Guido Dingemans/Jhpiego

HIV and TB

While steady progress has been made in the HIV pandemic, women are still disproportionately affected in many countries where MCSP works, especially adolescent girls and young women. In sub-Saharan Africa, women accounted for 56% of new HIV infections among adults. The Program is contributing to the global goal of ending the AIDS and TB epidemics by increasing access to prevention, treatment, care and support services. We assist governments throughout the region to ensure that HIV testing and treatment is afforded to women and their children when accessing MCSP-supported maternal and child health services.

In Haiti, MCSP works to strengthen the quality of HIV prevention, treatment, care and support services in 45 PEPFAR-supported facilities. The Program also supports community-based services with a focus on retention and care for all people living with HIV in the SSQH network.  We focus on supporting the increased efficiency of HIV testing to ensure those most at risk to be living with the virus are identified early and offered antiretroviral therapy (ART). Gender-specific barriers to uptake and adherence to treatment are addressed through ensuring peer education and support are culturally relevant.

In Namibia, the Program supports efforts in PEPFAR priority regions to achieve high rates of targeted HIV testing and counseling through the Health Extension Program (HEP), with active linkages to care and treatment in the community. MCSP will continue to focus on 16 health districts in 7 of the country’s 14 regions (Kavango, Zambezi, Ohangwena, Omusati, Oshana, Oshikoto and Khomas), areas selected on the basis of population density and high HIV prevalence rates.

The Program’s support will expand access to and improve the quality of integrated HIV/sexual and reproductive health services for adolescents and young women in Namibia Planned Parenthood Association clinic catchment areas. MCSP will also support progress towards UNAIDS’ 90:90:90 goals by continuing to strengthen health extension services for vulnerable populations — including children, adolescents and young women — and using the Health Extension Program (HEP) platform to integrate community-based HIV testing and counseling services, including partner tracing and community ART refill services.

To download MCSP’s HIV and TB fact sheet, click here.

Key Results

In Haiti:

  • The SSQH–Nord project responded quickly to emerging strategies and priorities in the HIV program, and brought 22 HIV facilities up to speed on the latest treatment guidelines through technical assistance, training and support to direct service delivery. This included the introduction of Test and Start guidelines, under which 109,776 people were tested and counseled for HIV and syphilis, and 2,119 were placed on or brought back to antiretroviral (ARV) treatment. These efforts contributed to a 75% increase in people being on ARVs in northern Haiti, including 209 patients who were lost to follow-up, tracked, and brought back on treatment. To bolster this effort, the project adapted and implemented an easy-to-use mobile health application which facilitates data collection for the HIV peer education pilot.
  • To ensure access to services in remote areas of the project’s catchment area, MCSP supported the realization of 70 mobile clinics to provide HIV/AIDS, family planning, and maternal and child health services. Through these clinics, staff tested and counseled 6,981 people for HIV and syphilis and increased ARV enrollment as part of the Test and Start strategy.
  • To improve prevention of mother-to-child transmission activities, labor and delivery providers received HIV training to properly screen all pregnant women at all facility entry points. As a result, 29,501 (99%) of all pregnant women who attended MCSP-supported sites were tested for HIV and received their results. Moreover, exposed infants no longer need to be referred to other sites since pediatric HIV and early infant diagnosis has been implemented in all 20 ART sites, an essential service to reduce mother-to-child transmission. In all HIV sites, orphans and vulnerable children now have access to many services: related to HIV, nutrition, birth certificates, kids clubs, and recreational activities.

In Namibia:

  • National Health Extension Program: MCSP worked with the Ministry of Health and Social Services to increase access to HIV testing services (HTS) for hard-to-reach populations through the national HEP. Sixty health extension workers (HEWs) from Engela district and 58 HEWs from Omuthiya district were trained in community-based HIV testing and counseling and are now providing these services in their communities, resulting in community-based HTS for 1,713 clients, of which 32 tested HIV-positive.
  • HIV/Sexual Reproductive Health: The Program supported the training of Namibia Planned Parenthood Association (NAPAA) service providers on provider-initiated testing and counseling to increase uptake of HTS at NAPPA clinics. Using a more aggressive approach, MCSP supported NAPPA to integrate “opt-out HTS” as part of the standard client registration process, leading to an increase in HTS at NAPPA clinics in Zambezi, Erongo and Khomas, with 16,618 clients tested, of which 688 tested HIV-positive.
Maternal Child Survival Program
Maternal and Child Survival Program