Resource Center
Resource Center
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 was confirmed. With the new policy, the country saw a nearly 50 percent increase in the...
Read moreCD4 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 load testing is not available, and monitor and manage patients with advanced HIV disease...
Read moreRecognizing 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, train and deploy a motivated community-based health workforce. Known as Community Health Assistants (CHAs), these workers have been...
Read moreAddressing 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 improves the health and survival of women and children. With timely identification of HIV status among...
Read moreThe 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 they do employ to the areas where they are needed most. Beginning in...
Read moreIn 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 2013, Zambia’s national antiretroviral treatment (ART) guidelines have recommended that stable patients be provided with prescriptions for up to...
Read moreIn 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 community ART groups. In collaboration with the Ministry of Health of Malawi, CHAI conducted a mixed...
Read moreIncreasing 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 that improves access to quality diagnostics and strengthens linkages in India’s healthcare system. Learn more by reading the case...
Read moreIn 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 strategy had been previously used throughout Zambia, but was highly challenging and costly in terms of time, supervision...
Read moreDelivering 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 impact evaluation to determine if non-cash incentives, called Mama Kits, can cost-effectively increase rural...
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