HIV & AIDS: Our Impact

Ekundayo Aigbomian, Associate Director of Community HIV Services and Gender for ProACT. {Photo credit: MSH.}Photo credit: MSH.

The Prevention and Organizational Systems – AIDS Care and Treatment project (ProACT Nigeria) is a five-year, USAID-funded, MSH-led project that began in 2009. ProACT supports HIV & AIDS services in six Nigerian states by building the capacity of government and civil society to strengthen the health system as a whole.

When a parent dies from AIDS, the children left behind often suffer not only the loss of a loved one, but also the loss of financial support, making daily survival a challenge and education a dream. USAID’s Community Based Support for Orphans and Vulnerable Children (CUBS) Project, led by MSH and Africare, is providing assistance to the communities that support these children in 11 Nigerian states.

The MSH-led, US Agency for International Development- funded, AIDSTAR-Two Project has published a new technical brief, Systematic Organizational Capacity Building: Tackling Planning and Implementation Challenges, which focuses on the barriers associated with capacity building that are faced by civil society and non-governmental organizations in the context of HIV & AIDS programming.

The United States Agency for International Development (USAID) held its HIV/AIDS Care and Support Program (HCSP) End of Program Review Meeting in May in Addis Ababa. The meeting highlighted progress and achievements of the program since its start in June 2007. The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) provided funding for the program managed by USAID with implementing partner Management Sciences for Health (MSH).The program targeted Addis Ababa City Administration and the four regions of Amhara, Oromia, SNNPR, and Tigray.

Haile Wubneh, Deputy Chief of Party, Care and Support Program. {Photo credit: MSH.}Photo credit: MSH.

Ethiopia is the oldest independent country in Africa.

Busia District in Eastern Uganda has a population of about 250,000 people, 83% of who live in rural villages. HIV prevalence in the district is three times higher than the national prevalence of 6.4%. STAR-E, a project funded by US Agency for International Development and led by Management Sciences for Health (MSH), is working in the district’s health facilities and in the community to address these health indicators.

Even when they were healthy, Nigatua Mekonnen and her husband struggled to pay their rent and feed their two children. When Nigatua became severely ill during her third pregnancy, the situation became dire. She lost the baby immediately after delivery and eventually became bedridden. Suspecting she was HIV-positive, her neighbors and relatives stopped speaking to her, and her landlord increased her rent in an effort to force her off the compound. “It was the most unforgettable black time in the history of my life,” said Nigatua.

Twenty-six year-old Aynalem Bekele has spent her entire life struggling to survive. Left in poverty after her father’s death, Aynalem and her mother baked injera (flatbread)and washed clothes to afford the rent on their small, dilapidated house in Hawassa, Ethiopia. In late 2008, Aynalem’s health began to deteriorate, leaving her bedridden, unable to work or care for her elderly mother, and struggling to survive yet again.

A severely ill and bedridden woman is scared and alone but knows her only chance of survival is to get to the local health center for medical help. She pleads with her neighbors to help transport her there and undergoes an invasive examination only to be told she will have to come back in ten days to receive her test results and proceed with treatment.  She returns home to wait, dejected, and hopes she can summon the courage and resources to return to the health center in ten days for the care she needs.

May 11, 2011 - The International Network for the Rational Use of Drugs Initiative on Adherence to Antiretrovirals (INRUD-IAA) has developed a simple, low-cost approach to collecting and analyzing facility level data on adherence to antiretroviral treatment (ART).   The manual, How to Investigate Adherence to Antiretroviral Treatment, is a step-by-step guide on how to design and carry out a national or facility level survey to determine: How a facility is doing at any given time How it is doing over time How it compares to other facilities The effectiveness of inte