About the Toolkit
The toolkit is a collection of assessment tools and checklists that describe the key considerations to be taken into account when transitioning to Option B/B+. The toolkit provides a roadmap to support the planning and implementation of Option B/B+, and to help countries scale up more effective interventions and programs to achieve the goals of the Global Plan Towards the Elimination of New HIV Infections among Children by 2015 and Keeping their Mothers Alive.
Programme implementers and policymakers can use the toolkit in its entirety or select from the 10 sections that address different programme components.
The toolkit is not intended to be exhaustive, but provides a critical step in presenting the various political, financial and programmatic factors to consider when implementing Option B/B+.
Why was the toolkit developed?
The potential for prevention of mother-to-child transmission (PMTCT) to have a profound impact on the HIV epidemic and broader maternal and child health agenda has never been clearer and more compelling.
In response to these tremendous opportunities and to WHO’s recent programmatic update on PMTCT, this toolkit is primarily meant to help countries begin the process of thinking through key programmatic issues. Careful planning that addresses these key issues can hopefully help countries avoid unnecessary bottlenecks in rolling-out Option B/B+. The toolkit focuses on pre-implementation planning at the national level, recognizing that sub-national planning is a part of the process.
What is the toolkit?
The toolkit is comprehensive, however, it does not have to be used in its entirety. Each module stands on its own and can be used selectively depending on each user’s specific needs and interests.
Who is the toolkit for?
Target Audience: Designed to provide easily accessible, succinct, and user-friendly items (key questions, checklists, etc.), the toolkit can be used by Ministries of Health (MOH), in particular, national PMTCT and other technical working groups, as well as IATT member organisations, and other partners as these groups work together to plan for and implement Option B/B+.
- Policymakers, Ministry of Health staff, national health program managers
- Implementing partners, non-governmental organizations and multilateral organizations working towards EMTCT
- Networks of people living with HIV, civil society organizations (CSOs) and faith-based organizations (FBOs)
- Private sector health providers
- Public interested in better understanding EMTCT and HIV programming.
How was the toolkit developed?
Given the increasing number of countries that approved the shift to Option B/B+ in 2011 and 2012, the need to provide standard guidance to inform the planning implementation phase was identified. The considerations presented in the toolkit draw on lessons learned from Malawi’s experience as the first country to implement Option B/B+.
A two-day meeting was held with 8 members of the IATT and hosted by the CDC in Atlanta. The IATT working groups prepared and peer-reviewed documents on pre-defined themes including: supply chain management, human resources for health, community engagement, and monitoring and evaluation The toolkit also incorporated inputs from the Global Steering Group of the Global Plan. Based on country needs and gaps identified in the toolkit, new modules were developed and added to it.
How can you make the most of this toolkit?
While exploring the toolkit, it is important to remember that these tools are broad guidelines which should be adapted to the specific context where Option B/B+ is being implemented. The toolkit summarizes the main questions to address when implementing Option B/B+ and includes checklists and guidance related to key components of the health system, which can be viewed together, or separately based on the interests or needs of the user.
How to Use the Toolkit
- To facilitate national level planning discussion and meetings on the implementation of Option B/B+
- To develop operational plans at the national, provincial and district levels to guide the transition to Option B/B+
- To identify bottlenecks within the existing PMTCT program and broader health system
- To prioritize interventions when transitioning to Option B/B+
- To ensure the voices, concerns and contributions of networks of people living with HIV, civil society organizations (CSOs) and faith-based organizations (FBOs) help to shape and are well-integrated in the planning for Option B/B+
Please fill out our survey to provide feedback based on your experience using the toolkit. This will allow us to make improvements and ensure that it continues to respond to emerging needs. Feedback and/or new tools, documents and resources to be considered for inclusion in the toolkit in any language can be emailed to the EMTCT community of practice