Achieving Sustainability in HIV Care and Treatment Programs Using the AIDSRelief Site Capacity Assessment (SCA) Tool: The Experience of AIDSRelief Ethiopia

The Site Capacity Assessment tool developed by AIDSRelief lists a set of indicators related to capacity in twelve program components that are critical to delivering quality care and treatment in a consistent and sustainable way. An initial SCA was conducted in February 2010 at St. Luke Hospital in Ethiopia.  This paper documents results and lessons learned.

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Male Involvement in Prevention of Mother-to-Child HIV Transmission (PMTCT) Program in Southwest Shoa Zone, Oromia Region, Ethiopia

As part of Continuous Quality Improvement, AIDSRelief Ethiopia identified low male involvement in prevention of mother-to-child transmission programs and decided to implement a Small Tests of Change approach designed to increase male testing. Strategies that were successful in increasing male partner testing included (1) educating providers of the importance of male partner involvement and its impacts on the mothers’ wellbeing and babies’ outcomes, (2)intensified use of partners “invitation cards” and (3) repeated requests for male partner testing at each health providers’ encounter with the mothers.

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Impact of a Horizontal Approach in Vertical Program: The Experience of AIDSRelief Ethiopia in Strengthening Laboratory Diagnostic Capacity

AIDSRelief Ethiopia supported six health facility laboratories in providing essential HIV services with the goal of strengthening the overall laboratory capacity.  Laboratory Quality Improvement Tools (LQITs) were created for rapid identification of service gaps. Based on assessment findings, AIDSRelief adopted a multi-faceted strategy to improve laboratory performance in these areas: systems support, infrastructure and material support, and human resource capacity support.

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A Sustainable Approach to Strengthening Continuity of HIV Care and Treatment Services by Linking Hospitals to Health Centers

Hospitals, health centers and community-level support need to be systematically linked to optimize patient outcomes through monitoring and prevention of loss to follow-up. AIDSRelief Ethiopia implemented its care delivery model that links hospitals, health centers and the community, at St. Luke hospital and its surrounding five government health centers. The model and lessons learned are documented here.

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Fostering Integration of Data Demand and Information Use (DDIU) and Continuous Quality Improvement (CQI) in HIV Care and Treatment

AIDSRelief Ethiopia supported DDIU and CQI activities in six health facilities to assist them in taking ownership of their data and to analyze, share and use their data to drive decisions and quality improvement initiatives in all program areas. The DDIU and CQI approach and results are documented by AIDSRelief Ethiopia in this paper.

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