Category Archives: Quality Improvement

Formulating Guidelines and Operating Procedures in India

I-TECH India PL is part of various national ART and testing guideline groups of NACO in India, including Journey of ART Programme in India; HTS Guidelines; ART Guidelines for HIV-Infected Adults and Adolescents, May 2013; National Guidelines on Second-line and Alternative First-line ART For Adults and Adolescents, May 2013; Operational Guidelines for ART Centers, July 2012; HIV/TB Guidelines, 2015; and National ART Technical Guidelines, October 2018 (http://www.naco.gov.in/care-support-treatment).

The team also assisted NACO in designing standard operating procedures for implementing newer program initiatives such as Treat All, Pre-ART mop-up, co-located ART and OST (Oral Substitution Therapy) Centres, ART through targeted intervention programs, and multi-month dispensation of ART.

Enhancement of Health Information Systems and Data Quality in India

I-TECH India PL has provided national, state, and facility level technical assistance for improving quality, analysis and presentation of ART program data; developed innovative tools for tracking program progress based on data analysis of selected indicators over a period of time and submitted for national scale-up; and provided technical mentoring to improve quality of data collection and reporting by the ART Centers at 48 sites of India in the last three years.

Strengthening Health Service Delivery in India

  • I-TECH India PL has successfully designed and implemented four differentiated ART service delivery models, including models for key population clients, in collaboration with other stakeholders in states of Maharashtra, Nagaland, Manipur and Mizoram to develop a proof of concept for the national level scale up;
  • Improved delivery of health services through onsite technical mentoring and supervison of health care staff in 9% of the ART centers of the country in the last three years;
  • Technically assisted successful implementation of newer initiatives such as treatment of TB through the ART centers, the “Treat All” initiative, and routine viral load monitoring at 48 ART centers; and
  • Conducted/participated in health service delivery assessments of facilities such as the national HIV/AIDS Centers of Excellence, ART Centers, Link ART Centers, and other care and support centers for the NACO.

Health Information Systems in Botswana

I-TECH has worked with the Ministry of Health and Wellness (MOHW), Centers for Disease Control and Prevention (CDC), and other implementing partners to develop and implement robust national health information systems (HIS) that enable greater efficiency and accountability and strategic use of information. These HIS include: Continue reading »

National-Level Quality Improvement in Botswana

I-TECH Botswana provides technical assistance at the national-level to improve HIV care and treatment, TB/HIV, and HIV testing and counselling programs through continuous quality improvement activities. Continue reading »

Laboratory CQI in Botswana

I-TECH Botswana works to strengthen external quality assurances (EQA) for HIV-related testing by conducting regular on-site proficiency testing support visits, conducting competency assessments and carrying out CQI activities at 22 I-TECH supported labs (45% of the labs in the country). I-TECH Botswana also provides technical assistance and support to the Botswana National Quality Assurance Lab (BNQAL).

HIV Testing Services in Botswana

I-TECH Botswana conducts facility-based HIV testing at selected PEPFAR supported scale-up sites in seven PEPFAR districts. Testing is carried out by Health Care Assistants and includes expanded provider initiated testing, counseling, and partner notification. In addition, I-TECH Botswana conducts regular continuous quality improvement (CQI) visits at I-TECH-supported facilities and provides support for linkage to care. Continue reading »

Global Health Security Agenda in Kenya

I-TECH Kenya’s Global Health Security (GHSA) funded programs aim to advance the GHSA  through strengthening information systems and reporting.

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Innovative Training Models in Tanzania

I-TECH Tanzania has implemented many pre- and in-service training initiatives and materials, as well as adopted TrainSMART. Continue reading »