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TIDE - Cameroon - Y4
Obj. 3: Retention and VL Sup #636: 3.3: Expand access to differentiated care pathways
Obj. 3: Retention and VL Sup #729: Implement quality assured family-centered model of care
Obj. 3: Retention and VL Sup #695: Sensitize and enrol patients into appropriate support group
Obj. 3: Retention and VL Sup #697: -Provision of transport fare to specific groups in need who can't afford to encourage continuous presence and participation during support group sessions
Obj. 3: Retention and VL Sup #698: Support ART Home dispensation by care provider for clients in facilities and CBO including VIP
Obj. 3: Retention and VL Sup #704: Identification of clients with specific needs who cant make it to facility for ART pickup
Obj. 3: Retention and VL Sup #705: Support transport fare for Home dispensation for clients in facilities and CBO by care provider, as need be
Obj. 3: Retention and VL Sup #699: Implement Community ART dispensation via dispensation points, CBO and ART Groups, private pharmacy
Obj. 3: Retention and VL Sup #706: Sensitization of stable clients on different mode of dispensation ( CBO, CAG, Dispensation points etc.)
Obj. 3: Retention and VL Sup #707: -Encourage stable clients enrollment into CBOs for continuous follow up and ensure the best of services are offered to them.
Obj. 3: Retention and VL Sup #708: -Identify clients in remote geographic setting and clients with financial constraints for enrolment into CAG and [dispensation points]
Obj. 3: Retention and VL Sup #709: Continue capacity building and monitoring of CBO on retention activies [Adherence counselling, therapeutic education etc]
Obj. 3: Retention and VL Sup #710: Continue capacity building and monitoring of CBO on retention activies [Adherence counselling, therapeutic education etc]
Obj. 3: Retention and VL Sup #712: Support retention activities in CBOs (37 in the Centre and 4 in the East), dispensation points and Support via transport reimbursement of community members coming for ART dispensation in as well as routine supervisory activities on package of services of
Obj. 3: Retention and VL Sup #711: Collaborate with FHI 360 in the implementation of the pilot phase of Descentralized drug distribution
Obj. 3: Retention and VL Sup #701: Introduce male-friendly clinic services, including sensitized staff and male-only clinics
Obj. 3: Retention and VL Sup #715: Create and follow up male clinics to scale up access to comprehensive HIV services for men in health facility
Obj. 3: Retention and VL Sup #713: Create male friendly spaces in Tier 1 and 2 sites
Obj. 3: Retention and VL Sup #714: Develop and distribute image charts and posters
Obj. 3: Retention and VL Sup #702: Expand the implementation of adolescent and youth friendly services
Obj. 3: Retention and VL Sup #716: Provide facilitation fees for adolesent champions during support groups for the younger children
Obj. 3: Retention and VL Sup #717: Provide transportation fare for children who attend support group meeting
Obj. 3: Retention and VL Sup #718: Adapt existing SOP on adolesent transition to site specific needs
Obj. 3: Retention and VL Sup #719: Ensure transition to adult care for adolescents through regular attendance in adult support groups with different care providers
Obj. 3: Retention and VL Sup #720: Plan and organize christmas parties for children/adolescents to bond adolescents with the care providers and their peers (adapted activities based on their needs are carrying out, in and out of the facility)
Obj. 3: Retention and VL Sup #721: Provide alarm clocks to children in hard to reach areas
Obj. 3: Retention and VL Sup #723: Support development of handwork skills of selected adolescents
Obj. 3: Retention and VL Sup #724: Develop app which provides information about self care for HIV infected, adolescents, sexual and reproductive health, important reminders etc
Obj. 3: Retention and VL Sup #725: Support creation of social media platforms (whatsapp group) for them to interact in groups and promote adherence and experience sharing as they encourage each other
Obj. 3: Retention and VL Sup #722: Organize picnics and holiday camps for children and adolescents to bond adolescents with the care providers and their peers (adapted activities based on their needs are carrying out, in and out of the facility)
Obj. 3: Retention and VL Sup #703: Implement and sustain MMD for adult and children
Obj. 3: Retention and VL Sup #726: Identify all eligible clients to MMD monthly
Obj. 3: Retention and VL Sup #727: Analyse available stock to determine number of clients who can benefit from MMD
Obj. 3: Retention and VL Sup #728: - Encourage and ensure MMD for stable clients is carried out in all supported facility during period of available stock - Identification of clients with absolute needs during period of stock out and prioritize for MMD
Obj. 3: Retention and VL Sup #730: Identify and group appointment for families with multiple members in HIV care  (Implement family model)
Obj. 3: Retention and VL Sup #696: Provide SOP for support group to all supported facilities
Obj. 1: Testing/identify PLHIV #260: Improve access to quality HIV prevention, Care and treatment services for people in prisons & Persons in closed settings
Obj. 1: Testing/identify PLHIV #261: Scale up collaboration with prisons for systems strengthening in order to reach underserved prisoners with quality HIV prevention, HTS, care and treatment services
Obj. 1: Testing/identify PLHIV #262: Train prison health staff on HTS service provision, use of tools, guidelines, SOPs, registers.
Obj. 1: Testing/identify PLHIV #263: Implement systematic testing of new inmates for HIV, routine targeted testing of existing ones and linkage of inmates tested positive to treatment.
Obj. 1: Testing/identify PLHIV #265: Scale up support in staffing needs (as needed) for supported prisons
Obj. 1: Testing/identify PLHIV #264: Carry out joint Quarterly Supportive supervision of HIV care and treatment activities in the prison– prison administrator, RTG & IP team
Obj. 1: Testing/identify PLHIV #266: Support prsions with minor repairs, renovation work and equipement/furniture supplies
Obj. 1: Testing/identify PLHIV #268: Conduct client education sessions to improve clients' literacy through Peer education and support group programs in prisons
Obj. 1: Testing/identify PLHIV #269: Recruit and train inmates LWHIV and successful on their treatment as expert clients to run support group activities in the Prison.
Obj. 1: Testing/identify PLHIV #270: Provide sensitisation materials for education sessions to enhamce awarenest and risk reduction behaviours in all the supported Prisons
Obj. 1: Testing/identify PLHIV #271: Improve access to quality HIV prevention, Care and treatment services for Walk-in KPs (MSM,FSW, TG and PWID)
Obj. 1: Testing/identify PLHIV #272: Implement the use of KP risk assessment and categorization tool
Obj. 1: Testing/identify PLHIV #277: Integrate KP risk assessment and categorisation tool in the APS screening register at facility entry points.
Obj. 1: Testing/identify PLHIV #278: Systematically conduct continuous risk assessment for the identification and classification of walk-in KPs at facility entry points (Using the PEPFAR KP classification document to be added in the screening tool)
Obj. 1: Testing/identify PLHIV #279: Expand risk assessment for the identification and classification of KP to ANC and post-natal services to reach out to PBFW who are FSW .
