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Fully fiund the global fund: Get back on track to ende AIDS, TB and Malaria in a Covid world

Global Fund Advocates Network (2021) CC

In 2019, the Global Fund’s 6th Replenishment raised more than $USD14 billion to fight HIV, Tuberculosis and Malaria. Just two years later, the world has changed significantly. Put simply: COVID-19 devastated prevention and treatment programs. For the first time since the Global Fund’s founding, ... more

Improving the health and wellbeing of children and adolescents: guidance on scheduled child and adolescent well-care visits

UN Children's Fund UNICEF; World Health Organization WHO (2024) CC

To survive and thrive, children and adolescents need good health, adequate nutrition, security, safety and a supportive clean environment, opportunities for early learning and education, responsive relationships and connectedness, and opportunities for personal autonomy and self-realization. To prom... more

Qualitative assessment of community health workers’ perspective on their motivation in community-based primary health care in rural Malawi

Ndambo, M.K.; Munyaneza, F.; Aron, M.B. et al. BMC Health Services Research (2022) CC

Background: Community Health Workers (CHWs) have a positive impact on the provision of community-based primary health care through screening, treatment, referral, psychosocial support, and accompaniment. With a broad scope of work, CHW programs mu...st balance the breadth and depth of tasks to maintain CHW motivation for high-quality care delivery. Few studies have described the CHW perspective on intrinsic and extrinsic motivation to enhance their programmatic activities. Methods: We utilized an exploratory qualitative study design with CHWs employed in the household model in Neno District, Malawi, to explore their perspectives on intrinsic and extrinsic motivators and dissatisfiers in their work. Data was collected in 8 focus group discussions with 90 CHWs in October 2018 and March–April 2019 in seven purposively selected catchment areas. All interviews were audiotaped, transcribed verbatim, coded, and analyzed using Dedoose. Results: Themes of complex intrinsic and extrinsic factors were generated from the perspectives of the CHWs in the focus group discussions. Study results indicate that enabling factors are primarily intrinsic factors such as positive patient outcomes, community respect, and recognition by the formal health care system but can lead to the chal- lenge of increased scope and workload. Extrinsic factors can provide challenges, including an increased scope and workload from original expectations, lack of resources to utilize in their work, and rugged geography. However, a posi- tive work environment through supportive relationships between CHWs and supervisors enables the CHWs. Conclusion: This study demonstrated enabling factors and challenges for CHW performance from their perspec- tive within the dual-factor theory. We can mitigate challenges through focused efforts to limit geographical distance, manage workload, and strengthen CHW support to reinforce their recognition and trust. Such programmatic empha- sis can focus on enhancing motivational factors found in this study to improve the CHWs’ experience in their role. The engagement of CHWs, the communities, and the formal health care system is critical to improving the care provided to the patients and communities, along with building supportive systems to recognize the work done by CHWs for the primary health care systems. more

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Same‐day antiretroviral therapy (ART) initiation in pregnancy is not associated with viral suppression or engagement in care: A cohort study

Langwenya, Nontokozo; Phillips, Tamsin K.; Brittain, Kirsty et al. (2018) CC

Journal of the International AIDS Society Vol. 21 (2018) e25133
Many prevention of mother-to-child HIV transmission programmes across Africa initiate HIV-infected (HIV positive) pregnant women on lifelong antiretroviral therapy (ART) on the first day of antenatal ... (“same-day” initiation). However, there are concerns that same-day initiation may limit patient preparation before starting ART and contribute to subsequent non-adherence, disengagement from care and raised viral load. We examined if same-day initiation was associated with viral suppression and engagement in care during pregnancy.
The data suggest that same-day ART initiation during pregnancy is not associated with lower levels of engagement in care or viral suppression through 12 months post-delivery in this setting, providing reassurance to ART programmes implementing Option B+.
https://doi.org/10.1002/jia2.25133 more

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Community consultation on the role of peer support in the Retention of women, adolescents and children in HIV care and treatment

