HIV/AIDS

Health Systems Approach to HIV/AIDS Prevention and Treatment

URC’s programs are creating sustainable service delivery systems for quality HIV prevention, care, and treatment in Africa, Asia, Latin America and the Caribbean, Russia, and the United States. We use a health systems approach and proven quality improvement methods to achieve rapid improvements in HIV/AIDS service delivery, uptake, and retention.

Through women-centered initiatives, we are working to reduce neonatal and perinatal mortality among all mothers, prevent new HIV infections among children and adults, increase the use and effectiveness of treatment services, and reduce medical transmission of HIV. We have also carried out seminal studies on how to improve human resources for HIV/AIDS services and reduce stigma and discrimination.

In Uganda, we are pioneering a chronic care model to ensure that people with HIV/AIDS receive comprehensive care. This model is establishing best practices for chronic care insert as many countries are facing an increased burden of chronic diseases.

In addition, URC is establishing processes and procedures to strengthen laboratory services through CDC-funded PEPFAR programs in Nigeria and Swaziland,

To read about URC’s initiatives to improve the quality of care for children affected by HIV/AIDS.

Nigeria’s Integrated Comprehensive HIV/AIDS Care Program

URC works to improve the quality of HIV care
around the world. HIV counseling and testing staff
in Nigeria meet to map out plans for improving
systems.

Challenge

URC manages an HIV and AIDS comprehensive care program for the President’s Emergency Plan for AIDS Relief (PEPFAR) in Nigeria. The program focuses on Enugu state, which has an HIV prevalence rate of 6.5%, more than double the national average.

Results

Working with a local organization, the program is strengthening weak sections of the HIV/AIDS service delivery system, including HIV counseling and testing, prevention of mother-to-child transmission of HIV, antiretroviral treatment, insert link to A framework for Improving Retention and Care for Patients on Antiretroviral Therapy under Approaches below laboratory infrastructure, insert link to Strengthening the Quality of Laboratories below TB, HIV care, and basic care and support to people living with or affected by HIV/AIDS
In the first year, counseled and tested nearly 15,000 new clients
Developing and delivering facility- and home-based services to improve the quality of life for HIV-infected patients and their families
Helping to develop a national response information system to collect data and improve capacity for monitoring and evaluating HIV care

Current Projects

HIV and AIDS Comprehensive Care Initiative (HACCI)
Funded By: US Centers for Disease Control and Prevention through the President's Emergency Plan for AIDS Relief
Project Duration: 2008 to present

Building Human Resource Capacity to Support Prevention, Care, and Treatment: Strategic Information and Other HIV/AIDS Programs
Funded By: US Centers for Disease Control and Prevention
Project Duration: 2008 to present

Better Health Services (BHS)
Funded By: US Agency for International Development
Project Duration: 2009 to present

Strengthening TB Case Detection and Treatment and TB-HIV Coordinated Activities
Funded By: URC
Project Duration: 2007 to present

Health Promotion and Communication Project (HealthPro)
Funded By: US Agency for International Development
Project Duration: 2007 to present

South Africa Tuberculosis Program
Funded By: US Agency for International Development
Project Duration: 2009 to present

Increasing Access to HIV Testing and Counseling
Funded By: US Centers for Disease Control and Prevention
Project Duration: 2006 to present

HIV/AIDS and Tuberculosis Laboratory Support
Funded By: US Centers for Disease Control and Prevention
Project Duration: 2009 to present

Global Fund Consulting Services
Funded By: The Global Fund to Fight AIDS, Tuberculosis and Malaria
Project Duration: 2007 to present

Technical Assistance and Support Contract 3: Global Health (TASC3 Global Health)
Funded By: United States Agency for International Development
Project Duration: 2007 to present

USAID Health Care Improvement Project (HCI) | Ethiopia
Funded By: US Agency for International Development
Project Duration: 2007 to present

USAID Health Care Improvement Project (HCI) | Cote d’Ivoire
Funded By: United States Agency for International Development
Project Duration: 2008 to present

USAID Health Care Improvement Project (HCI) | Global
Funded By: US Agency for International Development
Project Duration: 2007 to present

USAID Health Care Improvement Project (HCI) | Kenya
Funded By: The President’s Emergency Plan for AIDS Relief through the US Agency for International Development
Project Duration: 2009 to present

USAID Health Care Improvement Project (HCI) | Mozambique
Funded By: The President’s Emergency Plan for AIDS Relief through the US Agency for International Development
Project Duration: 2009 to present

USAID Health Care Improvement Project (HCI) | Namibia
Funded By: US Agency for International Development
Project Duration: 2008 to present

USAID Health Care Improvement Project (HCI) | Nicaragua
Funded By: United States Agency for International Development
Project Duration: 2007 to present

USAID Health Care Improvement Project (HCI) | Russia
Funded By: US Agency for International Development
Project Duration: 2007 to present

USAID Health Care Improvement Project (HCI) | South Africa
Funded By: US Agency for International Development
Project Duration: 2007 to present

USAID Health Care Improvement Project (HCI) | Swaziland
Funded By: US Agency for International Development
Project Duration: 2007 to present

USAID Health Care Improvement Project (HCI) | Tanzania
Funded By: US Agency for International Development
Project Duration: 2007 to present

USAID Health Care Improvement Project (HCI) | Uganda
Funded By: US Agency for International Development
Project Duration: 2007 to present

Lesotho Health Sector (LHS) Project
Funded By: Millennium Challenge Corporation
Project Duration: 2009 to present

Integrated Infectious Disease Capacity Building Evaluation (IDCAP)
Funded By: Accordia Global Health Foundation
Project Duration: 2008-present

