Differentiated service delivery has the potential to improve both the quality and efficiency of HIV programs. Leading the charge toward a new future of high quality, high impact, and sustainable HIV programs, ICAP is looking at ways to measure the scale-up and spread of differentiated care, not presently captured by traditional monitoring and evaluation approaches.
Turning the Corner on the HIV Epidemic: New PHIA Survey Results Announced at CROI 2017 Show Progress in Zimbabwe, Malawi, and Zambia
Newly released findings from national HIV surveys in Zimbabwe, Malawi, and Zambia reveal extraordinary progress in confronting the HIV epidemic.
With patients now living longer and “treatment for all” approaches being adopted in many countries, demand for treatment has grown rapidly, and people living with HIV are accessing services in unprecedented numbers. Differentiated care, also known as differentiated service delivery, moves away from a “one size fits all” approach, enabling stable patients to access treatment closer to the community, and freeing up space at clinics and treatment centers. Global experts believe this approach is key to enhancing the quality and efficiency of health services, improving patient satisfaction, and reaching the United Nation’s ambitious 90–90–90 goals.
Accreditation of Three TEBA Clinics in Lesotho Enables Same-Day ART Initiation for Basotho Migrant Miners
Lesotho has the second highest HIV prevalence in the world and over 70 percent of tuberculosis (TB) patients are HIV-positive. Lesotho’s many migrant mine workers are at particularly high risk of acquiring TB and HIV due to working conditions in the mines and other common predisposing factors, such as multiple sex partners and alcohol abuse. In 2013, ICAP formed a partnership with Lesotho’s Ministry of Health and the Employment Bureau of Africa (TEBA) to reach migrant miners and their families with critical TB services. With support from PEPFAR through CDC and several other funders, ICAP helped establish clinics at three TEBA regional employment offices to provide TB screening, diagnosis, care, and treatment services during off-hours, when miners routinely visit TEBA offices to collect their pay.
As Angola lays the groundwork for implementing WHO’s test and start guidelines, the Government of Angola and its partners are working to streamline processes so that already overburdened health facilities can accommodate the increased numbers of patients on ART. Ensuring that the Ministry of Health has accurate and timely data that can be used to monitor and evaluate progress at a national level is a key priority.
New Findings Show Significant Progress against HIV Epidemic in Africa, Bringing the 90-90-90 Goals within Reach
In Zimbabwe, Malawi, and Zambia, new infections are falling; the percent of the population infected with HIV is stabilizing; and over half of all people living with HIV are virally suppressed