The document summarizes several HIV/AIDS programs implemented by World Vision across multiple countries in Africa. It discusses key strategies used such as community mobilization, capacity building, and task shifting. Specific interventions discussed include PMTCT, pediatric HIV care, male circumcision, and programs to support orphans and vulnerable children. Results showed improved access to services, increased testing and treatment adherence, and reduced loss to follow up. Lessons highlighted the importance of integrated service delivery, community ownership, and long-term commitment to sustain programs.
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
On 9 February 2016 Guy's and St Thomas' Charity brought together health professionals, decision-makers, voluntary organisations, patient representatives and others in Lambeth and Southwark to explore ways of improving health by looking outside the confines of healthcare. We wanted to showcase and discuss approaches to improving health outcomes which tackle the wider aspects that impact on people’s wellbeing – from housing to education or social connections.
Speakers:
- Imogen Moore – Citizens UK
- Jeremy Swain – Thames Reach
- Catherine Pearson – Healthwatch Lambeth
- Ollie Smith – Guy’s and St Thomas’ Charity
Find out more about the event and our work supporting new ideas in health at www.gsttcharity.org.uk
Southwark and Lambeth-based projects Knee High Design Challenge, Diabetes Modernisation Initiative and Pathway explore what it takes to maintain change in the local healthcare system: understanding the issue & adapting to ever-changing context; gathering & maximising evidence; and building & maintaining meaningful relationships.
Find out more at www.gsttcharity.org.uk
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
On 9 February 2016 Guy's and St Thomas' Charity brought together health professionals, decision-makers, voluntary organisations, patient representatives and others in Lambeth and Southwark to explore ways of improving health by looking outside the confines of healthcare. We wanted to showcase and discuss approaches to improving health outcomes which tackle the wider aspects that impact on people’s wellbeing – from housing to education or social connections.
Speakers:
- Imogen Moore – Citizens UK
- Jeremy Swain – Thames Reach
- Catherine Pearson – Healthwatch Lambeth
- Ollie Smith – Guy’s and St Thomas’ Charity
Find out more about the event and our work supporting new ideas in health at www.gsttcharity.org.uk
Southwark and Lambeth-based projects Knee High Design Challenge, Diabetes Modernisation Initiative and Pathway explore what it takes to maintain change in the local healthcare system: understanding the issue & adapting to ever-changing context; gathering & maximising evidence; and building & maintaining meaningful relationships.
Find out more at www.gsttcharity.org.uk
Health partners elluminate ppt_final_9.13.10CChangeProgram
C-Change (Communication for Change) is a USAID-fundd program to improve the effectiveness and sustainability of social and behavior change communication (SBCC) as an integral part of development efforts in malaria, HIV and AIDS, and family planning/reproductive health.
C-Change works with USAID and the President's Malaria Initiative (PMI) to prevent and control malaria in several PMI target countries, including Ethiopia, Kenya, Mozambique, Sao Tome and Principe, as well as others.
On September 13, 2010, C-Change and MCHIP facilitated a narrated presentation of the work of two PMI grantees, Concern Universal and HealthPartners, via a webinar. Participants included Save the Children, USAID, CDC, IFPH, and others.
For more information, please visit: http://www.c-changeprogram.org/
In this interactive session, known as a Flash Presentation, speakers gave a brief PowerPoint presentation followed by a poster session and Q&A. Speakers included Lebo Mothae, Mpub, Executive Director, Christian Health Association of Lesotho; Generose Mulokozi, PhD, ASTUTE Team Leader, IMA World Health; Wilma Mui, MPH, Program Associate, World Faiths Development Dialogue; Norest Hama, MSc, Health Technical Manager, World Vision International Zimbabwe; and Simon Ssentongo, BS Econ and Stats, Uganda Protestant Medical Bureau.
as part of the IFPRI-Egypt Seminar Series- funded by the United States Agency for International Development (USAID) project called “Evaluating Impact and Building Capacity” (EIBC) that is implemented by IFPRI.
ILC expert roundtable: Delivering prevention in an ageing world - Democratisi...ILC- UK
During this roundtable, we shared a draft consultation paper, collating insights from ongoing discussions with stakeholders on what works in making prevention easy and accessible to all, including learnings from the ongoing COVID-19 pandemic.
