USAID Health for All
The USAID Projecto de Saúde Para Todos (Health For All, or HFA) in Angola supported the government’s efforts to increase quality health service delivery in the country. The five-year project targeted major improvements in health through sustainable approaches and increased country ownership.
Led by Population Services International (PSI), HFA was implemented in partnership with MSH and local partners Rede Mulher Angola, TechnoSaúde, Tropical Health, and the MENTOR Initiative. The project delivered a package of health interventions to bring malaria, HIV/AIDS, family planning services, and reproductive health care to select municipalities and provinces throughout the country, reaching the poorest and most vulnerable citizens of Angola.
MSH led implementation of the project’s work on HIV and AIDS at seven health facilities selected by the US President’s Emergency Plan for AIDS Relief (PEPFAR) across the province of Luanda. Working with the Government of Angola, HFA developed a sustainable model of high-quality integrated care for people living with HIV (PLHIV), including HIV/TB co-infection and HIV/family planning integration.
Implementation of HFA’s continuum of care model achieved the following between April 2017 and June 2019 across the seven supported health facilities:
- The project tested 172,733 people and identified 13,408 new PLHIV.
- Through the index case strategy, the project expanded testing and treatment services to the family and close contacts of 4,694 newly identified HIV-positive patients and tested an additional 6,162 people, of whom 1,519 were identified as HIV positive and 1,190 were linked to HIV treatment (78% of new cases).
- The project initiated antiretroviral therapy (ART) for 8,479 newly identified HIV-positive patients and followed up with 17,502 current ART users to ensure treatment adherence.
- The project identified 13,445 new and recurring TB patients between October 2017 and June 2019, 12,172 (91%) of whom now know their HIV status.
- As of June 2019, more than 17,000 Angolans were receiving HIV medications in the seven HFA-supported health facilities, and 75% of tested patients had an undetectable viral load, making them much less likely to pass the virus to their sexual partners.
Throughout HFA, tools to guide better management of HIV-positive patient accessing health facilities were developed under the leadership of the National AIDS Institute and with the participation of national and international partners.