Scale-Up

Evaluating Service Delivery Models for Prevention of Mother-to-Child Transmission of HIV

Evaluating Service Delivery Models for Prevention of Mother-to-Child Transmission of HIV

Since the late 1990s, by providing services to prevent mother-to-child transmission of HIV, many countries have made significant progress toward eliminating new HIV infections in children. The introduction and rollout of Option B+ was a contributing factor in these achievements and an important step toward achieving an AIDS-free generation. Nonetheless, access to antiretroviral treatment (ART) and retention in care remain challenges. Given the low levels of PMTCT service coverage, many governments and development organizations are reaching out to nontraditional partners, including the private for-profit sector, community-based organizations (CBOs), and civil society organizations (CSOs), to scale up and expand access to PMTCT services.

This literature review compares PMTCT programs implemented by CSOs with those implemented by public sector providers and the private, commercial sector, in order to determine the relative cost-effectiveness of each facility ownership model.

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  • AIDSFree

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2016

AIDSFree Technical Implementation Plan

AIDSFree Technical Implementation Plan cover

This document describes the rationale behind expanding private sector involvement in pediatric C&T; outlines the pediatric HIV situation in Kenya; and provides details on the AIDSFree Alliance model and the Kenyan partners who will implement and ultimately sustain the model. It also lays out implementation details, including technical strategies.

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  • AIDSFree

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2016

Emerging Issues in Today's HIV Response: Debate 7—Funding Allocations for HIV/AIDS

Cover of Emerging Issues in Today's HIV Response: Debate 7—Funding Allocations for HIV/AIDS

The final debate, held at the World Bank, was also screened live at a satellite session at the International AIDS Conference and via live webcast and blog on the World Bank website in English, French, Spanish, and Arabic. Approximately 375 people attended the debate at the World Bank’s Preston Auditorium, over 60 people attended the International AIDS Conference satellite session, and nearly 1,000 people watched the webcast of the debate live and during the week after the conference.

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  • AIDSTAR-One

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2012

Scaling Up the Response to Gender-Based Violence in PEPFAR

Cover of Scaling Up the Response to Gender-Based Violence in PEPFAR

Gender-based violence (GBV) continues to be a human rights issue with significant health implications. GBV continues to exacerbate the HIV epidemic. A fear of violence often stymies a woman’s ability to access prevention, social support, and treatment for HIV. According to Ambassador Melanne Verveer, U.S. Ambassador-at-large for Global Women’s Issues, “the Global Health Initiative’s focus on women and girls [and gender equality], due to the disproportionate affect of HIV on younger women and girls (girls are 2.5 more likely than boys to contract HIV), is not just the right thing to do but the smart thing to do.” As stated by Ambassador Goosby, U.S. Global AIDS Coordinator, the moment to address GBV within the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the State Department’s Global Health Initiative (GHI) is now and there is “real anticipation for the future” amongst these agencies in addressing GBV and HIV.

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  • AIDSTAR-One

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2010

Southern and Eastern Africa Region Male Circumcision Communication Meeting

Cover of Southern and Eastern Africa Region Male Circumcision Communication Meeting

The rapid roll-out of male circumcision (MC) programming is crucial to halting the further spread of the HIV epidemic in countries with generalized epidemics and low rates of MC. This is an urgent public health challenge; if the 14 target countries reach the goal of 80 percent coverage by 2015, an estimated 4 million adult infections will be averted.

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  • AIDSTAR-One

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2011

Transition of Management and Leadership of HIV Care and Treatment Programs to Local Partners

Transition of Management and Leadership of HIV Care and Treatment Programs to Local Partners

Assessing and strengthening countries' capacity to implement policies and manage public resources towards their development goals has become a key priority for donors working to transition management of development programs, such as HIV antiretroviral therapy (ART) programs, to country ownership. The purpose of this technical brief is to highlight the common elements of successfully transitioned programs, their approaches, and lessons learned to help PEPFAR program managers transition their programs to greater host country management.

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  • AIDSTAR-One

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2011

Matching Supply with Demand: Scaling Up Voluntary Medical Male Circumcision in Tanzania and Zimbabwe

Matching Supply with Demand: Scaling Up Voluntary Medical Male Circumcision in Tanzania and Zimbabwe

In order to improve voluntary medical male circumcision (VMMC) service uptake and target demand creation activities more effectively, clients currently accessing and receiving VMMC services should be better characterized by their demographic, socioeconomic, and sexual risk behaviors. This case study of VMMC programs in the Iringa Region of Tanzania and Zimbabwe describes both the age distribution of clients accessing different VMMC services in both areas and the demand creation and supply side activities that country programs have implemented to increase service uptake by target clients.

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  • AIDSTAR-One

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2013

Overcoming Seasonality in Scaling up Voluntary Medical Male Circumcision

Overcoming Seasonality in Scaling up Voluntary Medical Male Circumcision

Due to client beliefs, the agricultural calendar, and other factors, seasonality has posed a perennial challenge to those responsible for generating demand for VMMC services in Tanzania----as it has in South Africa, Zambia, and many other priority countries where VMMC is being scaled up. In the early years of Tanzania's VMMC program, 75 to 80 percent of circumcisions were performed in the high-demand "winter" months due to local beliefs that wounds heal better during the cold season. This case study examines the VMMC program launched in 2009 in Iringa and Njombe. 

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  • AIDSFree

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2014
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