THE UNITED STATES PRESIDENT’S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR) JULY 6, 2020 At the opening of the 23rd International AIDS Conference (AIDS 2020), the U.S. President’s
Client-centered intervention to reach men with confidential HIV testing services at work.
Five chronic medicine dispensation points have been set up for patients to pick up their medications in convenient locations allowing patients to collect their chronic medication quickly and easily and at a site closer to their home or place of work.
Geo-mapping of existing health facilities and pharmacies; assisting MoH in the development of alternative models and channels to increase reach to ROCs based on results of geo-analysis ; making government ARVs and other medicines available at alternative pick up points.
Self-formed groups of clients on ARTs; participants meet in the community and share information about their health and ART adherence; then take turns going to the facility. Every 3 months one member attends clinic where they receive a clinical check-up and lab testing; they also review the health information of the group (CARG) and then picks up ARV refills for the entire group.
CIDRZ provides multi-month drug dispensing (3 months’ supply of ART) for each of the patients participating in the CAGs. Each CAG has 6 patients, who take turns visiting the ART clinic for clinical consultation and antiretroviral (ARV) drug collection. Annually, each patient has two clinical visits and will return to the clinic for their clinical follow-up appointment, even if it is not their turn to collect medications. Each CAG is assigned a community health worker (CHW) who provides basic psycho-social and clinical support to the CAG members. Index testing through family and partner notification has also been implemented through the CAGs.
To address the gaps and challenges in the monitoring and management of patients with high VL, and function as a form of differentiated care for unstable clients with high VL.
This randomized control trial recruited ~1,000 people (43% men) to receive a CBHS intervention (monthly support groups and community delivery of ART) at 10 sites in Tanzania (across 4 regions). We compared outcome results to ~1,000 people receiving the standard of care at 10 matched sites in the same regions. The intervention was implemented for over a 12-month period, and HIV outcome measures were compared.
MSF introduced a comprehensive “welcome back” service at an ART facility, starting on the day of re-engagement. MSF is also using a social media campaign (WhatsApp and Facebook) to reach out to clients who may have disengaged from care.
These are male only clinics operated by male only staff that offer adaptable services in order to increase medical male circumcision, HIV testing, ART initiation and retention in care, TB screening and early diagnosis, and STI management in sexually active men. Philandoda Male Wellness clinic was set up at the main taxi rank in Eshowe, with extended working hours from 8am-5pm on Saturdays. In Khayelitsha, Site B male was opened very close to a taxi rank and Kuyasa male clinic is situated very close to a bus and train station with the aim of reaching men who are reluctant to access conventional health services currently offered by DoH. Both Khayelitsha clinics are run by CoCT with support from MSF. 1 month refills are offered for new/unstable clients, whereas 2 month refills are offered for stable clients.