PROVISION OF COMPREHENSIVE HIV CARE AND TREATMENT

Project duration: September, 2016 to September, 2021 

Purpose:

The purpose of ** Boresha Project** is to support comprehensive facility-based HIV testing, care, treatment and support service provision in  scale-up and sustained districts in the six regions of Geita, Mara, Mwanza, Simiyu,Tanga and Shinyanga.

The program Goal is: To Achieve a Sustainable Control of the HIV Epidemic in Tanzania by the Year 2021 through Provision of High Quality Comprehensive HIV Services in Scale up and Sustained Districts in the Lake Regions of Geita, Mara, Mwanza, Simiyu,Tanga and Shinyanga. It will be achieved through the following objectives;

Objectives:

  • Objective 1: Improve the identification of People Living with HIV (PLWHIV) and initiation of ART through scale up of evidence-based approaches in six regions
  • Objective 2: Increase retention and viral suppression through Quality Improvement (QI) strategies and community facility linkages to close gaps across the HIV continuum of care in six regions.
  • Objective 3 : Improve quality and coverage of TB/HIV and Reproductive and Child Health(RCH) services for adults, children, key and priority populations in collaboration with partners in six regions
  • Objective 4: Strengthen capacity of regional and district health systems to support and sustain provision of quality comprehensive HIV services in six regions

 AGPAHI through the BORESHA project, leverages on AGPAHI’s proven effective approaches to strengthening the capacity of health care providers, strong existing relationships with health authorities and communities, and capable staff and infrastructure in the regions. 

Boresha Outcomes.

The program has the following short, mid-term, and long-term outcomes towards the ultimate goal of achieving epidemic control in the focus districts and priority sites.

Outcomes:

Short- term (1-2 years)

  • Increased identification of HIV positive adult and children enrolled into care and treatment.
  • Increased quality of HIV and TB/HIV program data in terms of accuracy, timelines and reliability.
  • Increased proportion of priority sites utilizing SOPs and job aids based on national guidelines and evidence of improved adherence to national guidelines.
  • Increased implementation of quality assurance management program across all facilities
  • Increased knowledge and skills of regional laboratory staff in the principal national and international standards of a laboratory quality management system.
  • Increased RHMT and CHMT capacity to implement and support CQI activities at site, district and regional level.
  • Improved capacity of districts to support sites and districts in routine data collection; monitoring and improving data quality; and designing efficient data management and reporting procedures.
  • Improved capacity of RHMTs and CHMTs to conduct data reviews as well as to strengthen systematic quarterly data review processes within their own teams.

Mid-term (3-4 years)

All short-term outcomes sustained in years 3 and 4 plus:

  • Increased linkage, enrollment and retention in care and adherence to ART for PLHIV and TB/HIV co-infected patients.
  •  Increased accuracy and reliability of diagnoses for HIV and TB, and disease monitoring through VL and CD4 testing
  •  Increased use of M&E data by facilities and districts for decision making
  •  Increased quality of comprehensive HIV and TB/HIV service delivery accordingly to national and PEPFAR standards.

Long-term (5+ years)

All prior outcomes sustained in year 5 plus:

  • Increased proportion of ART patients who are alive, on ART and have sustained viral suppression at 12 months after initiating treatment.
  • Increased proportion of PLWHIV who have documented HIV diagnosis dates, places, and pathways of linkage, retention and referral outcomes.
  • Increased proportion of supported laboratories who have demonstrated increasing accreditation of SLMTA status over the project period.
  • Increased quality laboratory practices and laboratory services in supported districts
  • Increased proportion of districts conducting routine quarterly Quality Improvement (QI) collaborative forums to increase shared learning experiences and best practices and effective monitoring of quality data and use.

 

Sit-In Approach (SIA)

In all supported facilities across the six regions AGPAHI-developed the “Sit-In Approach” for mentoring service providers through the following;

  • Innovative model strengthening clinical skills
  • Complementing supportive supervision through R/ CHMT to ensure provision of quality services
  • Use on-site mentorship to review all CTC cards, assess services and status, and update accordingly
  • To perform needed interventions during mentorship visit
  • To update database, registers and CTC2 cards
  • Using Service Delivery Mapping(SDM) to observe client flow and clinic organization to identify bottlenecks and gaps in service provision

 In addition, AGPAHI supports integration of ART services provision at PMTCT stand-alone sites for children and partners of HIV positive pregnant and lactating women.

To increase the pool of service providers capable of managing care and ART initiation in children, AGPAHI trains service providers on ART and provide on-site mentorship on Pediatric case management through district mentors.

SIA best practise 

 

What We Do

  • Provision of Comprehensive HIV Care +

    The purpose of** Boresha Project** is to support comprehensive facility-based HIV testing, care, treatment and support service provision in 9 scale-up and 25 sustained districts in the five lake zone regions of Geita, Mara, Mwanza, Simiyu and Shinyanga. .

  • TB in the Mining Sector Programme +

    TB in mining sector (TIMS) project is funded by Global fund through Development Aid from People to People (ADPP - Mozambique). AGPAHI is a sub-recipient of ADPP Mozambique.The project target is to screen TB to approximately 30,000 mine workers and their families.

  • CIFF Reprogramming +

    Project Goal is to improve health services to prevent HIV transmission, increase identification of adolescents with HIV infection, and improve HIV care and treatment and retention for ALHIV in Tanzania.

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