Optimizing HIV Treatment Access

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The Optimizing HIV Treatment Access (OHTA) Initiative (2012—2017), funded by Sweden and Norway through UNICEF, supported the scale-up of lifelong antiretroviral therapy (ART) for pregnant and breastfeeding women living with HIV. The project focused on four countries with a high HIV burden: Côte d’Ivoire, the Democratic Republic of the Congo, Malawi and Uganda. OHTA aimed to strengthen health systems to deliver lifelong treatment (also known as ‘Option B+’) for pregnant women and breastfeeding mothers living with HIV.

The three objectives of OHTA were:

More effective delivery of treatment for pregnant women and mothers living with HIV by strengthening the capacity of the primary health-care system;
Increase demand timely utilization and retention rates in prevention of mother-to-child transmission (PMTCT) services;
Strengthening monitoring and evaluation (M&E) efforts to improve health service delivery for pregnant and breastfeeding women living with HIV and their children.

PROMISING PRACTICES FROM THE OHTA INITIATIVE

In 2018, OHTA released a report documenting several promising practices focused on community engagement for PMTCT based on experiences in Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda.

In an effort to strengthen cross-country learning about effective community engagement activities and inform future PMTCT programming, the Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV report includes implementation details, outcomes, factors for success, and considerations for scale-up and sustainability based on the OHTA Initiative’s experiences. The information and data included in this report were collected by project staff in partnership with the Johns Hopkins Center for Communication Programs (CCP) through a desk review of existing OHTA Initiative documents, including annual reports, partner reports, and presentations. CCP and project staff also made site visits to each country to conduct interviews and focus group discussions with the implementing organisations, programme participants, and Ministries of Health (MOHs).

Five promising practices for the elimination of mother-to-child transmission were identified based on the collective experiences in all four countries. The following reports provide a detailed description of each promising practice, including similarities and differences with implementation in each country, outcomes of the promising practice, factors for success, and essential programme elements.

Community Client Tracing

Health Advisory Committees (HACs)

Strengthening Social Accountability Through Health Advisory Committees in Malawi

Male Engagement

Community Mentor Mothers

Rationalization of Implementing Partners and Services

Rationalization of Implementing Partners and Services in the Democratic Republic of the Congo

PMTCT

Topic Tags

Optimizing HIV Treatment Access

Year Tags

2017

Innovative Approaches: Rationalization of Implementing Partners and Services in the Democratic Republic of the Congo

cmannikarottu — Thu, 29 Nov 2018 23:12:04 +0000

Innovative Approaches: Rationalization of Implementing Partners and Services in the Democratic Republic of the Congo cmannikarottu Fri, 11/30/2018 - 01:12

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

This report documents several promising practices focused on community engagement for PMTCT implemented under the Optimizing HIV Treatment Access for Pregnant and Breastfeeding Women (OHTA) Initiative. OHTA, a UNICEF-supported initiative with funding from the Governments of Norway and Sweden, aimed to accelerate access to Option B+ for the elimination of mother-to-child transmission in Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda.

Find out more here.

Paediatric and Adolescent Treatment

Organization Tag

Partner

UNICEF

Region Tags

West and Central Africa

Population Tags

Infants

Topic Tags

Optimizing HIV Treatment Access

Document Type Tags

Case study

Year Tags

2018

Download file(s)

Innovative Approaches: Rationalization of Partners and Services in DRC

Innovative Approaches: Community Mentor Mothers Empowering Clients Through Peer Support A Spotlight on Uganda

cmannikarottu — Thu, 29 Nov 2018 23:10:09 +0000

Innovative Approaches: Community Mentor Mothers Empowering Clients Through Peer Support A Spotlight on Uganda cmannikarottu Fri, 11/30/2018 - 01:10

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

Find out more here.

PMTCT

Paediatric and Adolescent Treatment

Organization Tag

Partner

UNICEF

Region Tags

West and Central Africa

Population Tags

Infants

Topic Tags

Optimizing HIV Treatment Access

Document Type Tags

Case study

Year Tags

2018

Download file(s)

Innovative Approaches: Community Mentor Mothers in Uganda

Innovative Approaches: Empowering Clients Through Peer Support: Experiences from Community Mentor Mothers in Malawi and Uganda

cmannikarottu — Thu, 29 Nov 2018 23:08:01 +0000

Innovative Approaches: Empowering Clients Through Peer Support: Experiences from Community Mentor Mothers in Malawi and Uganda cmannikarottu Fri, 11/30/2018 - 01:08

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

Find out more here.

