major threat, which needs to be tackled
HIV EPIDEMIC UPDATE: FACTS & FIGURES 2012
HIV EPIDEMIC UPDATE: FACTS & FIGURES 2012 Number of Cases Note: In this surveillance report, HIV cases include persons reported with HIV infection (non-aids), advanced HIV (non-aids) and AIDS within a
TB/HIV Monitoring & Advocacy Project Interview Tool
TB/HIV Monitoring & Advocacy Project Interview Tool This interview tool is based upon the Interim Policy on Collaborative TB/HIV Activities of the World Health Organization. 1 It is designed to help you
Zero HIV infections Zero HIV deaths Zero HIV stigma. Stephanie Cohen, MD, MPH on behalf of the Getting to Zero Consortium
Zero HIV infections Zero HIV deaths Zero HIV stigma Stephanie Cohen, MD, MPH on behalf of the Getting to Zero Consortium Number of New HIV Diagnoses Overall decline in new HIV diagnoses and death in San
Quality Improvement of HIV and AIDS programs: experiences from South Africa ( )
Quality Improvement of HIV and AIDS programs: experiences from South Africa (2007 2010) Dr D Jacobs Country Director: Health Care Improvement Project (South Africa) University Research Co.,LLC 1 Global
KEY POPULATION PROGRAM IMPLEMENTATION GUIDE JANUARY 2017
KEY POPULATION PROGRAM IMPLEMENTATION GUIDE JANUARY 2017 This program implementation guide is made possible by the generous support of the American people through the United States Agency for International
South Asia Multi Sector briefs on HIV/AIDS
South Asia Multi Sector briefs on HIV/AIDS Transport and Infrastructure Why HIV and AIDS Matter to the Transport and other Infrastructure Sectors Between 2-3.5 million people in South Asia are living with
California HIV/AIDS Research Program
California HIV/AIDS Research Program Program Director George F. Lemp, Dr.P.H., M.P.H. (510) 987-9856; george.lemp@ucop.edu Mission The California HIV/AIDS Research Program supports excellent, timely, and
Ending The HIV/AIDS Epidemic in America
Ending The HIV/AIDS Epidemic in America Unique Moment in History Media inquiries: Matt Matassa 703.647.1909; mmatassa@fhi.org FOR IMMEDIATE RELEASE: Thursday, 12 May 2011, 11 am EST Initiation of Antiretroviral
STOP HIV/AIDS Pilot Project
STOP HIV/AIDS Pilot Project QUARTERLY INDICATORS REPORT: 1 April through 30 June 2011 () SUBMITTED TO: The BC Ministry of Health Services SUBMITTED BY: Dr. Rolando Barrios, Dr. Mark Gilbert, Dr. Kate Health,
Translating the Science to End New HIV Infections in Kenya
Translating the Science to End New HIV Infections in Kenya Perspectives, Practices and Lessons Nairobi, 28-30 May 2017 www.iasociety.org Scientific Symposium Building Consensus Challenges, Lessons Learnt
CHANGING THE HIV/AIDS PARADIGM Strategic Plan FY 2014/15 FY 2019/20
CHANGING THE HIV/AIDS PARADIGM Strategic Plan FY 2014/15 FY 2019/20 The Progress is Real Dramatic advances in prevention and treatment related to HIV/AIDS have provided us with the tools to end the AIDS
Toolbox for conducting integrated HIV bio-behavioral surveillance (IBBS) in key populations Improving health and reducing inequities worldwide
Toolbox for conducting integrated HIV bio-behavioral surveillance (IBBS) in key populations Improving health and reducing inequities worldwide Copyright The Regents of the University of California, 2014.
CIVIL SOCIETY UNGASS TB/HIV COUNTRY REPORT KENYA JANUARY 2010
CIVIL SOCIETY UNGASS TB/HIV COUNTRY REPORT KENYA JANUARY 2010 Commissioned By: Treatment Action Group (TAG) and International Community of Women living with HIV/AIDS East Africa (ICW-EA). Conducted By:
Plan 4 PrEP: Toolkit for Oral PrEP Implementation STEP 4: READINESS ASSESSMENT
4 Plan 4 PrEP: Toolkit for Oral PrEP Implementation STEP 4: READINESS ASSESSMENT About this toolkit WHAT IS THE PURPOSE AND CONTENTS OF THIS TOOLKIT? This toolkit was developed and used by the OPTIONS
UNAIDS 2016 THE AIDS EPIDEMIC CAN BE ENDED BY 2030 WITH YOUR HELP
UNAIDS 2016 THE AIDS EPIDEMIC CAN BE ENDED BY 2030 WITH YOUR HELP WHY UNAIDS NEEDS YOUR SUPPORT Over the past 35 years, HIV has changed the course of history. The massive global impact of AIDS in terms
Married Young Women and Girls Family Planning and Maternal Heath Preferences and Use in Ethiopia
SEPTEMBER 2017 TECHNICAL BRIEF Married Young Women and Girls Family Planning and Maternal Heath Preferences and Use in Ethiopia Approximately one-third of Ethiopia s population is between the ages of 10-24
The AETC-NMC Webinar entitled: will begin shortly.
