In 2013, Uganda introduced an HIV test-and-treat policy into its national healthcare guidelines, as recommended by the World Health Organization. This provided all people under the age of 15 with antiretroviral therapy (ART) immediately after their HIV positive status...
Resource type: Case Studies
Synthesizing evidence on point-of-care CD4 testing to inform World Health Organization Guidelines
CD4 cell count is an important diagnostic test to manage HIV-positive patients in low- and middle-income countries. CD4 testing is used to prioritize patients for treatment in settings where treatment is not accessible to all, monitor patients on treatment where viral...
Policy Brief: Zambia’s Community Health Assistants
Recognizing that Universal health coverage (UHC) cannot be realized without an adequate health workforce, CHAI along with the UK Government’s Department for International Development (DFID), have been supporting the Zambian Ministry of Health since 2010 to recruit,...
Interventions to Improve Maternal and Child Survival and Prevent Transmission of HIV from Mother-to-Child
Addressing the gaps in HIV service delivery is critical to eliminating mother-to-child transmission of HIV. Even small gains in maternal retention on antiretroviral therapy (ART) can result in large gains in the number of children born HIV-free and significantly...
Improving health outcomes by optimizing allocation of health workers
The provision of health services requires a sufficient number of well-trained health workers, but many countries currently face severe health workforce shortages. In the face of these gaps, it is important for governments to be able to allocate the health workers that...
Increasing adherence to ART prescription policy at HIV treatment clinics through a quality improvement intervention
In urban areas, crowded HIV treatment facilities with long patient wait times can deter patients from attending their clinical appointments and picking up their medications, ultimately disrupting patient care and compromising patient retention and adherence. Since...
Policy Brief: Evaluation of Models of Differentiated Care for HIV Patients
In Malawi, innovative models have been developed to optimize the efficiency of HIV service delivery in order to scale up access to treatment. In particular, three key models of differentiated care have emerged: multi-month prescriptions; fast-track drug refills; and...
Case Study: Catalyzing the market for accurate tuberculosis testing in India’s extensive private sector through IPAQT
Increasing access to accurate, validated diagnostics in the private sector is key to reducing India's high tuberculosis burden. CHAI facilitated a partnership between private sector laboratories and manufacturers to support adoption of a low-price, high-volume model...
Policy Brief: 3DE Evaluation on the feasibility and cost-effectiveness of community fixed-point distribution of malaria bednets in Zambia
In 2014, Zambia was planning to distribute 6-7 million insecticide-treated bednets (ITNs), but only limited information was available on the most efficient distribution and hang-up approach to optimize ITN ownership and use in Zambia. A door-to-door distribution...
Policy Brief: 3DE Evaluation on the Cost-Effectiveness of Non-Cash Incentives to Increase Facility Delivery
Delivering at health facilities can help to reduce maternal and infant mortality, but in Zambia only 67 percent of total births and 56 percent of rural births take place in health facilities.[1] The Demand-Driven Evaluations for Decisions (3DE) program conducted an...