Paediatric and Adolescent Treatment

Organization Tag

Partner

UNICEF

Region Tags

Eastern and Southern Africa

West and Central Africa

Population Tags

Infants

Topic Tags

Optimizing HIV Treatment Access

Document Type Tags

Case study

Year Tags

2018

Download file(s)

Mentor Mother Experiences in Malawi and Uganda

Innovative Approaches: Community Mentor Mothers: Empowering Clients Through Peer Support A Spotlight on Malawi

cmannikarottu — Thu, 29 Nov 2018 23:06:22 +0000

Innovative Approaches: Community Mentor Mothers: Empowering Clients Through Peer Support A Spotlight on Malawi cmannikarottu Fri, 11/30/2018 - 01:06

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

Find out more here.

Paediatric and Adolescent Treatment

Organization Tag

Partner

UNICEF

Region Tags

Eastern and Southern Africa

Population Tags

Infants

Topic Tags

Optimizing HIV Treatment Access

Document Type Tags

Case study

Year Tags

2018

Download file(s)

Innovative Approaches: Mentor Mothers in Malawi

Innovative Approaches: Male Study Circles: Men as Change Agents in Malawi

cmannikarottu — Thu, 29 Nov 2018 23:03:48 +0000

Innovative Approaches: Male Study Circles: Men as Change Agents in Malawi cmannikarottu Fri, 11/30/2018 - 01:03

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

Find out more here.

Paediatric and Adolescent Treatment

Organization Tag

Partner

UNICEF

Region Tags

Eastern and Southern Africa

Population Tags

Infants

Topic Tags

Optimizing HIV Treatment Access

Document Type Tags

Case study

Year Tags

2018

Download file(s)

Innovative Approaches: Men as Change Agents in Malawi

Innovative Approaches: Male Champions: Men as Change Agents in Uganda

cmannikarottu — Thu, 29 Nov 2018 23:01:56 +0000

Innovative Approaches: Male Champions: Men as Change Agents in Uganda cmannikarottu Fri, 11/30/2018 - 01:01

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

Find out more here.

Paediatric and Adolescent Treatment

Organization Tag

Partner

UNICEF

Region Tags

Eastern and Southern Africa

Population Tags

Infants

Topic Tags

Optimizing HIV Treatment Access

Document Type Tags

Case study

Year Tags

2018

Download file(s)

Innovative Approaches: Men as Change Agents in Uganda

Innovative Approaches: “CPN Papa”: Men as Change Agents in the Democratic Republic of the Congo

cmannikarottu — Thu, 29 Nov 2018 22:59:35 +0000

Innovative Approaches: “CPN Papa”: Men as Change Agents in the Democratic Republic of the Congo cmannikarottu Fri, 11/30/2018 - 00:59

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

Find out more here.

PMTCT

Paediatric and Adolescent Treatment

Organization Tag

Partner

UNICEF

Region Tags

West and Central Africa

Population Tags

Infants

Topic Tags

Optimizing HIV Treatment Access

Document Type Tags

Case study

Year Tags

2018

Download file(s)

Innovative Approaches: Men as Change Agents in DRC

Innovative Approaches: Engaging Men as Change Agents to Prevent Mother-to-Child Transmission of HIV Experiences from OHTA

cmannikarottu — Thu, 29 Nov 2018 22:56:25 +0000

Innovative Approaches: Engaging Men as Change Agents to Prevent Mother-to-Child Transmission of HIV Experiences from OHTA cmannikarottu Fri, 11/30/2018 - 00:56

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

Find out more here.

PMTCT

Paediatric and Adolescent Treatment

Organization Tag

Partner

UNICEF

Region Tags

Eastern and Southern Africa

West and Central Africa

Population Tags

Infants

Topic Tags

Optimizing HIV Treatment Access

Document Type Tags

Case study

Year Tags

2018

Download file(s)

Innovative Approaches: Men as Change Agents Experiences

Innovative Approaches: “Mon Mari Mon Visa” - Men as Change Agents in Côte d’Ivoire

cmannikarottu — Thu, 29 Nov 2018 22:53:43 +0000

Innovative Approaches: “Mon Mari Mon Visa” - Men as Change Agents in Côte d’Ivoire cmannikarottu Fri, 11/30/2018 - 00:53

Innovative Approaches for Eliminating Mother-to-Child Transmission of HIV: Experiences from Côte d’Ivoire, the Democratic Republic of the Congo, Malawi, and Uganda

Find out more here.

Paediatric and Adolescent Treatment

Organization Tag

Partner

UNICEF

Region Tags

West and Central Africa

Population Tags

Infants

Topic Tags

Optimizing HIV Treatment Access

Document Type Tags