Implementation and Quality

To implement well functioning and efficient PMTCT programs that provide quality services and are accessible and affordable, programs need to be well thought out and be based on informed decision-making. That is, program planners should refer to the most current national and sub-national guidelines on PMTCT and guidelines for all related services that may be offered, such as family planning and reproductive health services. This section of the toolkit includes resources that will provide program planners with guides and tools for PMTCT program planning and implementation.

Care and Treatment of HIV Infection in Infants and Young Children (Haba Na Haba Quarterly Technical Bulletin)

2010 | Elisabeth Glaser Pediatric AIDS Foundation | 28 p

English

This issue of Haba Na Haba Quarterly Technical Bulletin spotlights the care and treatment of HIV infection in infants and young children, specifically addressing early infant diagnosis, pediatric antiretroviral therpay, and steps to increasing early identification and treatment of infants and children living with HIV.

2010 | Population Council | 20 p

English

During the early stages of program implementation, the Population Council’s Horizons Program conducted operations research in several sub-Saharan African countries to determine how interventions that were successful in the clinical trial setting would translate to actual health care delivery in low-resource settings. The first set of studies documented the feasibility and challenges of PMTCT programs, while the second assessed quality of services and effectiveness of strategies to promote utilization and adherence to recommended practices.

2010 | Elisabeth Glaser Pediatric AIDS Foundation | 12 p

English

This issue brief reviews strategies and best practices for increasing the integration of psychosocial supports within HIV/AIDS services.

2010 | Elizabeth Glaser Pediatric AIDS Foundation

Introduction |

Tool Set 1: Revised National Guideline Implementation Planning Tools |

Tool Set 2: Program/ District Implementation Roll-Out Planning |

Tool Set 3: Costing Implementation of the Revised PMTCT Guidelines |

Tool Set 4: Site Implementation Roll-Out Planning |

Tool Set 5: Linkage and Integration of PMTCT and HIV Care and Treatment Site Assessment |

Tool Set 6: Development of Standard Operating Procedures |

Tool Set 7: Slide Sets on the 2010 Revides WHO Guidelines/Adapted National Guidelines |

Revised World Health Organization HIV Care and Treatment Guidelines and Adapted National Guidelines |

WHO 2010 Guidelines and Country Level Guidelines on Antiretroviral Drugs for the Treatment of Pregnant Women and Preventing HIV Infection in Infants |

WHO 2010 Guidelines and Country Level Guidelines: Infant Feeding in the Context of HIV |

WHO 2010 Guidelines and Country Level Guidelines on Antiretroviral Therapy for HIV Infection in Infants and Children |

WHO 2010 Guidelines and Country Level Guidelines on Antiretroviral Therapy for HIV Infection in Adults and Adolescents |

Tool Set 8: Monitoring and Evaluation Planning |

Tool Set 9: Partnership Planning |

Entire Phase 2 Toolkit (2.5 MB)

This toolkit supports country teams in adaptation and implementation of the revised World Health Organization (WHO) recommendations related to the prevention of mother-to-child transmission of HIV. The Phase 2 toolkit is organized into nine non-sequential tool sets that include various categories of implementation planning tools. In most cases these tools consist of templates, which are frameworks to assist technical partners in thinking through program, district and site implementation planning.

2009 | LINKAGES/AED | 19

English

This model was used to calculate results reported in: Ross JS, Labbok MH. Modeling the effects of different infant feeding strategies on young child survival and mother-to-child transmission of HIV.

2009 | Centers for Disease Control and Prevention [CDC] Global AIDS Program PMTCT Team and International Laboratory Branch

Introduction |

Book 1: Guide for Program Managers |

Book 2: Introduction to Training Curriculum for Clinical Staff |

Book 3: Guide for Laboratorians

Early diagnosis of HIV in infants provides a critical opportunity to strengthen follow up of HIV-exposed children, assure early access to ARV treatment for infected children, provide reassuring information to families of uninfected children, aid evaluation of PMTCT programs, and increase capacity to use laboratory technology.

2008 | EngenderHealth | 86 p

English

This toolbook, a supplement to the COPE® Handbook, provides updated versions of the self-assessment guides, the client interview guide, and other materials for identifying and solving on-site problems that compromise the quality of services designed for HIV care and treatment.

2008 | Elisabeth Glaser Pediatric AIDS Foundation | 4 p

English

This program brief is part of an Implementer’s Guide which has been developed by the Elizabeth Glaser Pediatric AIDS Foundation to highlight successful approaches in implementing PMTCT and care and treatment programs. The audience for the guide includes program implementers, managers, clinicians and anyone involved in creating, managing, or providing PMTCT and care and treatment services.

2008 | Elisabeth Glaser Pediatric AIDS Foundation | 4 p

English

2008 | World Health Organization [WHO] | 37 p

English

The WHO comprehensive approach to preventing HIV infection among infants and young children addresses a broad range of HIV-related prevention, treatment, care and support needs of pregnant women, mothers and their children.

2008 | UNICEF and World Health Organization (WHO) | 75 p

English

HIV is increasingly affecting the health and welfare of children and undermining hard-won gains in child survival in some of the highly affected countries. Recent estimates from UNAIDS suggest that, globally, about 2.1 million children younger than 15 years of age have HIV, 90% of whom live in sub-Saharan Africa.

2005 | EngenderHealth | 102 p

English |

French

This toolbook, which is intended to be used in conjunction with the COPE Handbook, is designed to assist providers and site staff identify and solve on-site problems that compromise the quality of PMTCT services This volume presents versions of the COPE tools adapted to address topics relevant to the provision of quality PMTCT services, including:

2005 | International Center for AIDS Care and Treatment Programs (ICAP) | 214 p

English |

ICAP clinical manuals outline a step-by-step approach to the care of HIV-infected adults and children in resource-limited settings, emphasizing multidisciplinary, family-focused care.

2004 | UNFPA | 150 p

English |

District-level or site-level planners, programmers, and trainers using this guide will, according to their needs, be able to: 1. Plan for integrating HIV and STI prevention interventions into maternal healthvservices 2. Determine the most appropriate and feasible HIV and STI interventions forvclients in their setting, by considering factors that determine the size and scopevof HIV and STI interventions for pregnant and postpartum women 3. Design and implement gender-sensitive HIV prevention interventions

2003 | EngenderHealth | 17 p

English |

French

COPE® Handbook: A Process for Improving Quality in Health Services, Revised Edition reflects lessons that EngenderHealth and its counterparts in more than 45 countries have learned over the past decades in developing, applying, evaluating, and adapting COPE. In this revision, the handbook's format has been updated to be more user-friendly for facilitators as they orient managers, train site facilitators, guide facility staff in using the COPE tools, and adapt the COPE process and tools to best fit the facility's needs.

2003 | Management Sciences for Health

English

A tool designed to help strengthen the human resource management system in organizations working in areas with high HIV/AIDS prevalence.

Joint United Nations Programme on HIV/AIDS [UNAIDS]

English

The estimates provided in the Financial Resources required to Achieve Universal Access to HIV, Prevention, Treatment, Care and Support report, developed for 132 low- and middle-income countries, are based on the type of epidemic and nationally established targets using the latest available data. The data was reviewed by Technical Working Groups and by an advisory board made up of international economists and AIDS experts from donor and developing countries, civil society, United Nations agencies and other international organizations.

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