Obj. 1: Testing/identify PLHIV #280: Bi-monthly Mentoring and coaching sessions of the Key actors on KP risk assessment and categorization
Obj. 1: Testing/identify PLHIV #275: Identify key actors at key entry points in the facility and train them on the use of the KP risk assessment and cartegorization tool
Obj. 1: Testing/identify PLHIV #276: Print and distribute the risk assesment tool to key entry points at the facility
Obj. 1: Testing/identify PLHIV #273: Strengthen and scale up KP friendly services in all GU supported facilities to improve HIV prevention, care and treatment Uptake
Obj. 1: Testing/identify PLHIV #281: Conduct refresher training per cluster and continous mentoring sessions of the KP Focal points and all stakeholders in facilities for adequate knowledge on KP activities and KP Friendly services aiming to improve HIV prevention care and treatment uptake
Obj. 1: Testing/identify PLHIV #274: Ensure continuity of prevention, care and treament services for KPs at facility level
Obj. 1: Testing/identify PLHIV #282: Provide services tailored to KPs needs (being positive or negative) and give appoitments for next visits.
Obj. 1: Testing/identify PLHIV #283: Provide targeted facility- led outreach for Key populations (MSM, FSW, TG PWID) in Underserved communities
Obj. 1: Testing/identify PLHIV #284: Implement continuous Facility-led outreach community HIV prevention care and treatmenr services for KPs in collaboration with the district team.
Obj. 1: Testing/identify PLHIV #288: Conduct At least once a month targeted community HTS to underserved KP groups, hot spots, meeting/sex venues in areas not covered by KP community partners.
Obj. 1: Testing/identify PLHIV #289: Link KPs tested positive to treatment and enrol those tested negative on PrEP at the Facility
Obj. 1: Testing/identify PLHIV #290: Carry out Community strategies such as peer-to-peer referrals, and collaborate with third parties like medicine vendors in hotspots for tesing and referrals of harder-to-reach KPs in hotspots.
Obj. 1: Testing/identify PLHIV #291: Identify and work with MSM community leaders to propose HTS during MSM social events/gatherings (chill-ins, grins) in underserved areas not covered by community partners.
Obj. 1: Testing/identify PLHIV #292: Carry out, at least twice a month, community-based safe and ethical SNS for KPs identified and tested positive for HIV in the community (screening for IPV).
Obj. 1: Testing/identify PLHIV #293: Ensure continuity of prevention, care and treatment services for KPs ( being HIV positive or Negative)
Obj. 1: Testing/identify PLHIV #286: Identify and establish a list of underserved KP hotspots and sex venues
Obj. 1: Testing/identify PLHIV #287: Engage and train KP hotspot, Sex venue and peer educator leaders.
Obj. 1: Testing/identify PLHIV #285: Design a comprehensive prevention , care and treatment program for KPs in selected underserved health districts
Obj. 1: Testing/identify PLHIV #297: Organize Monthly health education sessions for the KPs(Education on HIV, testing, condom use, PrEP, PEP, GBV SRH,adherence counselling, risk reduction behaviours, Treatment and viral load)
Obj. 1: Testing/identify PLHIV #298: Establish a continuous facility led prevention care and treatment program for KPs in the identified underserved health districts
Obj. 1: Testing/identify PLHIV #299: Give a Monthly follow up appointments to KPs irrespective of their status
Obj. 1: Testing/identify PLHIV #300: Implement comprehensive linkage processes to ensure easy navigations for those who test positive and need to be linked to health facilities for confirmatory testing and follow-on care
Obj. 1: Testing/identify PLHIV #294: Identify and select 3 and 2 health districts in the Center and East regions respectively not covered by community Partners.
Obj. 1: Testing/identify PLHIV #295: Identify and train KP peer educators on prevetion interventions amongst KPs
Obj. 1: Testing/identify PLHIV #296: Engage different leaders/authorities and establish a program/timetable
Obj. 1: Testing/identify PLHIV #301: Increase to HTS and prevention services for Adult Men
Obj. 1: Testing/identify PLHIV #302: Train men champions in HTS and other prevention services in selected facilities
Obj. 1: Testing/identify PLHIV #315: Conduct focus-groups in the facility and in the community to identified men needs
Obj. 1: Testing/identify PLHIV #316: Plan and carry out monthly targeted testing in men workplaces (park, truck stop, garage, barbing saloon, carpentry workshop, 2-0 clubs, game houses and fishing area) in 39 districts (24 Center/15 East)
Obj. 1: Testing/identify PLHIV #318: Identify and conduct a training/sensitization/mentoring of 10 CHWs - expert male providers (7 Center/ 3 East) on the identification of the different corners for men, and adolescents for case finding in facilities and community and delivery of preventive
Obj. 1: Testing/identify PLHIV #314: Provide services tailored to Men's needs (being positive or negative) and give appoitments for next visits
Obj. 1: Testing/identify PLHIV #317: Identify and map out men's meeting venues (park, truck stop, garage, barbing saloon, carpentry workshop and fishing area)
Obj. 1: Testing/identify PLHIV #303: Implement multi package of wellness services during rapid case identification (RCI) activities (Prostate palpation, weight and BP check, TB screening, Malaria screening and testing, and fasting blood sugar)
Obj. 1: Testing/identify PLHIV #312: Provide Malaria test kits, Gloves, Strips for FBS, Albendazole for the multipackage service during RCI
Obj. 1: Testing/identify PLHIV #313: Provide transportation fare, perdiem for a two-days outreach with offer of a multi package (weight and BP check, HIV Testing, Malaria testing, prostate palpation and consultation, and fasting blood sugar) for wellness services during community rapid case
Obj. 1: Testing/identify PLHIV #304: Strengthen testing for men at the facilities through the various entry points including use of HIV self-testing
Obj. 1: Testing/identify PLHIV #310: Implementation of male friendly services, including fast-tracking, flexible testing schedule for males, adolescents and KPs at facilities and in community, including weekends. (Use mobilisers to invite 20 suspects (Men) on Organised men Friendly service
Obj. 1: Testing/identify PLHIV #311: Ensure testing of all male sexual contacts of all female HIV positive women, partners of positive MSM and clients of FSW in the 73 facilities
Obj. 1: Testing/identify PLHIV #309: Organize male friendly services such as male friendly corners, in 8 (5 Center, 3 East) health facilities, with sensitization and training of HCWs
Obj. 1: Testing/identify PLHIV #305: Implement couple testing as part of the prenuptial or pre-marital counseling in collaboration with selected churches
Obj. 1: Testing/identify PLHIV #308: Provide incentives to churches who are referring couples for HIV screening & testing in supported facilities
Obj. 1: Testing/identify PLHIV #306: Support testing of partners of pregnant and breastfeeding women using a motivational approach
Obj. 1: Testing/identify PLHIV #307: Provide motivational package for partners of pregnant and breastfeeding women who comes with their female partner in the supported facilities
Obj. 1: Testing/identify PLHIV #319: Promote consistent and correct use of condoms and lubricants in KPs and PPs
Obj. 1: Testing/identify PLHIV #320: Ensure increase knowledge and use of condoms and lubricants in the community
