Instruction Manual for Implementing a Gaps Analysis Framework to Guide Quality Improvement Decision-making in ART Programs

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In 2009, HCI developed and began testing the Gaps Analysis Framework to guide improvement activities for antiretroviral therapy (ART) programs. The Framework offers an approach to identifying and prioritizing problems and for evaluating the long-term effects of changes made to improve the systems surrounding the delivery of ART services. The approach enables implementers to measure and better understand overall program outcomes for coverage, patient retention in care, and clinical status of patients on ART. This manual explains how to set up and work with the Framework. Also included is a description of how to develop and test changes to reduce these gaps in quality.

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