HIV/AIDS
HIV and AIDS care and treatment for adults AGPAHI provides technical assistance to existing health facility staff through training, coaching and mentorship.
The emphasis is to ensure that HCWs acquire adequate knowledge and skills capable of executing activities leading to identification of PLHIV, Initiation of ART, Retention on ART and Monitoring of HIV viral load.
Several strategies are implemented to cater for all clients’ convenient time to access HIV services. Such strategies include; extended working hours, index testing and contacts tracing, multi-month scripting and male friendly services.
CECAP/HIV
Integrated services
CECAP services are provided in 60 health facilities; 16 in Mara, 16 in Shinyanga, 20 in Mwanza and 8 in Simiyu region.The goal is to reach 80% of eligible Women Living with HIV (WLHIV) with cervical cancer screening and prevention services. To date 223,173 women have been screened for cervical cancer and 107,124 (48%) out of them were HIV positive.
Out of 223,173 screened women 11,158 women were found to have pre-cancerous lesions and 92% received treatment.
TB/HIV
Collaborative Services
AGPAHI works hand-in-hand with CHMTs/RHMTs and other partners to effectively and sustainably combat TB and HIV effects in PLHIV.
The programmatic activities implemented at health facilities for optimization of TB services to PLHIV include the following;
TB screening
Among PLHIV at CTC and PMTCT sites, TB suspect follow-up through presumptive registers, awareness creation on TB case identification through radio programs and health education sessions at health facility, Sputum fixation and transportation in areas or facilities without TB diagnostic capabilities.
AGPAHI program team also possess experiences in implementation of community-based TB interventions. In the year 2016-2017, we conducted TB screening of miners and mining communities in Manyara and Shinyanga regions.
In this program we reached 34,038 people with TB screening and 3,517 people received confirmatory TB diagnostic services.
As part of capacity building for TB control and elimination, AGPAHI trained 278 HCWs in selected health facilities on the 3Is (Intensified case-finding (ICF), Isoniazid preventive therapy (IPT) and Infection control (IC) at all clinical encounters) and supported Procurement of Gene Expert cartridges to facilitate TB diagnosis. But also, established and supported TB/HIV Technical Working group meetings at regional level.
These Technical Working groups have been instrumental in scaling up TB/HIV services and quality improvement.