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The Prevention and Organizational Systems - AIDS Care and Treatment (Pro-ACT) project strengthens the capacity of Nigeria's public private, and community sectors for sustainable HIV/AIDS and TB prevention, control, care and treatment integrated within the health system. This fact sheet shows the project's results in Zamfara State from October 2013 to July 2016.

The Prevention and Organizational Systems - AIDS Care and Treatment (Pro-ACT) project strengthens the capacity of Nigeria's public private, and community sectors for sustainable HIV/AIDS and TB prevention, control, care and treatment integrated within the health system. 

The Prevention and Organizational Systems - AIDS Care and Treatment (Pro-ACT) project is a seven-year project (2009-2016) funded by USAID and implemented by MSH in five Nigerian states: Niger, Kwara, Kebbi, Sokoto, and Zamfara.

The Prevention and Organizational Systems - AIDS Care and Treatment (Pro-ACT) project is a seven-year project (2009-2016) funded by USAID and implemented by MSH in five Nigerian states: Niger, Kwara, Kebbi, Sokoto, and Zamfara.

The Prevention and Organizational Systems - AIDS Care and Treatment (Pro-ACT) project is a seven-year project (2009-2016) funded by USAID and implemented by MSH in five Nigerian states: Niger, Kwara, Kebbi, Sokoto, and Zamfara.

The Prevention and Organizational Systems - AIDS Care and Treatment (Pro-ACT) project is a seven-year project (2009-2016) funded by USAID and implemented by MSH in five Nigerian states: Niger, Kwara, Kebbi, Sokoto, and Zamfara.

The Prevention and Organizational Systems - AIDS Care and Treatment (Pro-ACT) project is a seven-year project (2009-2016) funded by USAID and implemented by MSH in five Nigerian states: Niger, Kwara, Kebbi, Sokoto, and Zamfara.

The Prevention and Organizational Systems - AIDS Care and Treatment (Pro-ACT) project is a seven-year project (2009-2016) funded by USAID and implemented by MSH in five Nigerian states: Niger, Kwara, Kebbi, Sokoto, and Zamfara.

Management Sciences for Health (MSH) has been assisting Malawi since 2003 to strengthen health care systems, increase disease prevention education, reduce maternal and childhood mortality rates, and expand access to quality HIV/AIDS services.

The Care and Treatment for Sustained Support (CaTSS) project applies Nigeria’s test and treat approach to achieve the UNAIDS 90-90-90 goals.

Human resources for health challenges related to training, deploying, and sustaining an effective health workforce have remained a barrier to successful program implementation at different levels of the health system.As health facilities are now required to treat all identi ed HIV positive clients in line with the newTest and Treat guidelines for achieving the UNAIDS 90:90:90 goals, addressin

The strides made in Malawi's Chiradzulu District demonstrate improved data use at the facility level and that using performance charts can go a long way in improving program performance. As a result of the success in Chiradzulu, the initiative has been scaled up in all of the DHSS program areas.

The patient tracing system improved the delivery of HIV services in MSH-supported facilities in Malawi's Blantyre District. More than 50% of patients who had missed an appointment were brought back to care. Some patients who had self- transferred out to other facilities were identi ed and their outcomes recorded in the register.

Management Sciences for Health (MSH) has been assisting Malawi since 2003 to strengthen health care systems, increase disease preven- tion education, reduce maternal and childhood mortality rates, and expand access to quality HIV/AIDS services.

To improve quality of HIV care in targeted districts, STAR-E scaled up the Ministery of Health quality improvement framework in March 2013. STAR-E targeted 66 facilities, including high volume and smaller facilities that were underperforming on key indicators.

Key populations, including sex workers, prisoners, and men who have sex with men (MSM), are disproportionately infected with and affected by HIV and AIDS. In 2014, HIV prevalence among sex workers globally was 12 times the prevalence of the mainstream population. Sex workers and other key and priority populations contribute substantially to new HIV infections in Uganda.

Uganda ranks among the top 20 countries in the world with the highest number of TB/HIV co-infection cases and the highest rate of TB cases among people living with HIV(PLHIV). In 2015, HIV prevalence was estimated at 7.1%, and approximately 45% of TB patients were co-infected with HIV.

Challenge TB was implemented in Ethiopia as part of Management Sciences for Health’s (MSH’s) Innovation Challenge Fund (INCH)2 initiative designed to encourage innovative interventions across MSH supported projects. MSH used the ExpandNet Framework3 to scale up the innovation.

Since adopting Option B+ in 2011, Malawi has made significant progress in identifying and treating pregnant women living with HIV, thereby reducing vertical transmission. During the same time period, follow-up, diagnosis, and care of babies born to HIV-infected mothers also improved.

Malawi has a population of 18 million, with an adult HIV prevalence of 10.6%. The country has made remarkable progress toward achieving the UNAIDS 90-90-90 goals, achieving the first goal remains a challenge. The Malawi HIV program estimated Malawi’s progress on achieving the 90-90-90 goals at 88-78-86 by June 2017.

Malawi adopted the 90-90-90 strategy as part of the National Strategic Plan to end HIV/AIDS by 2030 which calls for: identifying 90% of people living with HIV (PLHIV); initiating and retaining on antiretroviral therapy (ART) 90% of PLHIV identified; and achieving 90% viral suppression for ART patients.

Malawi is among the countries hardest hit by the HIV pandemic. The country has a national HIV prevalence rate of 10.6% of the adult population aged 15–64 years (12.8% women vs 8.2% in men). With 85% of Malawians living in rural areas, access to health services is difficult because of long distances, poverty, and other social factors.

HIV has been a global challenge over the past several decades, particularly in developing countries such as Malawi, where adult HIV prevalence is about 10.6%.

Malawi has a significant youth and adolescent population, with nearly two-thirds of the country’s estimated 17.2 million people under the age of 24. Youth and adolescents, aged 10-24, account for about 50% of new HIV infections in Malawi.

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