Obj. 1: Testing/identify PLHIV #325: Train the peer educators on correct condom and lubricants use
Obj. 1: Testing/identify PLHIV #326: Hold/organise health talks on correct condom and lubricants use
Obj. 1: Testing/identify PLHIV #327: Develop, print and dessiminate female,male condoms and lubricants demand creation and communicatio material(IEC, posters and flyers)
Obj. 1: Testing/identify PLHIV #328: Educate our general population on the importance of consistently and correctly condoms lubricants as needed
Obj. 1: Testing/identify PLHIV #321: Make condoms and lubricants available and accessible to clients at HF
Obj. 1: Testing/identify PLHIV #322: Place condoms and lubricants at testing entry points
Obj. 1: Testing/identify PLHIV #323: Develop, print and disseminate female, male condoms and lubricants demand creation and communication material (IEC,Posters) and paste at entry points
Obj. 1: Testing/identify PLHIV #324: Include correct use of condoms and lubricants in daily health talk at facilities
Obj. 1: Testing/identify PLHIV #329: Roll out prevention program to Key and Priority populations
Obj. 1: Testing/identify PLHIV #341: Effective and continuous communication for behaviour change
Obj. 1: Testing/identify PLHIV #343: Deploy KP/PP Peers leaders identified to conduct monthly community mobilizations, sensitize KPs/PPs on HIV prevention by providing structured prevention messages, and refer individuals to facilities for testing
Obj. 1: Testing/identify PLHIV #344: Identify KP/PP focal points at the facility for better follow up of the implementaion and documentation of prevention actvities both at the community and facility
Obj. 1: Testing/identify PLHIV #342: Develop flyers and posters with prevention messages for KP/PPs
Obj. 1: Testing/identify PLHIV #345: Using human-centered design (HCD), Organize quarterly working sessions with key and priority populations to explore integration of additional services such as PrEP, post-exposure prophylaxis (PEP), and sexual health and STI screening, as indicated for KP
Obj. 1: Testing/identify PLHIV #346: Address bariers(Stigma, discrimination, non adapted service hours, fear of police harassment or arrest, low quality health care services etc) to all clients seeking health care especially KPs
Obj. 1: Testing/identify PLHIV #347: Provide services that stigma and discrimination free(treat clients with equality and respect , discourage use of languages that are stigmatizing, maintain neutral body language, avoid cold and judgmental body language)
Obj. 1: Testing/identify PLHIV #348: Adddressing violence against KPs(reassure clients confidentiality and safety, fast track services to reduce waiting, provide adequate services to manage violence against KP.
Obj. 1: Testing/identify PLHIV #349: Provision of intergrated package of services that is of quality(appropriate commodities in terms of quality and quantity), RB,STI and Hepatitis services
Obj. 1: Testing/identify PLHIV #350: Provision of differentiated services to KPs (Fast tracking services to reduce waiting time, Extended hours, weekend, public holiday services, MMD for stable KPs and support group for KPs)
Obj. 1: Testing/identify PLHIV #351: Improve collaboration with stakeholders involved in HIV prevention actvities(NACC/RTG/GU)
Obj. 1: Testing/identify PLHIV #352: Take active part in the Prevention technical working group/ coordination meetings at national and regional levels
Obj. 1: Testing/identify PLHIV #330: Pre and post test counseling
Obj. 1: Testing/identify PLHIV #353: Implement quality pre and post test counseling in the 96 facilities
Obj. 1: Testing/identify PLHIV #354: Select trainees from 96 facilities ( Doctors, Nurses, APSs etc)
Obj. 1: Testing/identify PLHIV #355: Update training modules
Obj. 1: Testing/identify PLHIV #356: Training / retraining session for selected providers of the Center and East region on pre and post test counseling and motivational counseling techniques
Obj. 1: Testing/identify PLHIV #357: Offer in 96 facilities quality pre and post test counselling to all clients receiving HIV testing services
Obj. 1: Testing/identify PLHIV #358: Integrate U=U message in the pre and postteset counselling
Obj. 1: Testing/identify PLHIV #359: Mentor and coach providers of all 96 health facilities , conduct weekly role plays and experience sharing from the best performing counselors on monthly basis
Obj. 1: Testing/identify PLHIV #360: Systematically identify and re-engage known positives who came for retesting using guided questions and DAMA
Obj. 1: Testing/identify PLHIV #361: Production of audio visuals support (pre-recorded videos) on pre and posttest counselling for the use of APS , consultants and experts clients in all 96 facilities
Obj. 1: Testing/identify PLHIV #331: Scale up and optimize index case testing
Obj. 1: Testing/identify PLHIV #362: Establish networks of index testers and share contacts to test across regions
Obj. 1: Testing/identify PLHIV #363: Develop a functional network of index testers within East and Center regions and between both regions (whatapp, flotte…)
Obj. 1: Testing/identify PLHIV #364: Establish/update a list and contacts of all APS testers in the 96 facilities in both regions and share to all the APS testers.
Obj. 1: Testing/identify PLHIV #365: Support transport and airtime for testers to notify and follow up elicited partners at the community level with the aim to facilitate the options available for contact testing
Obj. 1: Testing/identify PLHIV #366: Implement peer ICT mentors to institutionalize ICT as the main testing modality
Obj. 1: Testing/identify PLHIV #367: Identify peer ICT mentors by cluster and post them to facilities (whithin the cluster) with identified challenges to mentor some mentees in ICT for a short period of time
Obj. 1: Testing/identify PLHIV #368: Mentor and coach index testers in all 96 facilities on offer, elicitation, notification, contact testing , linkage and documentation of voluntary ICT services
Obj. 1: Testing/identify PLHIV #369: Pair APS testers with low performance, with experienced doctors and nurses to improve confidence of clients.
Obj. 1: Testing/identify PLHIV #370: Implement safe and ethical ICT in all the 96 facilities while maintaining the minimum program requirement for ICT IPV screening in all supported facilities
Obj. 1: Testing/identify PLHIV #373: Coach and mentor HCWs in charge of index testing on IPV Screening for all the 96 supported facilities in view of offering minimum response package to those disclosing violence or fear of violence
Obj. 1: Testing/identify PLHIV #374: Screen all contacts listed for IPV and offer firstline response for victims of IPV
Obj. 1: Testing/identify PLHIV #375: Ensure the respect of the WHO 5Cs ( counseling, consent, confidentiality, correct results and connection to treatment)
Obj. 1: Testing/identify PLHIV #376: Monitor adverse events associated with ICT in all 96 facilities and share findings with all stakeholders ( PLHIV groups, CBOs etc) .
Obj. 1: Testing/identify PLHIV #371: Paste patient rights at approprait places in all 96 facilities
Obj. 1: Testing/identify PLHIV #372: Train / retrain HCWs in charge of index testing on IPV Screening and response, WHO 5Cs, and adverse events monitoring and response for all the 96 supported facilities in view of offering save and ethical ICT
Obj. 1: Testing/identify PLHIV #377: Proper documentation of ICT services
Obj. 1: Testing/identify PLHIV #378: Carry out detail documentation of ICT services from contact types right up to treatment initiation.