The AETC-NMC Webinar entitled: 1 will begin shortly. The AETC-NMC Webinar entitled: 2 will begin shortly. Kindly enjoy the following informative slides while you wait for the presentation to begin.. 3
Trends in HIV/AIDS Programs and Child Mortality
Trends in HIV/AIDS Programs and Child Mortality Trends in HIV/AIDS Programs and Life Expectancy Reduced Mortality at Bubonong Primary hospital HIV/AIDS mortality reduced from 25% to 13% from 2004 to 2006
Best Practices in Cascade Analytics and Costing as Steps to Webinar Series: Five Ways to Accelerate Progress Toward the Goals
Best Practices in Cascade Analytics and Costing as Steps to 95-95-95 Webinar Series: Five Ways to Accelerate Progress Toward the 95-95-95 Goals Today s webinar Purpose: Understand methodological approaches
Stigma and discrimination as barriers to achievement of global PMTCT and maternal health goals
Stigma and discrimination as barriers to achievement of global PMTCT and maternal health goals Janet M. Turan University of Alabama at Birmingham Laura Nyblade USAID-funded Health Policy Project Woodrow
Global database on the Implementation of Nutrition Action (GINA)
Global database on the Implementation of Nutrition Action (GINA) Kenya Nutrition and HIV/AIDS Strategy 2007 to 2010 Published by: Ministry of Medical Services Is the policy document adopted?: No / No information
The Undetectables Viral Load Suppression (VLS) Project
The Undetectables Viral Load Suppression (VLS) Project AIDS Institute, Clinical Advisory Committee September 8, 2016 Vaty Poitevien, Chief Medical Officer Housing Works, Inc. www.housingworks.org About
All four components must be present, but Part A funds to be used for HIV testing only as necessary to supplement, not supplant, existing funding.
EARLY INTERVENTION SERVICES I. DEFINITION OF SERVICE Support of Early Intervention Services (EIS) that include identification of individuals at points of entry and access to services and provision of:
Partnership Frameworks: a five-year path
Partnership Frameworks: a five-year path to policy reforms in PEPFAR partner countries Andre Verani, JD, MPH Using Law, Policy, and Research to Improve the Public s Health: A National Conference Atlanta,
OUR YOUTH - OUR FUTURE : STREN
OUR YOUTH - OUR FUTURE : STREN GTHENING HEALTH SYSTEMS FOR ADOLESCENTS AND YOUTH WHY WE ARE NEEDED The priority of the National Department of Health (NDoH) is to improve the health status of the entire
Technical Guidance for Global Fund HIV Proposals
Technical Guidance for Global Fund HIV Proposals Broad Area Intervention Area CARE ANS SUPPORT Protection, care and support of children orphaned and made vulnerable by HIV and AIDS Working Document Updated
Antiretroviral therapy for adults and adolescents KEY MESSAGES. HIV/AIDS Department BACKGROUND
KEY MESSAGES New WHO Recommendations: Antiretroviral therapy for adults and adolescents The World Health Organization (WHO) is revising its guidelines on antiretroviral therapy (ART) for adults and adolescents.
