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Partnering to Strengthen Local Efforts Can Help Us Get to Six Million on ART

Partnering to Strengthen Local Efforts Can Help Us Get to Six Million on ART. Anja Giphart, MD MPH Vice President, Program Implementation Elizabeth Glaser Pediatric AIDS Foundation July 25, 2012. Project HEART Countries and Number of Sites.

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Partnering to Strengthen Local Efforts Can Help Us Get to Six Million on ART

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  1. Partnering to Strengthen Local Efforts Can Help Us Get to Six Million on ART Anja Giphart, MD MPH Vice President, Program Implementation Elizabeth Glaser Pediatric AIDS Foundation July 25, 2012

  2. Project HEART Countries and Number of Sites

  3. Project HEART Care and Treatment Results, 2004-2011

  4. Project HEART PMTCT Results 2005-2011 62,000 pediatric infections averted

  5. Local Capacity Building Approach #1: District Approach to Expansion of Services

  6. District Approach • An effective approach to rapidly scaling-up HIV services while building local financial, technical and management capacity • Working “through” the districts: • Districts are responsible and accountable for implementation, quality and scale-up of HIV services in their location • EGPAF provided technical assistance and direct funding via subgrants • EGPAF worked with a total of 159 districts across 5 countries • In the final project year 96% of subaward funds were awarded to local partners, the majority being districts and community organizations

  7. Tanzania Care and Treatment Scale-up District Approach Expanded in 2007

  8. Directly and Indirectly Supported Care and Treatment Sites, Tanzania N=260 N=6,016 N=56,486 ART results for 5 Regions as of March, 2012

  9. Mozambique Subgrant Burn Rates Improvements over Time

  10. Local Capacity Building Approach #2: Decentralizing Training

  11. Traditional In-Service Training Over 25,000 Healthcare Workers Trained in the provision of comprehensive HIV care and treatment

  12. Pre-Service Training in Cote d’Ivoire 245 health professionals trained, 2007-2011

  13. Pre-Service Training in Mozambique • By June 2011, Project HEART supported a total of 9 courses for 259 medical officers, nurses, pharmacy agents, and assistant health officers.

  14. Targeted Mentoring for Pediatric Treatment “Systematic analysis of EID cascade and implementation of specific interventions: Lessons from Tanzania.” Schimana, W et al. IAS, 2011

  15. Targeted mentoring to improve pediatric ART initiation - Tanzania* * Data are from three referral hospitals in Tanzania

  16. Local Capacity Building Approach #3: Transition Services to Local Partners

  17. Two Phases of Project HEART Two Program Phases

  18. Project HEART Transition Approach Enabling Environment Policies, political stability, human rights, gender equality, etc.

  19. Transition Monitoring Tools

  20. Country Transition Approaches • Health Systems Strengthening, capacity building and transition to local authorities -2 Provinces Directly Funded by CDC in Mozambique • Transition to Existing NGO • Zambia: CIDRZ • South Africa: McCord Hospital and Health Systems Trust, Aurum Institute • Enhanced health systems strengthening and transition to a new independent NGO (EGPAF Affiliate) in • Cote d’Ivoire • Mozambique • Tanzania

  21. Getting to Six Million: Our Future Depends on It

  22. Acknowledgements • PEPFAR and the US Government • Ministries of Health and the National, Regional and Local Governments in Cote d’Ivoire, Mozambique, South Africa, Tanzania and Zambia • International and local partners • CDC/Atlanta (from GH, PGO, Budget Office and ADS) • CDC in Cote d’Ivoire, Mozambique, South Africa, Tanzania and Zambia • EGPAF staff in LA, DC and Cote d’Ivoire, Mozambique, South Africa, Tanzania and Zambia • Other Track 1.0 partners for their collaboration • The patients, providers and communities for their participation, engagement and courage

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