A detailed approach to an integrated health care system in Scotland presented by Dr. Anne Hendry from National Clinical Lead for Integrated Care.
Source Page:
http://www-01.ibm.com/software/city-operations/curam-research-institute/curam-roundtable/index.html
Six principles for engaging people and communitiesJeremy Taylor
Slides presented at King's Fund on 1 November 2016. How to make real the vision in the Five Year Forward View of "a new relationship with patients and communities"? We know a lot about the "what" and the "who" of implementation. But the "how" is still a mess. What high impact actions would make a difference to driving this agenda? I offer some thoughts. These slides are not entirely self-explanatory without the accompanying talk. Please feel free to get in touch to explore further!
Building Capacity to Improve Population Health using a Social Determinants of...Practical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
From Advocacy to Accountability: Empowering communities throughout the UHC Pr...HFG Project
This presentation was presented by Ricardo Valladares Cardona at a side session at the Prince Mahidol Award Conference (PMAC) in Bangkok, Thailand, on January 29, 2017.
Health partners elluminate ppt_final_9.13.10CChangeProgram
C-Change (Communication for Change) is a USAID-fundd program to improve the effectiveness and sustainability of social and behavior change communication (SBCC) as an integral part of development efforts in malaria, HIV and AIDS, and family planning/reproductive health.
C-Change works with USAID and the President's Malaria Initiative (PMI) to prevent and control malaria in several PMI target countries, including Ethiopia, Kenya, Mozambique, Sao Tome and Principe, as well as others.
On September 13, 2010, C-Change and MCHIP facilitated a narrated presentation of the work of two PMI grantees, Concern Universal and HealthPartners, via a webinar. Participants included Save the Children, USAID, CDC, IFPH, and others.
For more information, please visit: http://www.c-changeprogram.org/
In this interactive session, known as a Flash Presentation, speakers gave a brief PowerPoint presentation followed by a poster session and Q&A. Speakers included Lebo Mothae, Mpub, Executive Director, Christian Health Association of Lesotho; Generose Mulokozi, PhD, ASTUTE Team Leader, IMA World Health; Wilma Mui, MPH, Program Associate, World Faiths Development Dialogue; Norest Hama, MSc, Health Technical Manager, World Vision International Zimbabwe; and Simon Ssentongo, BS Econ and Stats, Uganda Protestant Medical Bureau.
as part of the IFPRI-Egypt Seminar Series- funded by the United States Agency for International Development (USAID) project called “Evaluating Impact and Building Capacity” (EIBC) that is implemented by IFPRI.
ILC expert roundtable: Delivering prevention in an ageing world - Democratisi...ILC- UK
During this roundtable, we shared a draft consultation paper, collating insights from ongoing discussions with stakeholders on what works in making prevention easy and accessible to all, including learnings from the ongoing COVID-19 pandemic.
A detailed approach to an integrated health care system in Scotland presented by Dr. Anne Hendry from National Clinical Lead for Integrated Care.
Source Page:
http://www-01.ibm.com/software/city-operations/curam-research-institute/curam-roundtable/index.html
Six principles for engaging people and communitiesJeremy Taylor
Slides presented at King's Fund on 1 November 2016. How to make real the vision in the Five Year Forward View of "a new relationship with patients and communities"? We know a lot about the "what" and the "who" of implementation. But the "how" is still a mess. What high impact actions would make a difference to driving this agenda? I offer some thoughts. These slides are not entirely self-explanatory without the accompanying talk. Please feel free to get in touch to explore further!
Building Capacity to Improve Population Health using a Social Determinants of...Practical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
From Advocacy to Accountability: Empowering communities throughout the UHC Pr...HFG Project
This presentation was presented by Ricardo Valladares Cardona at a side session at the Prince Mahidol Award Conference (PMAC) in Bangkok, Thailand, on January 29, 2017.
Webinar: Healthy ageing and adult vaccination in Singapore and Hong KongILC- UK
As part of the ILC Global Alliance’s 30th anniversary celebrations, ILC-UK and ILC Singapore held a webinar to discuss how Hong Kong and Singapore are responding to the challenges of an ageing society.
