In 2001, HCI developed a framework consisting of seven elements contributing to the institutionalization of improvement at the national, regional/provincial, district, and service delivery levels. This technical report presents the findings from a preliminary assessment of institutionalization across 15 HCI-supported countries, followed by a discussion of HCI’s recommendations for future research and implementation activities to promote sustained institutionalization of improvement at all levels of care in each assisted country.
This report analyzes AIDSTAR-One's implementation of an integrated mental health and HIV pilot activity in Zimbabwe. While the mixed-methods assessment addressed areas of the program to strengthen, it determined that integrating mental health care services and substance use screening tools into routine HIV care was feasible.
Transitioning management of HIV care and treatment programs is a long-term, nonlinear process. Decisions about what to transition to whom and how require a deep understanding of the country context. The focus of this tool is on the assessment of capacity at the country level to take on greater responsibility and accountability for planning, organizing, and managing HIV care and treatment programs and services.
The PEPFAR gender technical exchange, convened by the PEPFAR Gender Technical Working Group in collaboration with AIDSTAR-One, aimed to support the expansion of gender integration into PEPFAR programs. In response to the call for improved gender integration and mainstreaming, and through the Gender Challenge Fund and Gender-Based Violence Initiative, PEPFAR country teams are expanding their gender programming within HIV prevention, care, and treatment portfolios.