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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
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Treat All Learning Phase Goal
Document key operational and outcome lessons of Treat All implementation to inform guidance in the MOHCC 2016 guidelines.
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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.
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WHAT HOW Knowledge translation for
What to do about the “Know-Do” Gap? WHAT HOW Knowledge translation for guideline concordant care in context
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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
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10 Treat All Tools
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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
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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
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Toolkit Copies Available
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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 , FACE HIV)
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