Obj. 1: Testing/identify PLHIV #535: Train the peer educators on correct condom and lubricants use
Obj. 1: Testing/identify PLHIV #540: Distribution of daily index testing targets to all APS and daily follow-up
Obj. 1: Testing/identify PLHIV #541: Offer index case testing in 96 facilities to 100% of newly identified PLHIV, index clients with unsuppressed viral load, LTFU returning to care, biological parents and siblings, injection drug users and old PLHIV.
Obj. 1: Testing/identify PLHIV #542: Lineliste the sexual, needle sharing, biological parents, and biological children less than 19 years old
Obj. 1: Testing/identify PLHIV #543: Conduct an Intimate Partner Violence (IPV) risk assesment for each named patner
Obj. 1: Testing/identify PLHIV #544: Determine the preferred notification method or child testing for each partner/child (client referal, provider notification contract and Dual notification. Propose all the notification options to the index clients and agree on the method that is suitable f
Obj. 1: Testing/identify PLHIV #545: Improve contacts elicitation using role play, elicitation job aid, pre-recorded videos, client socio-demography data, etc
Obj. 1: Testing/identify PLHIV #546: Notify elicitated contacts and biological children through the agreed method using the client centered approach.
Obj. 1: Testing/identify PLHIV #547: Offer differentiated HIV testing services to all contacts elicited in the facility and the community depending on the clients preference.
Obj. 1: Testing/identify PLHIV #548: Activelly link contacts with negative results to prevention services and the clients identified positive to treatment.
Obj. 1: Testing/identify PLHIV #549: Track and offer HTS to old backlog of linelisted contacts who were not tested (notified and not notified)
Obj. 1: Testing/identify PLHIV #550: Intensify mentoring on elicitation and notification in all 96 facilities using best APS and expert client (within the cluster) with good knowledge of contact elicitation and notification
Obj. 1: Testing/identify PLHIV #551: Elaborate and submit weekly and monthly community plans for testing of contacts (Linelist of all contacts elicited and notified to be tested in the community with their localization plan)
Obj. 1: Testing/identify PLHIV #552: Hold weekly and monthly data review meetings to assess completion of ICT cascades, from offer of ICT to eligible clients, elicitation of contacts, contact notification and testing.
Obj. 1: Testing/identify PLHIV #553: Integrate ICT (testing of contacts/biological children in all Facility Led Community activities
Obj. 1: Testing/identify PLHIV #554: Monitor the implementation of ICT activities planned in the facility and community
Obj. 1: Testing/identify PLHIV #538: Production of audio visuals support (pre-recorded videos) on practice of contact Elicitation and Notification for each category of clients, to be used for On-site refreshers on HIV Testing and counseling, GBV/IPV of APS , consultants and experts clients
Obj. 1: Testing/identify PLHIV #555: Mentor site staff as well as satellite sites and dispensation points to conduct ICT activities to increase probability to have new HIV positive cases especially sexual contacts of identified primary index cases
Obj. 1: Testing/identify PLHIV #539: Onsite refresher / role play sessions using the audio-visual to strengthen the capacities of APS and other identified staff of all entry points on a weekly basis in all 96 facilities
Obj. 1: Testing/identify PLHIV #332: Social Network Strategy (SNS)
Obj. 1: Testing/identify PLHIV #514: Select trainees from 96 facilities ( Doctors, Nurses, APSs KP focal persons, APS FP for community, HIV FP for the council, DA, majors and clinical mentors etc)
Obj. 1: Testing/identify PLHIV #515: Train / retrain providers ( KP focal persons, APS FP for community, HIV FP for the councils, DA, majors and clinical mentors of the 96 health facilities on social networking for all new selected sites) of the Center and East region on SNS
Obj. 1: Testing/identify PLHIV #516: Identify and engage KP peer leaders in SNS implementation to all facilities offering KP services in both regions
Obj. 1: Testing/identify PLHIV #517: Increase the number of health facilities involved in SNS (5 to 16) in the center, (4 to 8) in the East.
Obj. 1: Testing/identify PLHIV #518: Print and avail material needed ( coupons monthly reporting tools, SNS registers, SOPs, Job aids…)
Obj. 1: Testing/identify PLHIV #519: Identify and enlist potential recruiters
Obj. 1: Testing/identify PLHIV #520: Engage and orientate recruiters
Obj. 1: Testing/identify PLHIV #521: Reinforce the referral of network associates for HIV testing using coupons
Obj. 1: Testing/identify PLHIV #522: Identify and scale up the use of KP peer leader(s) in all supported site with a KP Tx_Curr for SNT
Obj. 1: Testing/identify PLHIV #523: Engage and incentivize 50 community KP peer educators/ mobilizers to access KPs social networks and referrals in the 47 health districts where are located supported facilities for testing
Obj. 1: Testing/identify PLHIV #524: Reinforce the referral of screened positive to the facility by KPs peer educators using vouchers for active linkage and referral booklet for documentation purpose
Obj. 1: Testing/identify PLHIV #525: Identify and scale up the use of KP peer leader(s) in all supported site with a KP Tx_Curr for SNT
Obj. 1: Testing/identify PLHIV #526: Engage and incentivize 50 community KP peer educators/ mobilizers to access KPs social networks and referrals in the 47 health districts where are located supported facilities for testing
Obj. 1: Testing/identify PLHIV #527: Reinforce the referral of screened positive to the facility by KPs peer educators using vouchers for active linkage and referral booklet for documentation purpose
Obj. 1: Testing/identify PLHIV #528: Refresher of KP focal persons on social networking for all sites with KP in their Tx) Curr and high number of GBV cases
Obj. 1: Testing/identify PLHIV #529: Identify, Train and mentor KP peer leaders and KP focal point of selected facilities on social network testing for KPs
Obj. 1: Testing/identify PLHIV #530: Implement SNT strategy via an incentivize-based approach using the KPs that are tested through facility efforts and those received at the facility through handshake modelto reach out to other KP
Obj. 1: Testing/identify PLHIV #531: Offer HIV serices to network associates in facility or community depending of client preferences
Obj. 1: Testing/identify PLHIV #532: Provide incentives to recruiters based on number of network associates referred and tested
Obj. 1: Testing/identify PLHIV #533: Activelly link contacts with negative results to prevention services and the clients identified positive to treatment.
Obj. 1: Testing/identify PLHIV #534: Properly document SNS services in appropriate tools
Obj. 1: Testing/identify PLHIV #333: 1.3: Optimize PITC by supporting effective utilization of the screening register
Obj. 1: Testing/identify PLHIV #379: Optimize patient flow in supported facilities to ensure all clients are offered HIV testing services
Obj. 1: Testing/identify PLHIV #385: Review Patient flow to optimize HTS services offered and avoid missed opportunities in all the 96 supported facilities
Obj. 1: Testing/identify PLHIV #386: Place APS testers in all the low yield entry points to optimize HTS services offered in all the supported facilities
Obj. 1: Testing/identify PLHIV #387: Make available HTS Screening register for adults and children at all entry points
Obj. 1: Testing/identify PLHIV #388: Ensure the use of pediatric and adolescent/adult screening register at all entry points in the 96 facilities for all clients accessing services in the facilities.
