Integration of HIV and Other Health Services
MSH improves access to quality care by integrating HIV & AIDS services into TB, family planning, maternal and child health, and other programs. Recent reductions in donor funding have made it imperative to increase the efficiency and reach of existing health programs. Integrating program areas and creating opportunities for clients to access multiple services simultaneously results in more efficient services, better treatment adherence, and more holistic care. HIV and TB program integration is especially important, as TB is the most prevalent cause of mortality in HIV-infected persons. TB and HIV have a synergistic effect, and if not treated together, can increase the rate of TB drug-resistance and AIDS-related deaths.
African Strategies for Health (ASH)
African Strategies for Health evaluates the relationship between HIV, TB, and maternal mortality in sub-Saharan Africa to identify best practices for integrating these services areas and interventions to improve patient access to quality care. Through the ASH project, MSH strengthens HIV & AIDS programs and increases linkages among program areas such as pediatric TB, adolescent HIV, nutritional health, and care for orphans and vulnerable children.
STAR-E empowers communities in eastern Uganda to respond to the challenges posed by the HIV & AIDS and TB epidemics. The project also works closely with the Ugandan Ministry of Health and district health management teams, district councils, health facilities, and communities to increase access to and use of quality HIV and TB services within district health facilities and their respective communities. The project ensures that all HIV patients are screened for TB and all HIV-infected women are screened for cervical and breast cancer. STAR-E is also implementing a Prevention with Positives program, which helps people living with HIV to access a variety of services such as substance abuse counseling and psychosocial care. Through the Prevention with Positives program, MSH also supports integration of prevention messages into routine clinical care.
Ethiopia Network for HIV/AIDS Treatment, Care and Support (ENHAT CS)
ENHAT-CS is helping the Ethiopian Government scale up integrated HIV & AIDS services at health centers in the Amhara and Tigray regions. The project uses results-oriented strategies to mitigate the impact of HIV & AIDS by establishing linkages between service sites, integrating health and social services, strengthening health systems, improving referral networks for antiretroviral treatment, and using strategic information for evidence-based decision making.
Prevention and Organizational Systems – AIDS Care and Treatment (ProACT)
ProACT is building the capacity of Nigeria’s public, private, and community sectors for sustainable HIV & AIDS prevention, control, care, and treatment. Specifically, ProACT supports the integration of HIV services into the mainstream medical system and strengthens TB/HIV collaborative activities by improving linkages between facilities, communities, and community-based organizations.