Both Singapore and Hong Kong are finding their health systems are coming under increasing pressure due to an ageing population. But how well are they coping? And what more could be done?
In 2019, ILC-UK and ILC Singapore teamed up to produce Healthier for longer: Improving adult immunisation uptake in Singapore. Alongside this work, ILC-UK also produced a report on Healthy ageing in Hong Kong.
During this webinar, we shared findings from our work in Singapore and Hong Kong, highlighting how things have changed over the past year in the context of COVID-19, and debated the similarities and differences between the situation in Hong Kong and Singapore.
Chair: Susana Harding, Senior Director, ILC Singapore
Speakers included:
Dr Ng Wai Chong, Clinical Programme Consultant, Tsao Foundation
Yeo Wan Ling, Director of Women and Family Unit, National Trades Union Congress (NUTC)
David Sinclair, Director, ILC-UK
Pamela Tin, Senior Researcher / Head of Healthcare & Social Development, Our Hong Kong Foundation
We are grateful to Pfizer for providing a charitable grant to support our projects in Hong Kong and Singapore.
Maximizing the Impact Of Global Fund Investments by Improving the Health of W...theglobalfight
Dr. Viviana Mangiaterra, Senior Technical Coordinator for Maternal, Newborn and Child Health and Health Systems Strengthening at the Global Fund to Fight AIDS, Tuberculosis and Malaria, discusses service delivery integration for the three diseases, Global Fund partnerships and strengthened training and representation of women in Country Coordinating Mechanisms.
This invited presentation for the Institute of Health Visiting Leadership Conference gives a DPH view on the future of Child Public Health and the need for a systems approach
Presentation on sexual health services in Birmingham and Solihull given by Scott Hancock and Jo Plumb at the CLAHRC WM Programme Steering Committee meeting on 15th April 2015.
James Duah, MBChB, MPH, EMBA, Deputy Executive Director of the Christian Health Association of Ghana (CHAG) shares lessons learned and successes from CHAG's efforts to partner with the Ministry of Health, other faith groups, and community groups to deliver maternal and mental health services at the CCIH 2018 Annual Conference.
Ambassador-at-Large Deborah L. Birx, MD is the Coordinator of the US Government Activities to Combat HIV/AIDS. She discusses the importance of the faith community in addressing HIV/AIDS.
Jennifer Mason, Senior Advisor for FP/HIV Integration for USAID's Office of Population and Reproductive Health describes the agency's approach to integrating family planning services with HIV health services and provides country examples of integration practices.
This presentation covers the USAID Office of Maternal, Child Health and Nutrition; the Office of Health Systems; Office of Population and Reproductive Health; and the Center for Innovation and Impact.
Digitally Transforming Primary Care – Making it Happen at Scale ConferenceRachelHatfield7
Digitally Transforming Primary Care – Making it Happen at Scale Conference, held on Wednesday 19th June 2019, London.
For NHS leaders - Commissioning, workforce development, digital delivery; practising GPs, general practice nurses, practice managers; everyone involved in delivery of primary care and evolving Primary Care Networks
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
1. CORE Group Global Health Practitioner Conference
May 7, 2014
Gloria Ekpo, MD, MPH
World Vision
2. Background
Key strategies
Key intervention
Results
Lessons learned and best practices
3. HIV infection initially perceived as a single disease entity
Cross-cutting health problem within the “continuum of
care” framework
Integrated platform delivers most cost-effective impact on
maternal, newborn, and child health
HIV impact has ramifications: physically, socially,
economically, and developmentally
Prevention should be comprehensive and multi-
dimensional.