Obj. 1: Testing/identify PLHIV #389: Refresh, Mentor and coach providers in all 96 facilities on usage and proper documentation of the screening tool
Obj. 1: Testing/identify PLHIV #380: Implement the HTS screening tool register for high yield screening/testing
Obj. 1: Testing/identify PLHIV #390: Continuous facility- level data review, including the HTS yield and number needed to test to allow us to assess testing efficiencies and to identify facilities, entry points, or providers that require immediate technical support
Obj. 1: Testing/identify PLHIV #391: Identify a Focal point for HIV services in every unit /department and ensure screening, testing and linkage and/or Pair APS to consultants for follow up screening and testing activities
Obj. 1: Testing/identify PLHIV #392: Offer systematic HTS for patients with presumptive or confirmed TB and STIs, as well as for ANC, labor/delivery, postnatal clinics (PNC) clients, symptomatic clients and malnourished children
Obj. 1: Testing/identify PLHIV #393: Organize quarterly HTS process and outcome data review meetings to monitor performance, identify gaps, and develop improvement measures
Obj. 1: Testing/identify PLHIV #334: 1.4: Provide targeted facility-led community testing
Obj. 1: Testing/identify PLHIV #394: Map out zones in the communities not covered by USAID and CARE partners for HTS services in all 39 health districts (24 in Center and 15 in the East )
Obj. 1: Testing/identify PLHIV #416: Work with the district team, community actors (COSADI, COGEDI, Councils FP, opinion leaders…) to elaborate the cartography and community testing plan and share with all the actors involved
Obj. 1: Testing/identify PLHIV #417: Identify areas of high seropositivity using available HTS data from facility, district level and other sources of information
Obj. 1: Testing/identify PLHIV #418: Conduct community mobilization and sensatization in collaboration with the district, community leaders and CHWs
Obj. 1: Testing/identify PLHIV #419: Identify gold mines, forestry camps, refugee camps, pygmee camps, cheferie testing etc for targeted community testing
Obj. 1: Testing/identify PLHIV #415: Update the cartography of zones not covered by the community partners in all 39 health districts (24 Center/15 East)
Obj. 1: Testing/identify PLHIV #395: Conduct facility-led outreach HTS in identified zones/villages
Obj. 1: Testing/identify PLHIV #410: Provide targeted HTS in collaboration with the District team at zones and public places during off hours, public holidays and weekends, with effective linkage for ART initiation for HIV positives using APS testers, KP peers leaders and KP Focal Point.
Obj. 1: Testing/identify PLHIV #411: Conduct targeted testing at gold mines, forestry camps, refugee camps, pygmee camps , identified areas of high prevalence etc
Obj. 1: Testing/identify PLHIV #412: Optimize facility-led community testing by scaling up suspect case and one by two testing in pre-identified households by CHW, APS, TBA, Mother mentors, CBOs, and clients on ART in all the supported facilities
Obj. 1: Testing/identify PLHIV #413: Mentor and coach facility-led community outreach activities in areas of high prevalence and distant community with limited access to care in the 39 Districts
Obj. 1: Testing/identify PLHIV #414: Joint quarterly follow up with the District and RTG teams for planned focused outreach for HTS and other prevention activities
Obj. 1: Testing/identify PLHIV #396: Implement fully the suspect case strategy
Obj. 1: Testing/identify PLHIV #403: Select trainees from 96 facilities ( Doctors, Nurses, APSs etc)
Obj. 1: Testing/identify PLHIV #404: Train/retrain (APS retention and testers, CHWs, majors) on suspect case strategy to improved targeted testing
Obj. 1: Testing/identify PLHIV #405: Train/retrain (APS retention and testers, CHWs, majors) on suspect case strategy to improved targeted testing
Obj. 1: Testing/identify PLHIV #407: Ensure proper documentation of suspect cases on daily bases in the correct register
Obj. 1: Testing/identify PLHIV #408: Work,in collaboration with the CHWs and clients themselve to identify and refer suspect cases in their community for testing
Obj. 1: Testing/identify PLHIV #409: Ensure a weekly and monthly monitoring of suspect case activity
Obj. 1: Testing/identify PLHIV #406: Ensure all clients who came for refill are offered suspect case service, contacts are elicitated with their localisation plan documented
Obj. 1: Testing/identify PLHIV #397: Testing at satellite sites and stand alone laboratories
Obj. 1: Testing/identify PLHIV #398: Identify and update monthly the list of satellite sites and stand alone laboratories per mentor facilities under the coordination of the District chief of service ( with a service note). Respect criteria for satellite site selection.
Obj. 1: Testing/identify PLHIV #399: Mentor health care providers at the satellite sites on Pre and post test counseling, HIV screening(1st line), active referals and documentation.
Obj. 1: Testing/identify PLHIV #400: Provide HIV screening tools and first line HIV test kits ( Determine).
Obj. 1: Testing/identify PLHIV #401: conduct 1st line testing and active referral of clients screened positive
Obj. 1: Testing/identify PLHIV #402: Proper documentation of satellite sites activities and stand alone laboratories
Obj. 1: Testing/identify PLHIV #335: 1.5 Scale-up HIV Self testing
Obj. 1: Testing/identify PLHIV #420: Scale up HIV self testing
Obj. 1: Testing/identify PLHIV #421: Select trainees from 96 facilities ( Doctors, Nurses, APSs etc)
Obj. 1: Testing/identify PLHIV #422: Train/retrain care providers ( Doctors, nurses, APS, CHWs) on HIV self testing and demand creation
Obj. 1: Testing/identify PLHIV #423: Offer self testing to eligible clients both in the facility and community ( key pops and their partners, partners of PLHIV through ICT, Young women and men in vulnerable situation( above 18yrs), Partners of positive pregnant women ) using the directly ass
Obj. 1: Testing/identify PLHIV #424: Activelly follow up beneficiaries of self test kits for confirmatory diagnosis and treatment initiation for those with reactive results, using phone calls, SMS, home visits etc. & Offer prevention services for those with non reactive results.