World Health Organization ( WHO Regional Office for Africa), ICW, Unicef, (2017) C_WHO

16-17 November 2017, Hotel Djeugua, Yaoundé, Cameroon Meeting Report December 2017

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Clinical, Virologic, Immunologic Outcomes and Emerging HIV Drug Resistance Patterns in Children and Adolescents in Public ART Care in Zimbabwe

A. T. Makadzange; M. Higgins-Biddle; B. Chimukangara; et al. PLOS One (2015) CC

PLOS ONE | DOI:10.1371/journal.pone.0144057 December 14, 2015

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Serving the needs of Key Populations: Case examples of innovation and good practice in HIV Prevention, Diagnosis, Treatment and Care

A. Armstrong; C. Irvine; C. Figueroa; A. Verster; R. Baggaley et al. World Health Organization (2017) C_WHO

Key Populations

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Acceptability of woman-delivered HIV self-testing to the male partner, and additional interventions: a qualitative study of antenatal care participants in Malawi

A. T. Choko; M. K. Kumwenda; C. C. Johnson; et al. Journal of the International AIDS Society (2017) C2

Choko AT et al. Journal of the International AIDS Society 2017, 20:21610 http://www.jiasociety.org/index.php/jias/article/view/21610 | http://dx.doi.org/10.7448/IAS.20.1.21610

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HIV/TB counselling: Who is doing the job?

Médecins sans Frontières (2017) CC

Time for recognition of lay counsellors Accessed November 2017

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Involving the Community in Responding to TB/HIV: Outcomes of Community-Led Monitoring and Advocacy

Open Society Institute; Public Health Watch (2017) C2

Public Health Fact Sheet Involving the Community in Responding to TB/HIV: Outcomes of Community-Led Monitoring and Advocacy Accessed November 2017

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Policy for Collaborative TB/HIV Activities

World Health Organization (WHO) World Health Organization (WHO) (2008) C_WHO

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National Guidelines for TB/HIV co-management

National HIVAIDS and Tuberculosis Control Programmes; Ministry of Health and Child Welfare, Zimbabwe (2014) C1

Accessed at March 2014

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A guide to monitoring and evaluation for collaborative TB/HIV activities

A. Kanchar; H.Getahun; P. Glaziou; et al. World Health Organization (WHO); PEPFAR; UNAIDS; et al. (2015) C_WHO

Monitoring of implementation of collaborative TB/HIV activities and evaluation of impact is critically important. This requires efficient monitoring and evaluation system so as to establish accountability mechanisms between programmes, the populatio... more

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Collaborative TB/HIV Services

USAID; TBCTA; Family Health International (2009) C2

Standard Operating Procedures for Implementation of TB Activities at HIV/AIDS Service Delivery Sites

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The Panama Call for Action to Expand Collaborative TB/HIV Activities – July 2011

World Health Organization; Pan American Health Organization (2011) C_WHO

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WHO policy on collaborative TB/HIV activities (Annexes)

World Health Organization (2012) C_WHO

Guidelines for national programmes and other stakeholders Annexes for webposting and CD-Rom distribution with the policy guidelines

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Child TB/HIV - Module 5

International Union Against Tuberculosis and Lung Disease, World Health Organization (2017) C_WHO

Accessed November 2017

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TB/HIV co-infections up to 40% across Europe over the last five years

World Health Organization (Europe); European Centre for Disease Prevention and Control (2017) C_WHO

Joint Press Release Stockholm/Copenhagen 20/03/2017

Priority research questions for TB/HIV in HIV-prevalent and resource-limited settings

H. Getahun; R. Granich; C. Lienhardt; et al. World Health Organization (TBHIV Working Group) (2010) C_WHO

Stop TB Partnership

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National Guidelines on TB/HIV Management and Program Collaboration and Implementation Manual, 2nd ed.

Government of the People’s Republic of Bangladesh, Ministry of Health and Family Welfare, Directorate General of Health Services (2016) C1

National Tuberculosis Control Program; Mycobacterial Disease Control National AIDS/STD Program