HIV-TB Tactical Logistics Responses 2017 - 2015 2013 2011 2009 2007 2005 2003 2001 --- Late 90’ Opportunistic Infection, Palliative care & prevention ART Delivery, CD4 Universal Access , Decentralization & task shifting PMTCT, HIV/TB one shop, MDR TB & Infection Control TDF, Treat as prevention, B+ & Community model of care Cascade leaks & 90-90-90 Test & Treat , Key Population, prep, self-testing Health Information System Security mgt in prison’s set up (MW) Knowledge Management 2nd VL lab platform(Abbott) (MW) Advanced GIS study & analyze (MZ) Social / wellness hub (MZ) Outreach counselling kit E-Health passport (MZ-MW) VL SMS (MZ) Mhealth Self testing (ZA) EMR Open MRS (ZA) VL short life & neg cold chain system (MW) mHealth workshop Joburg Pima connect pack (ZA) VL waste destruction (ZW) Stop Stock Out DB & tool free hotline SMS naïve ART & B+ (ZA) Night outreach security mgt (MZ) SMS to new HIV+ (ZA) Easy track GPS (MZ-MW) HIV log networking 2.0 M-Health specific domains of interest VL Cold chain contingency plan (MZ) 1st GIS HIV analyze support (ZA) Extensive log mutualization (MZ) CAG counselors motorbike lease (ZW) Mobile M&E system (Tiers.Net) HIV flying log IDART defaulter & early tracing (MZ) Teenager HIVchat room Mxit platform (ZA) Sample transport system (MW) Non std database system support (MW) Data logger FM-100 (ZW) Phone M&E data collect patients clubs (ZA) Mobile HIV-TB medical unit (ZA) TB IC intersection Workshop (ZA) Log mentoring toward MoH (MW) EID SMS lab sample delivery (MW) mHealth SMS cold chain alarm tool (ZA) 1st VL lab (Bio-merieux) (MW) Retail pharma mgt & cohort fu IDART (MZ) VL short life & cold chain supply system (MW) Medical brigade equip / energy kit (MZ) Local ARV supply (ZW) TB IC low cost design (MZ) GXpert & supply in > 30 ° c & poor elect (MZ) E-register setting & mtc solution (ZW) Large warehouse > 400 m2 insul & AC (ZW) HIV log 1st scenario Manual (HQ 2010) EHO Sample transport system (ZW) Improved Health Post design (MW) Large motorbike fleet mgt (MW) Large & multi site (up to 18) constr plan (MW) Across the ages (or HIV programmatic projects evolution among OCB), here are some example of logistics initiated innovation related to HIV-TB (from paliative care to key population focus and test & treat) - Green frame means it has been fully developed and deployed - Red frame means that it still request further development and it is not satisfactory implemented Left corner (Dedicated means) list the specific means deployed to support that flows of innovations meeting different and complementary HIV & TB scenario Cytotoxic drugs mgt & destruction CD4 lab support Dedicated means Specific Log HIV/TB Innovations

Lab Sample Transport System

MoH mentorship on log activities Logistical mentoring/ integration. In HIV (mentorship programs) we cannot apply our usual MSF systems (as we work in MOH facilities). Examples are the management of medical/laboratory equipment, pharmacy integration, medical waste management, TB infection control etc. How to lower/ adjust standards?

GIS as means to analyse and help piloting better the operation

HIV-TB Tactical Logistics Responses LAB Transport IT e/mHealth Pharma Infection Control Knowledge Mgt CD4 lab support Large motorbike fleet mgt (MW) Non std database system support (MW) SMS naïve ART & B+ (ZA) Retail pharma mgt & cohort fu IDART (MZ) Cytotoxic drugs mgt & destruction Log mentoring toward MoH (MW) GXpert & supply in > 30 ° c & poor elect (MZ) Sample transport system (MW) E-register setting & mtc solution (ZW) Health Information System Large warehouse > 400 m2 insul & AC (ZW) TB IC low cost design (MZ) HIV log networking 2.0 1st VL lab (Bio-merieux) (MW) EHO Sample transport system (ZW) EID SMS lab sample delivery (MW) M-Health specific domains of interest VL short life & cold chain supply system (MW) TB IC intersection Workshop (ZA) Knowledge Management Pima connect pack (ZA) CAG counselors motorbike lease (ZW) SMS to new HIV+ (ZA) EMR Open MRS (ZA) VL short life & neg cold chain system (MW) VL waste destruction (ZW) Advanced GIS study & analyze (MZ) 2nd VL lab platform(Abbott) (MW) Data logger FM-100 (ZW) Mobile M&E system (Tiers.Net) Stop Stock Out DB & tool free hotline Local ARV supply (ZW) VL Cold chain contingency plan (MZ) Extensive log mutualization (MZ) Easy track GPS (MZ-MW) Phone M&E data collect patients clubs (ZA) E-Health passport (MZ-MW) 1st GIS HIV analyze support (ZA) VL SMS (MZ) Construct Social / wellness hub (MZ) Across the ages (or HIV programmatic projects evolution among OCB), here are some example of logistics initiated innovation related to HIV-TB (from paliative care to key population focus and test & treat) - Green frame means it has been fully developed and deployed - Red frame means that it still request further development and it is not satisfactory implemented Left corner (Dedicated means) list the specific means deployed to support that flows of innovations meeting different and complementary HIV & TB scenario Large & multi site (up to 18) constr plan (MW) mHealth SMS cold chain alarm tool (ZA) Outreach Mobile HIV-TB medical unit (ZA) Security Outreach counselling kit Security mgt in prison’s set up (MW) Teenager HIVchat room Mxit platform (ZA) Improved Health Post design (MW) Medical brigade equip / energy kit (MZ) Night outreach security mgt (MZ) IDART defaulter & early tracing (MZ) Mhealth Self testing (ZA)

Health Promotion & Education

Health Promotion & Education