Resource Library

EPIC cover

Strategies for Epidemic Control: Technical Strategies to Address Key Gaps for Epidemic Control

Meeting Targets and Maintaining Epidemic Control (EPIC) Project, 2020

In 2020,  the  global  response to  HIV  showed  inequitable  progress  across  countries  and  was  rocked by  the COVID-19  pandemic.  This  document  is  meant  to assist  U.S.  President’s  Emergency  Plan  for  AIDS  Relief (PEPFAR)  teams  to identify  successful  and  innovative  approaches  for  epidemic  control  of  HIV  that  can be applied flexibly  across  the cascade.  The  challenges  presented by  COVID-19  led  to  rapid  adaptations  and advancements  in several  strategies,  all of  which  will  have  tremendous  value  for  epidemic  control  even after  the  COVID-19  pandemic  subsides.  In  this  document,  some  strategies  are  noted as  “hot approaches,”  meaning they  are  well  suited  to  meeting  current  program challenges  at  this  critical juncture. 

Lancet HIV editorial

End resistance to dolutegravir roll-out

The Lancet HIV, 2020

Roll-out of generic dolutegravir-based HIV treatment regimens continues at a pace worldwide. At the end of 2018, an estimated 3·9 million people with HIV in 61 low-income and middle-income countries (LMICs) had access to generic dolutegravir and the preferred first-line combination of tenofovir disoproxil fumarate, lamivudine, and dolutegravir (TLD). In 2019, estimates suggest 6·9 million people had access to generic dolutegravir and 82 LMICs were reported to be transitioning to dolutegravir-based treatment regimens. By mid-2020, according to WHO, transition to dolutegravir has now been implemented in 100 LMICs. However, UNAIDS estimate up to 32 countries have not yet recommended dolutegravir as first-line therapy, and 20 countries that added dolutegravir-based regimens to their national guidelines have yet to begin procurement. This editorial recommends that as the WHO-recommended first-line treatment, every country should aim to offer dolutegravir as therapy for people with HIV, while adequate surveillance continues to detect and manage any adverse events. All programmes must have access to a range of treatment options and providers and patients should be able to make informed choices from the best options.

PEPFAR calculator

PEPFAR Multi-month for Prescribing and Treat All Calculator

PEPFAR, 2020

USAID's Supply Chain for Health team has put together an antiretroviral (ARV) planning tool to help countries consider their ARV procurement and supply chain planning for implementing i. “treat all” and ii. longer ART refills, also known as multi-month scripting (MMS). By inputting the i. the total number of newly identified HIV positive patients starting ART and ii. the number of stable patients (eligible for MMS) the tool determines the number of ART treatments needed to implement “treat all” and MMS over a three-year period. Countries can then identify the initial "bump" of additional ARV treatments needed in year one. In addition, it will enable countries to note how many additional ARV treatments are needed in years 2 and 3. Finally, the tool provides countries with an estimate of the number of ARVs needed to transition a country’s care and treatment programmes from monthly prescribing to longer refills (2-, 3-, 4-, or 6-months) in MMS programmes.

COVID-19 for midwives

COVID-19 Resources for Midwives

International Confederation of Midwives, 2020

ICM is concerned about the effects of the COVID-19 pandemic on midwifery care, midwives and the health and well-being of women and their newborn babies globally. ICM is closely monitoring the developments and posting information to support midwives and other maternity care professionals in this difficult time. These resources form a selection of the many resources that are available. ICM aims to ensure they are from reputable sources and help midwives and others in providing care in an unprecedented situation - a platform for members where concerns, experiences, and resources are shared.  

USAID resources for partners

Resources for USAID Partners

USAID, 2020

Resources for organizations to learn about the policies, platforms, and guidelines that will ensure a successful partnership with USAID. 

PEPFAR fact sheet

PEPFAR Fact Sheet: Community-led Monitoring

PEPFAR, 2020

Community-led monitoring (CLM) is a technique initiated and implemented by local community-based organizations and other civil society groups, networks of key populations, people living with HIV (PLHIV), and other affected groups, or other community entities that gather quantitative and qualitative data about HIV services. The CLM focus remains on getting input from recipients of HIV services in a routine and systematic manner that will translate into action and change. This fact sheet describes why PEPFAR supports CLM and the principles of CLM.

Screenshot of videos

COVID-19 in Sierra Leone: Guidelines of Relevant Nursing Procedures

Ministry of Health and Sanitation (MOHS) Sierra Leone, 2020

This series of videos was developed by the School of Midwifery (SoMM) Masuba-Makeni with the Ministry of Health and Sanitation (MOHS). These videos provide guidelines related to nursing procedures for COVID-19 patients in Sierra Leone including:

  • Bed Bathing Procedures for COVID-19 patients
  • Donning and Doffing Procedures for personal protective equipment for nurses 
  • Feeding of Patients with Respiratory Distress - Insertion of Nasopharyngeal Tube for feeding of patients with respiratory distress through insertion of nasopharyngeal tube for nurses 
  • Fever Management Procedures
  • Fluid Balance Procedures
  • Management of Cough for COVID-19 patients 
  • Management of Difficult Breathing for COVID-19 patients 
  • Thrombosis Prophylaxis for COVID-19 patients 
SL HIV Guidelines (2020)

Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care in Sierra Leone

Ministry of Health and Sanitation (MOHS) Sierra Leone, 2020

Consolidated guidelines in line with the World Health Organization (WHO) recommendations, provide guidance on the diagnosis of HIV infection, the care of people living with HIV, and the use of antiretroviral (ARV) drugs for treating and preventing HIV infection in Sierra Leone. The guidelines are structured along the continuum of HIV testing, prevention, treatment, and care. The goal of the guidelines is to expand access to antiretroviral therapy (ART) further, initiate treatment earlier and expand the use of ARV drugs for HIV prevention.

SL COVID-19 Nursing

Sierra Leone COVID-19 Guidelines of Relevant Nursing Procedures

Ministry of Health and Sanitation (MOHS) Sierra Leone, 2020

This handbook outlines guidelines for nursing procedures for COVID-19 patient care in Sierra Leone. Topics include personal protective equipment, caring for critically ill patients, management of difficult breathing, management of fever, management of cough, fluid balance, and feeding of patients with respiratory distress.

DHIS2 Symposium

DHIS Symposium 2020 Session Recordings

University of Oslo, 2020

The 2020 DHIS2 Digital Annual Conference brought together implementers, developers, Ministry of Health representatives, technical partners, and donors from around the world to discuss pressing health issues and innovative, data-driven solutions. All sessions were recorded live.