4. Community mobilization and participation
◦ Information and literacy around care
◦ Behavior change
Competency-based capacity building
◦ A quality skill set
Simplifies models and tools
◦ Advocacy: Citizen Voice and Action (CVA)
◦ Timed and Targeted Counseling (ttC)
Referral and linkages:
◦ formal and informal
Ongoing advocacy
5. Integrated platform of service delivery:
◦ HIV/TB, MCHN, RH/FP
◦ Economic strengthening
Task shifting for increased access to services
◦ Health Surveillance Agents, Community Expert Clients,
◦ Behavior Change Agents
Sustainability:
◦ Community ownership
◦ National/Regional ownership of programs
Use of innovations
Partnerships and collaborations
6. Keeping the flame of HIV prevention burning
Health facilities and community services should be
complementary
Select Interventions
◦ Prevention of mother to child transmission (PMTCT)
◦ Pediatric HIV
◦ Voluntary Medical Male Circumcision (VMMC)
◦ HIV/TB co-infection
◦ Health Systems Strengthening
7. Scaling Up InnovationsScaling Up Innovations
Use of innovations:
• mHealth, SMS, IEC, mass media, talk shows
Cross cutting areas:
•Integrations within MCH, FP, healthy timing and spacing of
pregnancy (HTSP)
8. Specific Program Area ActivitiesSpecific Program Area Activities
(In partnership and collaboration with donors and stakeholders)(In partnership and collaboration with donors and stakeholders)
PMTCT (Prevention of Mother to Child Transmission of HIV)
•Create demand for c-PMTCT program at the community level
•Increase early identification of children exposed and infected with HIV
•Build capacity of NGOs/CBO, FBOs, community health workers/volunteers,
on c-PMTCT
•Improve adherence support for women and children on treatment
•Improve follow up and tracking of mother-infant pair in c-PMTCT
•Strengthen community-facility referral and linkages for
essential services in a continuum of care.
• Increase male involvement in PMTCT
• Strengthen mother support groups for PMTCT.
• Identify and equip “champions” for PMTCT issues
9. Core Models Linked to the Four Prongs
of the Global Plan for PMTCTHouseholdCommunityEnvironment
Prevent
Pregnancy
(HIV+)
Prevention
(General)
Prevent
Vertical
Transmission
Care for HIV+
Mother and
Children
ttc ttc
LLA LLA
VBLS
VBLS
CCCCOH
COH
CCC
C-
Change
C-
Change
CCM
MSG MSG
ttc
CCM CCM
ttc
MSG
LLA
C-
Change
LLA
C-
Change
ttC-timed & targetted counseling; CCM-community case management; VBLS-value-based life skills; COH-Channels of Hope;
10. • Implemented in collaboration with development partners and the
Government of Uganda
• A workplace-based HIV and AIDS intervention for public sector
workers in the Ministry of Education and Sports (MoES), Ministry of
Internal Affairs (MoIA), and Ministry of Local Government (MoLG).
• Over 460,197 reaches with prevention messages
• Over 222,143 received access to HIV counseling, testing, and
results
• Over 40,453 clients circumcised, to date
• In FY 2014, over 342 women enrolled on eMTCT Option B+.
Supporting Public Sector Workplaces to Expand
Action and Responses Against HIV/AIDS Project
11. • Zambézia, Mozambique
• HIV integrated with malaria, MCH, WASH, and economic
strengthening
• 48,927 clients tested for and received their HIV test results
• FY 2013: SCIP registered over 32,600 pregnant women for antenatal
care; 94% of these delivered in the hospital.
• FY 2010-2013: community delivery by pregnant women remained
low at 20%, while hospital delivery increased from 25% to over 70%
• 3,169 clients were lost to care 2010-2013
• 65% were found and 80% of these returned to care.
Strengthening Communities through Integrated
Programming (SCIP) Project
12. Specific Program Area Activities
Voluntary Medical Male Circumcision/Early Infant
Male Circumcision (VMMC/EIMC)
• Create demand for VMMC/EIMC
• Education and health promotion
• Pre-operative counseling and education
• Screening for STI and TB
• HIV testing and counseling on circumcision
• Ongoing support to allay fears, respond to pain and concerns
regarding fertility and sexual activity
• Strengthen male and partner support group for VMMC
• Support on-going advocacy on VMMC issues
• Identify and equip “champions”
13. Inmates during a pre-circumcision session at the
VMMC Outreach/camp at Mbale Prisons, 2013
VMMC Outreach
VMMC Service Outreach includes:
•Education and health promotion
•Pre-operative counseling, education
and screening
•HIV testing and counseling
•Circumcision
•Post-circumcision counseling
•Post-operative follow up and
monitoring
14. Combination Prevention and BehaviorCombination Prevention and Behavior
Change in UgandaChange in Uganda
• 3.7 fold increase in BCC messages to beneficiaries from FY 2009 to
FY 2013
• 38,000 in 2009 to 140,000 in 2013
• HCT increased 2.3 fold over same period
• 31,903 in 2009 to 73,896 in FY 2013
• VMMC increased 22.6 fold over one year of implementation
• 1,348 in FY 2012 to 30,453 in FY 2013
16. • Critical components of STEPS OVC intervention were adherence
to care assesses in six different areas.
