Cote dIvoire DHAPP FACI Partnership for Sustainable HIV Epidemic Control
Abstract
Population Services International (PSI)1 in Côte d’Ivoire proposes to reduce the number of new HIV infections and the number of deaths due to AIDS among members of the Forces Armées de Côte d’Ivoire (FACI), their families, and the civilian communities served by the FACI, and help the military reach the UNAIDS 95-95-95 goals. The team will support sustainable epidemic control through: increased access to targeted HIV prevention services; uptake of HIV testing services (HTS) and linkage to antiretroviral therapy (ART); diagnosis, prevention and treatment of tuberculosis (TB); prevention of mother-to-child transmission (PMTCT); increased access to viral load (VL) testing; and introducing innovative solutions to increase retention in care. PSI/CI will accomplish this goal in partnership Department of Defense (DoD) HIV/AIDS Prevention Program, through engagement of the HIV Sectoral Committee (CSLS), and FACI through Social Action Directorate (DSASA), from initiation of the project to co-diagnose barriers, co-design approaches, and co-implement proven interventions aimed at optimizing efficiencies for delivery across the HIV cascade within the military clinical services for FACI personnel, their families, and other key populations (KP). PSI will also work closely with local organizations to transition increasing responsibility over the life of the project. PSI/CI will build capacity of targeted FACI facilities in delivery of tailor-made solutions to barriers and challenges impeding access at every level of the HIV care cascade, through provision of technical assistance, mentorship, and supportive supervision for: 1. Strengthening the capacity of providers and further roll out the existing client level data monitoring systems, in FACI clinical sites; 2. Adoption and scale up of global best practices for high-yield HIV case finding, including index testing, and PLHIV focused social network testing; 3. Use of a ‘patient centered’ approach to expand the already successful patient mediator model for enhanced linkage, retention, and ART adherence; 4. Introduction of continuous quality improvement (CQI) in FACI facilities in order to improve weak points in service delivery, including: case finding, linkage to care, retention in care, viral load testing, and supporting unsuppressed patients; and 5. Supporting the rollout of new innovations including HIVST and Pre-Exposure Prophylaxis (PrEP). The team will build on lessons learned from PSI/CI’s previous five years of collaboration with the DoD and the FACI, in prevention, care, and treatment while continually adapting, and introducing innovations like PrEP and HIVST to achieve the following results: • Reach 5,408 military personnel and 500 members of KP with standardized evidence-based prevention interventions in Year one and achieve targets throughout the project; • Provide 16,187 individuals with HTS services; • Identify 1,899 military personnel and civilians living with HIV, with at least 548 individuals identified through index testing; • Link at least 95% of military personnel and civilians living with HIV to care and treatment; • Retain 5,741 adults and children on ART and initiate 1,815 new clients on ART; • 90% of patients on ART are virally suppressed and 100% of patients on ART screened for TB; and • Improve capacity of military staff to understand and apply clinical and performance data using small tests of change in a continuous quality improvement approach.
Document Details
- Document Type
- DoD Grant Award
- Publication Date
- Dec 02, 2020
- Source ID
- N002442110001
Entities
People
- Marie Baptiste