Transition from Community- to Facility-based I ACT Implementation in South Africa

By Dr. Tshiwela Neluheni, Country Director, NASTAD South Africa

Linkage to and retention in HIV care amongst people living with HIV (PLHIV) have been identified as serious challenges in South Africa, where the HIV prevalence rate among adults aged 15-49 is estimated to be 19.1%. In the age of Treatment as Prevention, and in a country with an estimated 6.3 million PLHIV – the greatest number of PLHIV in any country in the world – linkage to and retention in HIV care is particularly critical. In an effort to help improve these outcomes, NASTAD South Africa collaborated with Mpumalanga Provincial Department of Health (PDOH) and the Regional Training Centre (RTC) to implement the Integrated Access to Treatment and Care (I ACT) program.

Staff supporting I ACT Implementation in Ehlanzeni District, including two Support Group Facilitators, a Facility Operational Manager and a Professional Nurse.

The I ACT program focuses on helping PLHIV link to and be retained in care, as well as maintain adherence to antiretroviral therapy (ART). The program targets people recently diagnosed with HIV and recruits them into community and health facility based pre-ART and ART care and support group sessions. These support group sessions provide critical information about HIV, healthy living strategies, and treatment and care options, and help improve retention in care from the time of HIV diagnosis through ART initiation to lifelong care and treatment.

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Raising the Bars: Designing, Implementing and Monitoring HIV Retention in Care Interventions

By Lucy Slater, Director, Global Program, NASTAD

RTB Graphic #6NASTAD’s Global Program builds the organizational, programmatic and human resource capacity of partner public health programs around the world.

In this series of blog posts, we provide a snapshot of how we are supporting locally designed strategies to improve outcomes in the countries where we work. The previous posts describing how we are “Raising the Bars” can be found below:

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Raising the Bars: Designing, Implementing and Monitoring HIV Linkage and Referral Systems

By Lucy Slater, Director, Global Program, NASTAD

NASTAD Global Raising the BarsNASTAD’s Global Program builds the organizational, programmatic and human resource capacity of partner public health programs around the world.

In this series of blog posts, we provide a snapshot of how we are supporting locally designed strategies to improve outcomes in the countries where we work. The previous posts in this series can found below:

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Raising the Bars: Supporting Community Mobilization and Outreach to Facilitate Access to the HIV Care Continuum

By Lucy Slater, Director, Global Program, NASTAD

NASTAD’s Global Program builds the organizational, programmatic and human resource capacity of regional/state public sector AIDS program counterparts around the world.

Raising the Bars - Community Outreach and MobilizationThe HIV Care Continuum provides a tool to measure progress toward stronger outcomes, and helps move closer toward achieving an AIDS-free generation. NASTAD’s work strengthens the HIV Care Continuum through strong partnerships and by providing targeted training, technical assistance and supportive supervision. Continue reading

Raising the Bars: Using Data to Design Targeted HIV Interventions

By Lucy Slater, Director, Global Program, NASTAD

NASTAD’s Global Program works internationally to build the organizational, programmatic and human resource capacity of partner Ministries of Health.

Evidence-based planningThe HIV Care Continuum provides a tool to measure progress toward increased access and retention to clinical services. By supporting all components of the HIV Care Continuum, we move closer toward achieving an AIDS-free generation. Continue reading