Strengthening Uganda’s Systems for Treating AIDS Nationally (SUSTAIN)
Funded By: USAID
Project Duration: 2010 to present

Multi-Sector Alliance Program (Alianzas II)
Funded By: US Agency for International Development through Research Triangle International
Project Duration: 2010 to present

PrevenSIDA
Funded By: United States Agency for International Development
Project Duration: 2010-present

Developing Strategies in the Central America and Panama Region to Strengthen Reponses to the HIV Epidemic
Funded By: Centers for Disease Control and Prevention (CDC)
Project Duration: 2010 to present

Food and Technical Assistance (FANTA) II
Funded By: United States Agency for International Development
Project Duration: 2010 to present

TB CARE II
Funded By: United States Agency for International Development (USAID)
Project Duration: 2010 to present

Improving TB Detection and TB-HIV Services Integration
Funded By: URC
Project Duration: 2011 to present

USAID Health Care Improvement Project (HCI) | Malawi
Funded By: The President’s Emergency Plan for AIDS Relief through the US Agency for International Development
Project Duration: 2011 to present

USAID Health Care Improvement Project (HCI) | Nigeria
Funded By:
Project Duration: 2011 to present

USAID Health Care Improvement Project (HCI) | Zambia
Funded By: The President’s Emergency Plan for AIDS Relief through the US Agency for International Development
Project Duration: 2011 to present

Past Projects

Data Quality Audit (DQA) Framework
Funded By: The Global Fund to Fight AIDS, Tuberculosis and Malaria
Project Duration: 2008-2010

USAID Health Care Improvement Project (HCI) | Vietnam
Funded By: US Agency for International Development
Project Duration: 2007 to March 2011

Food and Nutrition Interventions (NuLife)
Funded By: US Agency for International Development through the President’s Emergency Plan for AIDS Relief
Project Duration: 2008-2011

Improving Primary Health Care in Albania I and II (Pro Shëndetit)
Funded By: US Agency for International Development
Project Duration: 2003–2009

Nongovernmental Organization Service Delivery Program in Bangladesh
Funded By: US Agency for International Development/Bangladesh
Project Duration: 2002-2006

Benin Integrated Family Health Project (PROSAF)
Funded By: US Agency for International Development/Benin
Project Duration: 1999-2006

Health Systems Strengthening (HSS)
Funded By: US Agency for International Development/Cambodia
Project Duration: 2002-2008

Central America Health Consultancies
Funded By: The World Bank
Project Duration: 1990-1995

El Salvador Strengthening Health Project Technical Assistance and Support Contract 2 (TASC2)
Funded By: US Agency for International Development
Project Duration: 2006–2009

Diagnostic Test Cost Analysis for the Developing World
Funded By: The Bill and Melinda Gates Foundation
Project Duration: 2007–2009

Health Planning and Health Delivery Systems
Funded By: US Agency for International Development
Project Duration: 1983-1990

Primary Health Care Management Advancement Program
Funded By: The Aga Khan Foundation
Project Duration: 1991-1993

Partnerships for Health Reform Project and Partners for Health Reformplus
Funded By: US Agency for International Development
Project Duration: 1995–2005

Primary Health Care Operations Research Project (PRICOR) I and II
Funded By: US Agency for International Development
Project Duration: 1981–1991

Water and Sanitation for Health
Funded By: US Agency for International Development
Project Duration: 1988–1994

WHO/Global Programme on AIDS Senior Managers’ Training Course
Funded By: World Health Organization
Project Duration: 1990-1993

Multi-Sector Alliance Program (Alianzas I)
Funded By: US Agency for International Development (USAID) through Research Triangle Institute (RTI)
Project Duration: 2006–2009

Jamaica Adolescent Healthy Lifestyles (JA-STYLE)
Funded By: US Agency for International Development/Jamaica
Project Duration: 2005-2010

Malawi Support to AIDS and Family Health Project
Funded By: US Agency for International Development
Project Duration: 1994-1998

Project for Regional Management of Health Services
Funded By: US Agency for International Development/Morocco
Project Duration: 1994-2003

Improving Medical Injection Safety in Namibia Project
Funded By: President’s Emergency Plan for AIDS Relief (PEPFAR) through the US Agency for International Development
Project Duration: 2004-2009

Peru Strengthening Health Institutions Project, MaxSalud Component
Funded By: US Agency for International Development/Peru
Project Duration: 1994-1999

Quality Assurance Project (QAP) I, II, and III
Funded By: US Agency for International Development
Project Duration: 1990-2008

PreventAIDS
Funded By: US Agency for International Development
Project Duration: 2005-2008

TASC2 Tuberculosis/South Africa
Funded By: US Agency for International Development/South Africa
Project Duration: 2004-2009

Integrated Technical Assistance Project
Funded By: US Agency for International Development/South Africa
Project Duration: 2004-2008

Development of Harmonized Minimum Standards for the Prevention, Treatment and Management of Tuberculosis in the SADC Region
Funded By: Southern African Development Community
Project Duration: 2009-2010

Feasibility and Pilot Efficacy of Flash-Heated Breast Milk for Reduction of Maternal-to-Child Transmission of HIV in Tanzania
Funded By: The Thrasher Foundation and the National Institutes for Health
Project Duration: 2007-2009

Uganda: REDUCE II
Funded By: Academy for Educational Development
Project Duration: 2000-2001

UNICEF Malawi and New York
Funded By: UNICEF
Project Duration: 2008-2010

Technical Assistance and Support Contract 2 (TASC2): Global Health
Funded By: United States Agency for International Development
Project Duration: 2004–2009

Strengthening Community Safety Nets (SCSN)
Funded By: United States Agency for International Development
Project Duration: 2008-2011