This presentation from the International Treatment Preparedness Coalition (ITPC) and the Network of HIV Positives in Sierra Leone (NETHIPS) provides an overview of what community-led monitoring and advocacy is, key results of ITPC's CLM, and a country perspective from Sierra Leone.
The effectiveness of the HIV response is today highly variable—between populations and geographies. This paper reviews the concepts behind community-led monitoring of health services—a practice that combines systematic and routine data collection by communities with evidence-based advocacy to improve accountability, governance and quality of HIV and health services. Community-led monitoring, if effectively implemented and sufficiently resourced, can be a key intervention to correct poor retention in HIV treatment that many countries and communities are facing
Governments, donors and other stakeholders in countries at the forefront of oral pre-exposure prophylaxis (PrEP) delivery have encountered several programmatic challenges such as difficulty in setting targets, tracking the continuum of PrEP delivery, and estimating program costs and impact. This Microsoft Excel-based tool is for oral PrEP implementation planning, monitoring and evaluation. PrEP-it assists with planning and monitoring via six primary functions: (1) Assesses sites’ service delivery capacity and identifies site-level bottlenecks for oral PrEP delivery; (2) Monitors program by tracking monthly PrEP initiation and continuation rates; (3) Helps with national or subnational target-setting, allowing users to generate and analyze numerical targets based on population-based coverage or service delivery capacity; (4) Forecasts drug supply needs based on targets or program implementation: (5) Estimates program costs based on targets or program implementation; and (6) Examines a program’s projected impact (number of HIV infections averted) based on targets or past delivery. Downloads include a blank worksheet and a populated, example worksheet, the PrEP-it User Guide Version 1.0 accompanies the PrEP-it tool, as well as PrEP-it: Frequently Asked Questions.
The 2019 updated guidelines provide the latest recommendations based on rapidly evolving evidence of safety and efficacy and programmatic experience using dolutegravir (DTG) and efavirenz (EFV) 400 mg in pregnant women and people coinfected with TB. These guidelines provide further reassurance of DTG as the preferred antiretroviral (ARV) drug in first- and second-line regimens due to the declining estimate of neural tube defect risk and observed efficacy. This reassurance comes at a time when pretreatment resistance to non-nucleoside reverse-transcriptase inhibitors (NNRTI) is increasing in low- and middle-income countries, creating demand for access to alternative non-NNRTI ARV drugs.
This document provides guidance on best practices for environmental cleaning procedures and programs in healthcare facilities in resource-limited settings. It was developed as a collaboration between the Centers for Disease Control and Prevention (CDC) and the Infection Control Africa Network (ICAN). Best Practices for Environmental Cleaning in Healthcare Facilities in Resource-Limited Settings is a publication of the Division of Healthcare Quality Promotion in the National Center for Emerging and Zoonotic Infectious Diseases within the CDC and the Education Working Group of the Infection Control Africa Network.
This toolkit is a set of resources to optimize the analysis and use of data collected through routine health facility information systems, also known as health management information systems (HMIS). The comprehensive toolkit includes a series of integrated modules shown below. Modules can be used individually or together, according to country needs. Each module contains a facility analysis guide with a core set of indicators and dashboards, an accompanying exercise book, and machine-readable configuration packages. Facility analysis guides can be adapted for use with different software packages. DHIS2 configuration packages are included.
Comprehensive guidance for developing an electronic solution using DHIS2 to track patients across the prevention of mother-to-child transmission (PMTCT) of HIV continuum of care. The goal is to increase retention of mothers and their infants through the pregnancy and breastfeeding periods, and to improve linkages to care and referrals across services. This guidance and the accompanying documentation and resources are customized to address the complexities related to the PMTCT continuum of care, but the approaches and tools presented here can provide useful learning for the development of any DHIS2 tracker.
Mapping the Stages of MEASURE Evaluation's Data Use Continuum to DHIS 2: An Example from the Democratic Republic of the CongoMEASURE Evaluation, 2019
DHIS 2 is an electronic platform for the collection and analysis of health data. The Ministry of Health of the Democratic Republic of the Congo (DRC) adopted DHIS 2 as the country’s national health information system. The government began to pilot and roll out the system subnationally in 2014, scaling it up countrywide over three years. The U.S. President’s Malaria Initiative funded MEASURE Evaluation to conduct an assessment in 2017 that highlighted several barriers to the use of malaria data at multiple levels of the health system in the country. This assessment informed a series of interventions to strengthen the use of DHIS 2. This brief documents the key phases of the data use continuum and describes the ways in which the rollout and implementation of DHIS 2 in the DRC facilitated the use of data to improve the HIS and health programs.
The year-long global focus on nurses and midwives is a unique opportunity to get involved and demonstrate broad public and political support for more health workers, better supported to address the 18 million health worker shortage. WHO pulled together a toolkit to help you with your activities.
PEPFAR's focus on optimizing impact is a driving force behind global efforts to reach HIV epidemic control. PEPFAR is partnering with the international community to accelerate towards the UNAIDS 95-95-95 global goals: 95 percent of people living with HIV know their HIV status, 95 percent of people who know their HIV status are accessing treatment, and 95 percent of people on treatment have suppressed viral loads. Progress towards epidemic control will be successfully measured, in part, through an effective strategic information framework that not only monitors program outputs, but also key outcomes and programmatic impact. The objectives of the MER guidance document are to streamline and prioritize indicators for PEPFAR programs; however, MER indicators are not an exhaustive list of all metrics that should be monitored by PEPFAR programs and host country government. PEPFAR programs should continually monitor and assess any acute programmatic issues and collect additional data to inform program improvement.