Abstract 28 Karen Webb, OPHID MOHCC/OPHID IAS 2017 Satellite Session

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Presentation transcript:

Treat All Toolkit Acting on Learning Phase Lessons to Optimize Scale-Up in Context Abstract 28 Karen Webb, OPHID MOHCC/OPHID IAS 2017 Satellite Session Treat All in Resource Constrained Settings Sunday, 23 July, 10:15-12:15 Room 251, Palais des Congrès

Treat All Learning Phase Goal Document key operational and outcome lessons of Treat All implementation to inform guidance in the MOHCC 2016 guidelines.

Is Documentation Enough? Identifying red flags is only meaningful if those lessons are shared and result in action points to improve quality of guideline concordant HIV care and treatment services.

WHAT HOW Knowledge translation for What to do about the “Know-Do” Gap? WHAT HOW Knowledge translation for guideline concordant care in context

Builds on assessment findings and lessons Reinforces & promotes cascading of MOHCC Guidance Action points to address common facility-based bottlenecks to quality HIV care and treatment Goal to support optimize implementation in context

10 Treat All Tools

Quick Hits: Distilling ‘Don’ts’ into ‘Do’s’ Missed opportunities to offer HIV testing HIV retesting not being conducted as per guidelines Limited attention on key populations Loss of clients between testing and treatment

TOOLS for OPTIMIZING PRACTICE: Not the answer, but part of the solution Rapid diffusion of key lessons*innovative dissemination Seeks to strengthen evidence-based practice & uptake of MOHCC policy to practice Context-driven Living document Open Access: Adaptable to other country contexts Tools not implementation strategies Information only effective if cascaded to facility-level Not generalizable to all facilities, all contexts Resource constraints persist Need for implementation research for evidence-based strategies to overcome bottlenecks

Toolkit Copies Available www.ophid.org

ACKNOWLEDGEMENTS Zimbabwean Ministry of Health and Child Care, AIDS & TB Unit President’s Emergency Plan for AIDS Relief (PEPFAR) through USAID and Families and Communities for Elimination of HIV in Zimbabwe (AID-613-A-12-00003, FACE HIV)