HIV Service Delivery
Antiretroviral therapy (ART) has dramatically reduced HIV transmission, morbidity and mortality, and improved quality of life for millions of people. MSH is dedicated to expanding HIV care and treatment to reach more infected people in the most-affected countries. To support this goal, we design and implemented strategies to strengthen pharmaceutical management, build staff capacity, and decentralize HIV & AIDS services from tertiary care centers to local health clinics. Our team also develops approaches to optimize ART regimes, which has increased efficiencies and resulted in better patient care.
African Strategies for Health (ASH)
Through the ASH project, MSH builds health system capacity by identifying and implementing service delivery best practices and addressing challenges faced by providers and patients. The project also evaluates the relationship between HIV, TB, and maternal mortality in Sub-Saharan Africa to increase service delivery integration and efficiency.
Ethiopia Network for HIV/AIDS Treatment, Care and Support (ENHAT-CS)
Through ENHAT-CS, MSH supports the Ethiopian government in decentralizing HIV services and building the capacity of indigenous health systems. Together, MSH and its partners have rapidly scaled up integrated HIV & AIDS services at health centers in the regions of Amhara and Tigray. ENHAT-CS has also established linkages and integrated health and social services to strengthen health systems, referral networks, and evidence-based decision making.
Strengthening TB and AIDS Response – Eastern Region (STAR-E)
The STAR-E project empowers communities in Eastern Uganda to effectively respond to the HIV & AIDS and TB epidemics. MSH works closely with Uganda’s Ministry of Health and through district health management teams, district councils, health facilities, and communities to decentralize quality care and increase access to and utilization of comprehensive HIV and TB services.
Securing Ugandans’ Right to Essential Medicines (SURE)
SURE builds the Ugandan government’s capacity to provide consistent, high-quality HIV and TB medicines by improving the nation’s political, legal, and regulatory framework for pharmaceutical supply chain stability and sustainability. Through the SURE project, MSH also builds the government’s capacity to carry out its supply chain management responsibilities and decentralizes care by improving the performance of staff and implementing partners at the district and sub-district levels.
Prevention and Organizational Systems – AIDS Care and Treatment (ProACT) Project
ProACT’s approach to HIV programming in Nigeria emphasizes government partnerships, local ownership, comprehensive support, and capacity-building as key strategies for providing integrated, sustainable high-quality HIV & AIDS care. Additionally, the ProACT project aims to complement the current national response with evidence-based service delivery strategies designed to reach underserved populations and meet national program goals. MSH builds the capacity of state ministries of health and health facility multi-disciplinary teams and supports strong collaboration among all health sector partners. The project team also strengthens existing hospital and patient care management teams to ensure quality HIV service delivery and supports community outreach to improve access to care. To expand and sustain these interventions, MSH advocates for increased government ownership, participation, and support for HIV programming.