• In FY 2013:
• Provided HIV prevention messages to 172,767 individuals
• Counseled and tested 228,813 people
• Registered 335,881 OVC in partnership with 388 local CBOs and
FBOs
• 31,566 PLHIV on received ART including pregnant women in
PMTCT programs and children infected with HIV
Sustainability Through Economic Strengthening,Sustainability Through Economic Strengthening,
Prevention and Support for Orphans and VulnerablePrevention and Support for Orphans and Vulnerable
Children (STEPS OVC)Children (STEPS OVC)
17. Between October 2010 and March 2013:A total of 41,986
volunteers (36% M, 64% F); Visited 97,000 HIV-positive clients
aged 18 years and older (35% M, 65% F)
Six core PwP areas:
1. ART adherence
2. Sexual behavior risk
3. HIV status of household
members
4. Sexually transmitted infections
(STI) awareness
5. Family planning considerations
6. Referrals for additional support
18.
19. Post-training, volunteers were more likely to provide all six core
PwP services to clients.
Assessment of HIV status of household members increased from 15%
to 37%
Five times more likely to provide ART adherence counseling
5.3 times more likely to conduct an assessment of family planning
needs after training
Referrals for further support: Five-fold increase
Assessment of sexual behavior: Three-fold increase
Awareness of STIs: Three-fold increase
20. Network of community resource
people committed to
visiting/supporting people on
treatment
Composition: CHWs, Home-
Based Caregivers, Traditional
Health Practitioners, youth, FBOs,
CBOs
Enrolled, trained, and supported to
work at household and community
level
Act to refer between community
and health facility
21. FY 2013:
•Project provided home-based care to 11,218 clients
•98% were adherent to clinic appointments
•1,183 out of 1,447 defaulting clients returned
•Beneficiaries linked/referred to clinics increased 14-fold
•Clients attending adherence support groups increased over 500%, and
defaulting clients who returned to care increased almost 800%
•91% retention in care after 12 months for clients at project sites compared
to 76% at non-project sites
•Attrition rate and loss to follow up rate decreased threefold in the project
sites compared to non-project sites
•Death rate decreased 2.5 fold
• 1.9% at project sites compared to 4.6% at non-project sites
Swaziland: Community-basedSwaziland: Community-based
Adherence and Retention in CareAdherence and Retention in Care
Improvement in ART Programs.Improvement in ART Programs.
22.
23.
24. Use of integrated platform for service delivery improves
access to care
Tasks shifting promotes scale up of services
Maximize potential of community resource persons
Advocacy Champions are critical to program success
Community mobilization and ownership is essential for
program sustainability
Long-term commitment to programs
25. • Our Donors: USAID/PEPFAR; CDC and others
• Our Partners: Community Linkages Project, SPEAR,
STEP-OVC
• Ministry of Health: Uganda, Swaziland, Zambia
• National Governments: Uganda, Swaziland, Zambia
• Project Managers: CLP, SPEAR, STEPS-OVC
• Participating Communities
• Clients in projects
• World Vision Project Managers
ttC-timed&targetted counseling; CCM-community case management; VBLS-value-based life skills;
COH-Channels of Hope; CCC-community care coalition; MSG-male support group; LLA-local level Advocacy
Prevention messages through a mix of prevention strategies.
Photo: caregiver with a form
Adherence – reached 54% of clients
Missed appointment: Client not returned to the clinic >3 to <7days after scheduled appointment. Defaulter: Client not returned to the clinic >7 to <90days; and Loss to follow up if one has not returned after 90 days.