Obj. 1: Testing/identify PLHIV #425: Mentor and conduct supportive supervision of care providers ( Doctors, nurses, APS, CHWs) on HIV self testing and demand creation
Obj. 1: Testing/identify PLHIV #426: Ensure proper documentation of self testing
Obj. 1: Testing/identify PLHIV #336: 1.6 Increase access to HTS services for men
Obj. 1: Testing/identify PLHIV #427: Implement workplace testing (park, truck stop, garage, barbing saloon, carpentry workshop and fishing area)
Obj. 1: Testing/identify PLHIV #433: Implement biweekly targeted mobile testing in men workplaces (park, truck stop, garage, barbing saloon, carpentry workshop and fishing area) in 39 districts (24 Center/15 East)
Obj. 1: Testing/identify PLHIV #432: Identify and plan workplace testing (park, truck stop, garage, barbing saloon, carpentry workshop and fishing area)
Obj. 1: Testing/identify PLHIV #434: Mentor and conduct supportive supervision of care providers on workplace HIV testing
Obj. 1: Testing/identify PLHIV #428: Implement multi package of wellness services during case identification activities (prostate palpation, weight and BP check, mental health screening, and fasting blood sugar)
Obj. 1: Testing/identify PLHIV #435: Develop monthly work plans for facility-led community activities in health districts identified following carthography of areas not covered by community partners USAID/CARE
Obj. 1: Testing/identify PLHIV #436: Provide multi package (weight and BP check, HIV Testing, Malaria testing, prostate palpation and consultation, and fasting blood sugar) for wellness services during community rapid case finding activity in center and east health district
Obj. 1: Testing/identify PLHIV #437: Provide HTS to men as partners of index clients of FSWs, sexual partners of female index clients, partners of MSM
Obj. 1: Testing/identify PLHIV #429: Mentor and re-train men champions in HTS
Obj. 1: Testing/identify PLHIV #439: Identify and conduct a training/sensitization/mentoring of 96CHWs - expert male providers (66Center/30East) on the identification of the different corners for men, and adolescents for case finding in facilities and community
Obj. 1: Testing/identify PLHIV #430: Support men champions to carry out men-focused outreach HTS in 6 pilot facilities (4 in Center and 2 in East)
Obj. 1: Testing/identify PLHIV #440: Identify list of male friendly coners within the district covered by the 6 (4 Center, 2 East) pilot health facilities
Obj. 1: Testing/identify PLHIV #441: Identify and train HCWs on main frendly cornres
Obj. 1: Testing/identify PLHIV #442: Sensitize the target community on HTS package
Obj. 1: Testing/identify PLHIV #443: Implementation of male friendly services, including flexible testing schedule for males, adolescents and KPs at facilities and in community, including weekends. (Use mobilisers and flyers ) to invite men to the clinic of selected pilot sites
Obj. 1: Testing/identify PLHIV #444: Proper documentation of the strategy
Obj. 1: Testing/identify PLHIV #431: Strengthen testing for men at the facilties through the various entry points
Obj. 1: Testing/identify PLHIV #445: Provide HTS to male as partners of the pregnant and breastfeeding women (provide soap as incentive, invitation letters ...)
Obj. 1: Testing/identify PLHIV #446: Ensure testing of all male sexual contacts of all female HIV positive women, partners of positive MSM and clients of FSW in the 96 facilitie
Obj. 1: Testing/identify PLHIV #448: Accelerate self testing for eligible men
Obj. 1: Testing/identify PLHIV #447: Implement male friendly services at facilities such as fast-tracking of men who come for HIV testing services, extended hours and weekend testing for men
Obj. 1: Testing/identify PLHIV #337: 1.7: Provide quality assurance for HTS services
Obj. 1: Testing/identify PLHIV #449: Support enrollment and participation of all HTS providers in proficiency testing
Obj. 1: Testing/identify PLHIV #451: Organize with facilities the rotation of APS testers and MOH facility lab technician in the program of proficiency testing of HTS provider according to the plan shared by the lab partner
Obj. 1: Testing/identify PLHIV #452: Provide targeted comprehensive mentorship and technical assistance to HTS providers with necessary standard operating procedures, protocols, and assess training needs of HTS providers
Obj. 1: Testing/identify PLHIV #453: Provide Quality Assurance register in all facilities for all the entry point of testing
Obj. 1: Testing/identify PLHIV #450: Re-train and mentor all HTS providers as necessary
Obj. 1: Testing/identify PLHIV #455: Create communities of practice (CoP) among HTS providers to enhance data sharing, interative peer learning, and collaborative working.
Obj. 1: Testing/identify PLHIV #454: Organize regular mentoring sessions of all HTS providers on HTS and HIV algorithm according to a movement plan and gaps identified
Obj. 1: Testing/identify PLHIV #338: 1.9: Provide prevention services to priority populations (AGYW / ABYM)
Obj. 1: Testing/identify PLHIV #456: Develop and package prevention messages for AG/BYW/M
Obj. 1: Testing/identify PLHIV #465: Develop and share age and sex appropriate flyers and posters with HIV prevention and Sexual and reproductive health messages for AG/BYW/M
Obj. 1: Testing/identify PLHIV #466: Develop age and sex appropriiate peer education pragrams with target populations(AGYW/ABYM)
Obj. 1: Testing/identify PLHIV #457: Reach out to AGYW and ABYM at facility and community levels with HIV prevention and risk avoidance services
Obj. 1: Testing/identify PLHIV #467: Target GBV suivivors seeking health care at facility entry points with prevention services (HTS testing, PEP, STI screening , psycosocial support and referral to other important services as need be)
Obj. 1: Testing/identify PLHIV #468: Target AGYW and ABYM , IDPs, teenage mothers seeking health care at facility entry points with prevention services focusing on sexual and reproductive health (SRH) education, condom use education and promotion, risk reduction education, HTS and counsell
Obj. 1: Testing/identify PLHIV #469: Map out AGYW and ABYM hotspots in your catchment areas, plan and carry out community outreaches with Prevention services targeting AGYW and ABYM: mobilsation, risk reduction education, screening and testing for HIV, condom and lubricant use promotion and
Obj. 1: Testing/identify PLHIV #470: Identify “AGYW and teenage mother champions” through peer education to mobilize their peers and link them to adolescent-friendly services to ease access to prevention materials, reproductive health care and HIV services.
Obj. 1: Testing/identify PLHIV #471: Implement extended working hours and weekend services in some selected facilities to adapt service delivery for AGYW and ABYM during and after school.
Obj. 1: Testing/identify PLHIV #472: Identify an adolescent focal person in each facility who will be responsible for recruting and running Facility-based Clinical Programs (for AGYW, ABYM and IDPs) for the promotion of youth friendly prevention and clinical services uptake and demand creat
Obj. 1: Testing/identify PLHIV #473: Implement a multisectorial approach by reaching out to other CSO and stakeholders working with AGYW (school drop outs, adolescent mothers' associations etc) to recrute AGYW for our facilituy-based program for AGYW.
Obj. 1: Testing/identify PLHIV #459: Improve PEP service demand in supported facilities.
