World Health Organization guidelines for placing all HIV positive individuals on antiretroviral treatment has intensified the demand for a competent and accessible global health work force that can accommodate 90-90-90 UNAIDS targets for testing, treating, and virally suppressing HIV patients. There is an urgent need to concentrate on effective, differentiated, and cost-efficient service delivery models that embrace high quality patient-centered HIV care as countries adopt and roll out Test and Start. Achieving 90-90-90 will require substantial shifts in how HIV services are staffed and delivered; different solutions, including task sharing, are still needed to reach targets. Over the past decade, a variety of non-physician cadres, such as nurse-midwives, clinical officers, and medical assistants, have contributed to growing evidence of task sharing’s positive contributions to HIV health outcomes in resource-limited settings.
I-TECH Tanzania has implemented many pre- and in-service training initiatives and materials, as well as adopted TrainSMART. TrainSMART I-TECH Tanzania adopted TrainSMART, a database system created by I-TECH, to track health care worker (HCW) training, and has integrated TrainSMART with the national Human Resource Information System (HRIS). The TrainSMART system helps to ensure a strong and…
O’Bryan G, Chirairo H, Munyayi F, Ensminger A, Barnabee G, Dzinotyiweyi E, Mwandingi L, Ashipala L, Forster N, O’Malley G, Golden M. Assisted Partner Notification Services in Namibia: Comparison of Case-Finding in Persons With New and Previously Diagnosed Human Immunodeficiency Virus, and Success as a Platform for PrEP Referral. Sex Transm Dis. 2024 Mar 1;51(3):214-219. doi: 10.1097/OLQ.0000000000001922
I-TECH began supporting the implementation of pre-exposure prophylaxis (PrEP) as part of Namibia’s combination HIV prevention strategy in 2017. I-TECH’s support for PrEP in Namibia is focused on three key areas: site-level direct service delivery support for PrEP for adolescent girls and young women (AGYW); site-level technical assistance to strengthen facility-based delivery of PrEP for…
As a key component of I-TECH’s support to HIV care continuum strengthening in Namibia, I-TECH supports the Ministry of Health and Social Services in efforts to achieve the UNAIDS target of “90% of people living with HIV will have a known status.” I-TECH supports above-site HIV testing activities at region-and national-levels, as well as technical assistance and…
