The document summarizes an HIV care and support program provided through a partnership between PSI and the SQH network in Myanmar. The program provides integrated ART and other health services to PHAs at an affordable cost, using an innovative model. Key aspects of the program include accessibility to affordable ART, good patient retention, proven quality of care, and sustainability through cost-effectiveness. Services are delivered through a collaborative model involving technical support, supervision, drug logistics management, monitoring, and quality assurance.

1. HIV care and Support of SQH network
With the support of NAP

2. ART Program (At cost)
A new Innovative and cost effective way to
increase accessibility and sustainability of ART
for PHAs

3. Health services with..
Payment by client
Standard services
Partnership between PSI and SQH network
Product supply
Technical support
Improved health
Promoted Behavior

4. Malaria & STIs
in 2003
TB in 2004
Pneumonia
in 2008
PICT/ART
In 2010
The partnership experience
FP in 2001

5. Accessibility
Affordability
Good retention
Proven Quality of care
HIV care package
Integrated services
Sustainability
Cost-effectiveness
Program
Rationale for ART at cost

6. ART Service Delivery Model
Technical support
Supportive supervision
Drug Logistic Mx
Monitoring
Adherence follow up
Quality Assurance
MIS & Cohort Analysis
Treatment
Referral network
Monthly
Reporting
Joint Activities
Training
Refresher Training
Patient Selection Board
Specialist Hospital
NAP
NGO
Diagnosis
Adherence counseling

7. Patient Selection criteria: ART naïve patients
• Eligibility for ART based on National Guidelines
• Social criteria
– being affordable to the price, and Lab cost

8. Non-ART naïve patients (25%)
• History of good adherence on d4T/3TC/NVP
• No evidence of clinical failure/immunological failure
• No Long Term Stavudine side effect

9. Patient Selection Board
1. Representative from AIDS/STD Team
2. Township Medical Officer/Representative
3. Sun Quality Health Provider
4. Representative of PHAs
Facilitated by PSI

10. Thank You