HIV PREVENTION, DIAGNOSIS, TREATMENT AND CARE FOR KEY POPULATIONS
POLICY BRIEF HIV PREVENTION, DIAGNOSIS, TREATMENT AND CARE FOR KEY POPULATIONS CONSOLIDATED GUIDELINES JULY 2014 Policy brief: Consolidated guidelines on HIV prevention, diagnosis, treatment and care for
Guidance on Matching Funds: Tuberculosis Finding the Missing People with TB
February 2017 Guidance on Matching Funds: Tuberculosis Finding the Missing People with TB 1. Background TB is the leading cause of death by infectious disease, killing 1.8 million people in 2015. Each
Available In person Courses
Course Catalogue for HIV Education and Training NY www.hivtrainingny.org The NYSDOH AIDS Institute s HIV, STI and Viral Hepatitis Training Programs offer trainings on HIV/AIDS, sexually transmitted infection
Dr Ade Fakoya Senior HIV Advisor
Strengthening community systems to support families, communities and health facilities to prevent parent-to-child transmission and improve the health of women and children Dr Ade Fakoya Senior HIV Advisor
Model. in Ho Chi Minh city. MSM s intervention on HIV/AIDS. Leâ Cao Duõng AIDS Committee HCMC BÌNH THAÏNH HEALTH CENTER
Model MSM s intervention on HIV/AIDS in Ho Chi Minh city Leâ Cao Duõng AIDS Committee HCMC Project description Partnership: HCMC AIDS Committee, Binh Thanh DHC and FHI Funding agency: USAID/USG Project
Building a New Approach to Health Care Services for Hard to Reach Clients
Building a New Approach to Health Care Services for Hard to Reach Clients Community Discussion and Open House January 30, 2013 Fernwood Community Association 1923 Fernwood Street February 6, 2013 North
HIV/AIDS Medical Case Management Acuity Assessment Massachusetts Department of Public Health Boston Public Health Commission
Area of Functioning: HIV Care Adherence Dates of last 2 HIV Appointments: dd/mm/yyyy dd/mm/yyyy Has missed 2 or more consecutive HIV medical appointments in the last 6 months Has missed 1 or 2 (non-consecutive)
Antiretroviral therapy in a South African public health care setting
Research Briefs Antiretroviral therapy in a South African public health care setting facilitating and constraining factors Karine Wabø Ruud 1, Sunitha Chandrasekhar Srinivas 2, Else-Lydia Toverud 1 1 Department
Clinical and Support Services
5 Clinical and Support Services Starting, managing, monitoring and scaling up a programme from both a centralized and community perspective 2 Addressing Violence against Sex Workers Community mobilization
Kenya. Service Provision Assessment Survey Family Planning Key Findings
Kenya Service Provision Assessment Survey 2004 Family Planning Key Findings This report summarizes the family planning findings of the 2004 Kenya Service Provision Assessment Survey (KSPA), carried out
UNGASS Country Progress Report. Myanmar
UNGASS Country Progress Report Myanmar National AIDS Programme Reporting period: January 2008 December 2009 Submission date: 31 March 2010 I. Table of Contents I. Table of Contents... 1 II. Acronyms and
Center for Global Development. Marie M H Deschamps,MD Deputy Director, GHESKIO Centers WDC,December 4,2009
Center for Global Development Marie M H Deschamps,MD Deputy Director, GHESKIO Centers WDC,December 4,2009 Outline Background and Context GHESKIO Mission and impact GHESKIO expansion of services and IMIS
Percent of clients linked to care within 3 months of diagnosis: 87.60% FY16 Performance Outcomes (to date)
Activity Title and Org. Code Office of the Senior Deputy Director 3010 Responsible Individual Name Michael Kharfen Responsible Individual Title Senior Deputy Director Number of FTEs 12.49 The mission of
Ending the AIDS Epidemic in Adolescents
Ending the AIDS Epidemic in Adolescents Eastern and Southern Africa Regional Update on the ALL IN Overview 13 October 2015 AIDS-related deaths has declined for all age groups Except adolescents! Eastern
Science and community in the response to HIV, STIs and co-infections in Asia and the Pacific: Panel Discussion on PrEP & STIs
Science and community in the response to HIV, STIs and co-infections in Asia and the Pacific: Panel Discussion on PrEP & STIs Prioritization of expanding the free access to testing and treatment of HIV,
Annex 13. Indicators for HIV testing services reference sheet
Annex 13. Indicators for HIV testing services reference sheet Table 13.1A Programme indicators for HIV testing services WHO/HIV/2015.32 Indicator National indicators Numerator (N)/ denominator (D) Disaggregation
Infectious Diseases New York City Department of Health and Mental Hygiene, Division of Disease Control (Bureau of HIV/AIDS Prevention and Control)
Infectious Diseases New York City Department of Health and Mental Hygiene, Division of Disease Control (Bureau of HIV/AIDS Prevention and Control) Queens, New York Assignment Description The host site
23 November Division of Dockets Management (HFA 305) Food and Drug Administration 5630 Fishers Lane, Rm Rockville, MD 20852
23 November 2016 Division of Dockets Management (HFA 305) Food and Drug Administration 5630 Fishers Lane, Rm. 1061 Rockville, MD 20852 Submitted via http://www.regulations.gov Re: Docket No. FDA-2016-N-1502,
State of Alabama AIDS Drug Assistance Program (ADAP) Quarterly Report
State of Alabama AIDS Drug Assistance Program (ADAP) Quarterly Report This report reflects active clients currently enrolled in ADAP Full-pay Prescription Program (ADAP-Rx), Alabama s Insurance Assistance