Obj. 1: Testing/identify PLHIV #475: Develop, print and distribute PEP demand creation andcommunication tools to improve awareness and increase PEP service uptake
Obj. 1: Testing/identify PLHIV #460: Ensure correct follow -up and client safety on PEP
Obj. 1: Testing/identify PLHIV #476: Clinical monitoring and pharmaco-vigilance of PEPclients and follow up HIV tests untill 90 days after PEP initiation
Obj. 1: Testing/identify PLHIV #461: Develop and implement targeted social media messaging to create demand for HTS services in priority populations
Obj. 1: Testing/identify PLHIV #477: Deploy adolescent champions and male champions to conduct community mobilizations, sensitize people on HIV prevention by providing structured prevention messages, and refer individuals to facilities for testing
Obj. 1: Testing/identify PLHIV #478: Using human-centered design (HCD), Organize monthly working sessions with priority populations to explore integration of additional services such as PrEP, post-exposure prophylaxis (PEP), and sexual and reproductive health and STI screening, as indicated
Obj. 1: Testing/identify PLHIV #462: Optimize integrated community ICT and facility-based ICT
Obj. 1: Testing/identify PLHIV #480: Linelist of all contacts elicited and notified to be tested in the community with their localization plan
Obj. 1: Testing/identify PLHIV #481: Screen AGYW/ABYM and their contact for IPV and offer first line response/ refere for other services(Legal Psycosocial and economic suppor…)
Obj. 1: Testing/identify PLHIV #479: Develop monthly community plans for testing of contacts of HIV positive AGYW/ABYM
Obj. 1: Testing/identify PLHIV #463: Conduct facility-led outreach services for HTS and other prevention services targeting priority populations including distribution of condoms and lubricants
Obj. 1: Testing/identify PLHIV #482: Identify areas for priority population by all supported health facilities (village championship for adolescent boys and girls and young men and women, schools, various apprentiship areas)
Obj. 1: Testing/identify PLHIV #483: Engage Peer and community leaders in the mobilization and sensitization of AGYW/ABYM ON HIV prevention activities
Obj. 1: Testing/identify PLHIV #484: Plan and integrate outreach services (HTS and other preventive services) for PP in weekly/monthly community plan in all 73 facilities
Obj. 1: Testing/identify PLHIV #485: Integrate HIV testing services with a multi-disease package of services, offered by a multidisciplinary team, to populations in crisis, such as Central African Republic refugees in the East Region
Obj. 1: Testing/identify PLHIV #486: Facilitate, with the support of NACC, RTG and Community partners, the distribution of condoms and lubricants during outreach activities targeting PP with other preventive services
Obj. 1: Testing/identify PLHIV #487: Create Positive parenting programs to educate parents on simple and pratical startegies to help them build strong and healthy relationships with their children, so as manage their children;s behaviour and problems related their sexual health and ehance H
Obj. 1: Testing/identify PLHIV #488: Provide services tailored to AGYW/ABYM needs (being positive or negative) and give appoitments for next visits
Obj. 1: Testing/identify PLHIV #458: Build health care workers' capacities on the availability and use of PEP
Obj. 1: Testing/identify PLHIV #474: Train and sensitise healthcare workers on PEP avaialability and use following accidental exposure to blood/Body fluid.
Obj. 1: Testing/identify PLHIV #339: 1.10: Provide prevention services to KPs, including PrEP
Obj. 1: Testing/identify PLHIV #489: Identify and engage KP focal points in selected facilities on sensitization and networking techniques for HIV testing
Obj. 1: Testing/identify PLHIV #492: Identify and engage KP focal points in selected facilities on sensitization and networking techniques for HIV testing
Obj. 1: Testing/identify PLHIV #490: Implement PrEP in selected facilities
Obj. 1: Testing/identify PLHIV #494: Train APS Testers at facility entry points by cluster on KP risk assessment for the identification and classification of walk-in KPs at facility entry points and KP in the community.
Obj. 1: Testing/identify PLHIV #495: Train HCW of selected facilities(11) on PrEP implementation
Obj. 1: Testing/identify PLHIV #496: Provide regular mentorship of HCW of selected facilities on PrEP implementation
Obj. 1: Testing/identify PLHIV #497: Provide regular mentorship of HCW of selected facilities on PrEP implementation
Obj. 1: Testing/identify PLHIV #498: Engage KP peer leaders/peer navigators and expert KPs in the sensitisation on PrEP services for demande creation.
Obj. 1: Testing/identify PLHIV #499: Create a referral network for PrEP implementation such that the selected tier 1 and tier 2 PrEP facilities will serve as a hub for PrEP enrolment of eligible FSW and MSM tested negative in the spoke sites within the district.
Obj. 1: Testing/identify PLHIV #500: Linelist and retest all FSW and MSM who were previously tested negative for enrolment on PrEP.
Obj. 1: Testing/identify PLHIV #501: Print Standard Registers, Clients' Files, and sensitisation material like fyers, posters etc for PrEP implementation.
Obj. 1: Testing/identify PLHIV #502: Clinical monitoring and pharmaco-vigilance of PrEP clients at every visit( signs of acute HIV infection, side effects, creatinin clearance rate, hiv testing during each visit to ensure client is negative)
Obj. 1: Testing/identify PLHIV #491: Proximity communication to create awareness on PrEP services to improve uptake
Obj. 1: Testing/identify PLHIV #504: Deploy KP Peers leaders identified from the KP on ART and KP Focal point of facilities to conduct monthly community mobilizations, sensitize KPs on HIV prevention by providing structured prevention messages, and refer individuals to facilities for testing
Obj. 1: Testing/identify PLHIV #503: Develop, produce and distribute sensitization messages on PrEp services among target population to increase awareness and create demand
Obj. 1: Testing/identify PLHIV #340: 1.11: Scale up HIV self-testing in KPs
Obj. 1: Testing/identify PLHIV #505: Orient and mentor APS testers in HIV self-testing
Obj. 1: Testing/identify PLHIV #507: Mentor HTS providers in facilities and KP Peers leaders in the community on both assisted and self-administered HIV self-testing
Obj. 1: Testing/identify PLHIV #508: Train/retrain and mentor care providers ( Doctors, nurses, APS, CHWs) on HIV self testing and demand creation
Obj. 1: Testing/identify PLHIV #506: Implement HIV self-testing for KPs and their contacts as per guidelines
Obj. 1: Testing/identify PLHIV #509: Offer self testing to Key populations and their partners both at facility and community levels using the directly assisted and unassisted approaches for distribution
Obj. 1: Testing/identify PLHIV #510: Organize active follow up of beneficiaries of self test kits for confirmatory diagnosis and treatment initiation for those with reactive results, using phone calls, SMS, home visits etc. & Offer prevention services for those with non reactive results
Obj. 1: Testing/identify PLHIV #511: Ensure proper documentation of self testing
Obj. 1: Testing/identify PLHIV #512: Strengthen feedback and testing to confirm diagnoses among individuals with an initial reactive result
Obj. 1: Testing/identify PLHIV #513: Implement comprehensive linkage processes to ensure easy navigations for those who test positive and need to be linked to health facilities for confirmatory testing and follow-on care
Obj. 1: Testing/identify PLHIV #381: Continuous facility- level data review, including the HTS yield and number needed to test to allow us to assess testing efficiencies and to identify facilities, entry points, or providers that require immediate technical support
Obj. 1: Testing/identify PLHIV #382: Identify a Focal point for HIV services in every unit /department and ensure screening, testing and linkage and/or Pair APS to consultants for follow up screening and testing activities
