Insight-Driven Programs

A growing group of innovative programs based on insights men shared

1, 2, 3. Screen. Know. Act. A young man learns about self-testing through the STAR program. 

anne

"It’s critical that we speak and engage men in a trustworthy way that encourages HIV testing and treatment—and meets them where they are. The Elton John AIDS Foundation is proud to be a part of the MenStar Coalition. Through Chukua Selfie in Kenya, we created an insight-driven, engaging, and cool consumer campaign that makes it incredibly easy for men to access self-testing kits in pharmacies, community centers, high-risk social spaces and workplaces."

Anne Aslett

CEO, Elton John AIDS Foundation

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bkwadmin
A movement of the youth, by the youth, for the youth. The wildly popular #CHUKUA Selfie story began with a single social media post. Read More
Undiagnosed
Self-testing is a major breakthrough in HIV care. Self Testing Africa (STAR) is a powerful innovator in low and middle-income countries. Read More
Undiagnosed
What if buying an HIV self-test kit was an impulse buy like picking up a chocolate bar? Meet the HIV Self-Testing Challenge Fund in Kenya. Read More
bkwadmin
The loneliest day in a man's life might be the day he finds out he is HIV positive. Coach Mpilo offers men a caring, resourceful, HIV-positive peer to help him adjust. Read More
Newly on Treatment
Today, meeting clients "where they are" means digital. MenConnect leverages South Africa's most pervasive digital platform to engage men at scale and relieve clinician burden. Read More
Newly on Treatment
Implementing Partner:  Youth Health Africa Description/Activities:  Reorganization of filing systems to ensure ease and efficiency of finding and maintaining patient charts; developed a user-friendly process for organizing patient files What Makes the Intervention Unique/Different:  It is a cost saving intervention that shares the cost between Youth Health Africa (YHA) and multiple DSPs; YHA covers monthly
Newly on Treatment
USAID DISCOVER-Health addressed some of the health system barriers the men face to make HIV services more accessible, and increased the availability of credible HIV/health information.
Lost to Follow-up
It's not about a disease. It's about people. HIV-positive men have preferences, habits, constraints, desires—in short, lives! MINA is a 360-degree approach to making the healthcare experience actually work for men in South Africa. Read More
Lost to Follow-up
Male-only spaces/corners, specific male-only hours, male providers; male friendly clinics leverage existing infrastructure to provide a separate space, or in some cases dedicated times, to allow only men to access primary health care services
Virally Suppressed
Dablap is well-known local slang for a shortcut. Dablapmeds makes it easy for stable HIV clients to dramatically cut the time it takes to get their medications. Read More
Virally Suppressed
To get clients into care, you need to get care to clients. Even if that means crossing rivers and dodging rhinos. Outsourcing medicine distribution to the private sector eliminates the need for clients and health workers to take lengthy journeys to collect health products. Read More
Not Linked
To develop and implement a targeted SBC campaign to increase uptake of HIV testing, care and treatment services among high-risk populations, with a focus on men.
Undiagnosed
A cluster-randomized controlled trial which found that offering facility-based HIVST in outpatient departments at high-volume health facilities increased the proportion of outpatients tested for HIV compared with standard and optimized PITC.
Undiagnosed
Training for primary counselors on interpersonal communication, counseling, gender norms, and stigma; intensive monitoring of index testing results in weekly dashboard and mentoring visits to high volume sites; Holiday logbook to pre-book contacts who live in other countries but visit during holidays; offering index testing to virally unsuppressed ART clients; strengthened IPV screening (3% documented risk); harmonized index testing register for facility and community index; active collaboration with community index testing IPs for tracking elicited contacts outside facilities; weekly line listing and analysis of HTS_POS who have not been initiated
Virally Suppressed
Description/Activities:  Ethiopia took a systematic and deliberate approach to six-month MMS. With support from the U.S. Centers for Disease Control and Prevention (CDC), ICAP worked with the Federal Ministry of Health (FMOH) and six Regional Health Bureaus to conduct a successful pilot of the model at six hospitals in 2017.  What Makes the Intervention Unique/Different: While
Newly on Treatment
A differentiated service delivery model was designed and implemented in referral hospitals in rural settings. Male-friendly clinics provide integrated HIV, reproductive health, and NCD services during times that are more suitable for men; in this case, on Saturdays from 7:30 am-2:00 pm.
chany singh
This initiative takes a comprehensive approach to providing clinical services in the community across the cascade - from testing to treatment.
Newly on Treatment
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.
Newly on Treatment
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.
chany singh
Expert client (EC) counselors who are HIV-positive and ART-adherent provide individualized, peer-delivered counseling. They encourage problem-solving about HIV care, disclosure, and resolving real and perceived barriers to care. These EC counselors help arrange first-visit escorts or transportation, if needed, and expedited registration and treatment at HIV-care facilities.
bkwadmin
Multi-Month Dispensing of Drugs (MMD) Decentralized Drug Distribution Adoption and Implementation of Differentiated Service Delivery Models Policy to do Annual Viral Load Testing
Newly on Treatment
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.
chany singh
CommLink is strictly a community-based platform and is integrated with a mobile unit that provides point-of-diagnosis HIV care. It includes community-based testing models conducted by a HTS counselor; post-testing counseling provided by an expert client which includes psychosocial support and motivational & informational counseling; identification of and referral to the most appropriate HIV care facility; escort to mobile, community-based clinical services; mobile, community-based HIV clinical services provided by nurses; individualized brief case management services by expert clients which includes follow-up support calls and appointment reminders (and SMS reminders) and first facility visit escort, expedited registration, and treatment navigation services.
Virally Suppressed
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.
chany singh
Faced with challenges to patient adherence and retention on antiretroviral therapy (ART), Mozambique implemented a community approach to service delivery. This approach provides patients with easier access to their antiretroviral, in addition to peer support.
chany singh
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.
chany singh
The ART-AC model provides patient-friendly access to ART for clinically stable patients, ART distribution, and care and support to groups of stable patients. ACs meet either at a health care facility, or at a community-based venue for symptom screening, group discussions, ART distribution, and care and support to groups of stable patients (Tsondai et al., 2017).
chany singh
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.
chany singh
Two SMS services were offered at the Site B and Kuyasa Male clinics: Newly diagnosed HIV positive men were offered SMS reminders daily for three days to start antiretroviral care. Men starting antiretrovirals were offered monthly appointment reminders for the first six months of antiretroviral care. 55 men signed up for the linkage reminders out of 357 offered, and 78 for the appointment reminders out of 198 offered.
chany singh
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.
Virally Suppressed
ART care and treatment is delivered to consenting, stable patients at a pre-identified, community-based site, called a “community drug distribution point (CDDP)."
chany singh
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.
bkwadmin
Transition to TLD: Support national ART guidance revision to reflect the current WHO guidelines for rapid and safe transition to TLD regimen; transition completely out of Nevirapine-based regimen for all adults. Malawi Male viral load suppression increased throughout the year from 53% to as high as 96% after DTG transition as compared to 46% to
bkwadmin
Self-testing: updating national HIV testing service guidance, including the strategy for self-testing.
bkwadmin
Client-centered intervention to reach men with confidential HIV testing services at work.