Health & HIV/AIDS
Africare Technical Capacity:
HIV /AIDS Treatment
For almost a decade, HIV/AIDS has been recognized as the deadliest epidemic of infectious disease in Africa. More than 25 million have died and another 40 million are estimated to be infected.
Africare’s unique contribution to HIV/AIDS efforts in Africa has been to strengthen community and government capacities; and to provide high-quality HIV-related health services using an evidence-based management approach. Our goal is to prevent the spread and reduce the impact of HIV/AIDS, and other opportunistic and infectious diseases. With funding from various donors, governments, and the private sector, Africare works with partners or organizations locally and internationally, to strengthen the ability of the government and communities to implement their own responses to these problems.
Our programming emphases include:
■ Strengthen HIV prevention education and community mobilization
■ Increase uptake and availability of Counseling and testing services for HIV and other sexually transmitted infections
■ Improve quality of and access to care of and treatment to people living with HIV/AIDS, including antiretroviral therapy
■ Promote quality improvement and strengthen healthcare systems
■ Address the interaction of TB and HIV
■ Prevention, diagnosis and treatment of opportunistic infections
■ Provision of palliative and home-based care services
■ Infection prevention with HIV positives
■ Expansion of family planning and reproductive health services
■ Protection and support of orphans and vulnerable children, and their caregivers
■ Prevention, control and treatment of Malaria
Since 2004, Africare has been working with the US President’s Emergency Plan through the Centers for Disease Control and Prevention (CDC) in South Africa, to design, and implement a successful approach to high-quality comprehensive HIV care, treatment and support (including mitigation) services. Africare is currently supporting 75 health facilities, facilitating the development of local capacity at facilities as well as with government (facility, sub district, district and provincial levels) and community institutions (CBOs, FBOs, CCFs).
Africare supports: adult HIV care and treatment, pediatric care and treatment, community services, HIV counseling and testing, TB/HIV integration including infection control, PMTCT, HIV exposed and infected infants management, human capacity development, general health systems strengthening, monitoring and evaluation, pharmacy activities, and key linkages that will ensure a continuum of care for PLHIV.
Africare serves as a key member of HIV-related taskforces and workgroups and through these forums, plays a key role in influencing and supporting the implementation of appropriate M&E systems, patient tracking tools for HIV care and treatment, PMTCT and TB/HIV integration programming including infection control, HIV counseling and testing, community mobilization activities in the Eastern Cape Province. Africare also serve as a technical resource for state-of-the-art training materials, evidence-based strategies and interventions, and HIV/AIDS care and treatment guidelines, protocols and standards in the Eastern Cape province of South Africa. Furthermore, we develop and conduct competency-based training programs for nurses, doctors and community-based providers in a broad range of HIV/AIDS services.
At the facility level, Africare supports comprehensive HIV care and treatment services for adults and children in 75 HIV care and treatment facilities. This support includes, but is not limited to, the provision of additional personnel to support HIV services, training and mentorship of health care providers on various aspects of HIV care using national curricula when available, support for HIV-related commodities, strengthening the health management information systems, M&E, appointment systems, patient tracking, adherence and psychosocial support, and linkages within facilities, between facilities, and between facilities and communities. Through Africare’s team of clinical and nursing advisors, Africare is supporting and creating multidisciplinary teams at each facility and is introducing standard operating procedures that ensures an improved quality of care.
To date, Africare has provided treatment (ART) through training, mentorship which includes ART direct site support, and systems strengthening, to 9, 589 clients and trained a total of 294 health professionals in adult and pediatric disease management).
To ensure information for HIV and AIDS Management, Africare provides technical assistance and support for the implementation of the implementation of “Debo” – an electronic patient record system that is linked to the government’s DHIS system.
In coordination with other partners, Africare is building the capacity of the provincial, district and sub district Departments of Health to plan and manage HIV care and treatment services in their respective jurisdictions and to strengthen their ownership of the program. Africare has placed a high emphasis on building the capacity of stakeholders to promote program sustainability and independence.