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Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge to Reduce Mother-to-Child Transmission of HIV
This article describes the value of creating a quality improvement–driven, multicountry learning network to accelerate the pace of improving care systems in Africa to reduce mother-to-child transmission of HIV.
Applying Quality Improvement Approaches to Reduce Mother-to-Child HIV Transmission and Improve Health and Nutrition Care in Five Countries
This article describes the application of quality improvement (QI) methods, as part of the Partnership for HIV-Free Survival, to support governments and facility staff in five African countries in reducing maternal-to-child transmission of HIV.
A Six-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV
This article is the first report of the effectiveness of using quality improvement in a large-scale multicountry effort in Africa to improve infant survifal by reducing postnatal maternal-to-child transmission of HIV in breast feeding HIV-positive mothers.
Tanzania-Kenya Knowledge Exchange for the Partnership for HIV-Free Survival: Reflections and Recommendations
This report describes best practices for scaling up prevention of mother-to-child transmission of HIV, identified through the work of the Partnership for HIV-Free Survival, a six-country learning network across sub-Saharan Africa.
Fostering HIV Program Quality to Achieve Epidemic Impact
The official journal of the International AIDS Society (IAS) – AIDS – has published an open access special supplement this month on the importance of quality improvement in HIV/AIDS care. The supplement was co-edited by IHI Senior Vice President, Dr. Pierre Barker, who also co-authored three articles in the issue.
The Importance of Context in Implementation Research
The authors present a framework for implementation science, a review of published HIV/AIDS protocols for complex interventions, a case study, and preliminary recommendations that can be used to characterize context when reporting interventions and describing how context can be accounted for in implementation strategies.
Profiles in Improvement: Nneka Mobisson-Etuk, MD, Executive Director of African Operations, IHI
In this profile, Dr. Nneka Mobisson-Etuk describes her leadership of IHI's work in Africa, building on a near-decade of quality improvement work focused on maternal and child health, prevention of mother-to-child transmission of HIV, quality planning strategy, building improvement capability in the region, and other areas of focus.
Using a Campaign Approach Among Health Workers to Increase Access to Antiretroviral Therapy for Pregnant HIV-Infected Women in South Africa
A campaign approach among health workers to improve access to antiretroviral therapy (ART) for HIV-infected pregnant women in two districts in South Africa shows a four-fold increase in HIV-infected women initiated on ART.
A Quality Improvement Model for the Rapid Scale-up of a Program to Prevent Mother-to-Child HIV Transmission in South Africa
This article describes how a group of NGOs and government partners jointly developed the "Accelerated Plan" (A-Plan) to successfully improve services at health care facilities in South Africa to prevent mother-to-child transmission (PMTCT) of HIV.
Eliminating Mother-to-Child HIV Transmission Will Require Major Improvements in Maternal and Child Health Services
Researchers modelled how poor access to routine antenatal and postnatal health services contributes three times more to overall mother-to-child HIV transmission than do current suboptimal levels of delivery of anti-HIV-transmission interventions.
Improving public health information: A data quality intervention in KwaZulu-Natal, South Africa
A simple and practical data improvement intervention significantly increased the completeness and accuracy of data used to monitor services in South Africa for the prevention of mother-to-child transmission of HIV.
Tried and Tested: Models for the Scale Up of HIV Prevention, Treatment, and Care from South Africa and Beyond
The "tried and tested" models described reflect the range of great work being done frontline nurses and doctors to prevent HIV infection and mother-to-child prevention of HIV.
The role of quality improvement in strengthening health systems in developing countries
Health care leaders and improvement experts representing 15 countries met in October 2008 to catalyze the adoption of quality improvement (QI) methods to improve health care quality in resource-poor settings.
The "Blog": Updates on Projects in South Africa to Improve HIV/AIDS Treatment [Archive 2004-2005]
This blog, written by the IHI South Africa Team and Staff, tracks the progress of collaborative improvement projects in South Africa to improve HIV/AIDS treatment.
Improving Access and Quality of HIV/AIDS Care in Eastern Cape, South Africa
IHI's global team is working with Collaborative sites in Mhlontlo District, Eastern Cape, South Africa to improve access to, and quality of, HIV/AIDS care.
South Africa: Where Collaborative Methods are Rapidly Spreading AIDS Care
Disparities in care can seem especially dramatic on the global level. But IHI's methods of rapid improvement and collaborative learning are applicable anywhere, as demonstrated by the encouraging early results of an improvement project currently underway in South Africa.
Umkhanyakude District, KwaZulu-Natal, South Africa Doubles the Number of People on Antiretroviral Treatment for HIV
In partnership with the Center for Rural Health (University of KwaZulu-Natal) and IHI, this District has doubled the number of people initiated on antiretroviral treatment for HIV during each of the last two years.
The "Blog": Updates on Projects in South Africa to Improve HIV/AIDS Treatment
This blog, written by the South Africa Team and Staff will track the progress of collaborative improvement projects in South Africa to improve HIV/AIDS treatment.
Preventing Mother-to-Child Transmission of HIV in South Africa
In partnership with local health care leaders and organizations, the Institute for Healthcare Improvement has been working in several regions of South Africa to improve the existing Prevention of Mother-to-Child Transmission program (PMTCT) targeting HIV.
Cape Town, South Africa, Improves the Transfer of Patient-Specific Health Information from 4 Percent to 80 Percent
In Cape Town, South Africa, a simple change improves the transfer of information about the mother's HIV status, a critical piece of information in customizing care for the newborn.
South Africa HAART (Highly Active Antiretroviral Therapy) Calculator
Use this calculator to estimate the number of adults who will need to be started on HAART each year in a particular District, and the number of newly infected infants infected each year in that district.
Key Change Concepts for Improving Access to Excellent HIV/AIDS Care in South Africa
This document highlights two years of work in South Africa to developed methods to increase access to excellent HIV/AIDS care in resource-constrained settings.
An approach to rapid scale-up: Using HIV/AIDS treatment and care as an example
This white paper, co-authored by the WHO and IHI, describes how health care providers in resource-poor settings can apply operations research principles and collaborative improvement methodology to introduce and rapidly spread health care interventions.
Managing HIV as a chronic disease: Using interactive data collection to improve clinical care
As South Africa and the rest of the developing world respond to the AIDS crisis, a critical task will be to develop scalable systems for sustainable and effective delivery of antiretroviral (ARV) drugs in a variety of resource-restricted settings.
Prevention and treatment of human immunodeficiency virus/acquired immunodeficiency syndrome in resource-limited settings
This paper presents a summary of the debate over varying global responses to the prevention and treatment of the HIV/AIDS epidemic as well as evidence on several interventions designed to prevent the spread of HIV infection.