Obj. 1: Testing/identify PLHIV #383: Offer systematic HTS for patients with presumptive or confirmed TB and STIs, as well as for ANC, labor/delivery, postnatal clinics (PNC) clients, symptomatic clients and malnourished children
Obj. 1: Testing/identify PLHIV #384: Organize quarterly HTS process and outcome data review meetings to monitor performance, identify gaps, and develop improvement measures
Obj. 1: Testing/identify PLHIV #438: Identify and conduct a training/sensitization/mentoring of 96CHWs - expert male providers (66Center/30East) on the identification of the different corners for men, and adolescents for case finding in facilities and community
Obj. 1: Testing/identify PLHIV #536: Hold/organise health talks on correct condom and lubricants use
Obj. 1: Testing/identify PLHIV #537: Train/retrain by site or Cluster APS per identified challenges on ICT using pre-recorded training materials as well as in person training where needed
Obj. 2: Link to treatment #560: 2.1: Build capacity of HTS providers/linkage agents and ensure linkage of all HIV positive clients within facilities and from communities
Obj. 2: Link to treatment #564: Implement active linkage of clients identified HIV positives at facility and community levels
Obj. 2: Link to treatment #572: Make available linkage tools ( linkage register , referal form as applicable,…)
Obj. 2: Link to treatment #573: Identify and post linkage agents in various entry point within the facility for active escort to HIV registration and treatment navigation
Obj. 2: Link to treatment #574: Refresh/Mentor(onsite training) all service providers in services/department other than UPEC on active linkage from each department to improve linkage within the facility and linkage from facility -led outreaches
Obj. 2: Link to treatment #575: Conduct, as per the needs, Refresher/training with the site leads and all stakeholders (experts clients, KP peer leaders, satellites sites, CBOs) in facilities for adequate knowledge on linkage processes and treatment
Obj. 2: Link to treatment #576: Physically accompany clients from all entry points to the treatment unit for counselling and ART initiation
Obj. 2: Link to treatment #577: Actively link clients tested reactive in the community to the facility for confirmatory testing and ART initiation
Obj. 2: Link to treatment #578: Collaborate with satellite sites and CBOs not offering HIV care and treatment to link new positive cases to project sites for ART initiation (support transport reimbursement and Airtime).
Obj. 2: Link to treatment #579: Linelist and track clients not immediatly linked, using tracking tools (through phone calls, home visits)
Obj. 2: Link to treatment #565: Implement handshake model with community partners to improve linkage
Obj. 2: Link to treatment #580: Train HCWs on the KP friendly service
Obj. 2: Link to treatment #581: Refresh onsite KP FP on the implementation of handshake model with KP partners to ensure continuity of care;
Obj. 2: Link to treatment #582: Carry out monthly data triangulation and validation with community partners, KP FPs of selected sites, CBO representatives and RTG.
Obj. 2: Link to treatment #583: Ensure Active linkage of positive KP clients by case workers of the CBO to the KP focal point at the supported facility (use referal and counter referal form)
Obj. 2: Link to treatment #584: Ensure appropriate Daily/weekly/monthly documentation of KPs referred by the community partner with emphasis on the KP codes/symbols for confidentiality
Obj. 2: Link to treatment #585: Implement counter referal for KP needing additional services at CBOs
Obj. 2: Link to treatment #586: Facilitate commmunication between facility and CBOs through use of whatapp group, signing of MOU…
Obj. 2: Link to treatment #587: Integrate KP activity in routine monitoring and the weekly, monthly and quarterly data validation meetings, with both parties (CBO and facility team) following approved SOP
Obj. 2: Link to treatment #588: Provide Regular joint technical assistance visits with all parties (KP community partner, RTG and TIDE program team) to ensure improved collaboration
Obj. 2: Link to treatment #589: Revise the KP client flow in all high volume KP facilities to fast track the handshake model.
Obj. 2: Link to treatment #590: Conduct weekly inter-facility triangulation of handshake model data to identify and notify community partner of double initiation of the same KP client.
Obj. 2: Link to treatment #591: Implement extended hours, public holidays and weekend services in some selected facilities (7 Centre and 3 East) to receive KP clients that are linked through the handshake model for initiation.
Obj. 2: Link to treatment #592: Conduct refresher training per cluster and continous mentoring sessions of the KP Focal points and all stakeholders in facilities for adequate knowledge on KP activities and KP Friendly services aiming to improve linkage and retention among KP in supporte
Obj. 2: Link to treatment #593: Proper documentation of handshake model using linkage register, coding, referal and counter referal slip
Obj. 2: Link to treatment #566: Support linkage of children identify HIV positive in the OVC program to the treatment center and referal of children to the community program for other social services based on the needs
Obj. 2: Link to treatment #594: Update cartography of OVC actors
Obj. 2: Link to treatment #595: Actively link OVC clients tested reactive by case workers of the CBO to the pediatric APS for confirmation and initiation at the supported facility
Obj. 2: Link to treatment #596: Implement referal of OVC clients needing additional services at CBOs
Obj. 2: Link to treatment #597: Conduct monitoring and evalution of linkage service of children using monthly triangulation/validation meetings with all actors
Obj. 2: Link to treatment #598: Provide Regular joint technical assistance visits with both parties (OVC community partner and TIDE program team) to ensure improved collaboration
Obj. 2: Link to treatment #599: Proper documentation using linkage register, referal slip
Obj. 2: Link to treatment #567: Establish KP friendly services in selected supported facilities to enhance linkage and retention of KP to treatment
Obj. 2: Link to treatment #600: Conduct mentoring sessions of the KP Focal points and all stakeholders in facilities for adequate knowledge on KP activities and KP Friendly services aiming to improve linkage and retention among KP in supported facilities
Obj. 2: Link to treatment #568: Ensure availability of all standard registers, SOPs, tools and documents at all ART Clinics for proper linkage
Obj. 2: Link to treatment #601: Provide supporting tools and logistics to enable linkage, including linkage registers, tracking logbooks for linkage, referral forms and information, education, and communication (IEC) materials on treatment support both at community and facility levels
Obj. 2: Link to treatment #569: Expand same day ART initiation through extended hours for linkage to ART
Obj. 2: Link to treatment #602: Capacitate APS on therapeutic education to initiate pre/post test counseling, prepare clients for immediate ART initiation, and provide information on stigma reduction and U=U (undetectable equals untransmittable) messaging
Obj. 2: Link to treatment #603: Provide extended hours service at the pharmacy/UPEC (transport reimbursement, airtime,) for ART initiation during clinics opening hours, night shifts, weekends and public holidays in collaboration with facility Pharmacists
Obj. 2: Link to treatment #570: Support linkage review meetings at facility level
Obj. 2: Link to treatment #604: Support facility performance meetings to review individual tester linkage-to-treatment data, among other indicators with the aim to build provider capacity to use data and subsequently inform performance reviews and quality improvement processes
Obj. 2: Link to treatment #571: Review and optimize patient’s flow in supported facilities to facilitate linkage
Obj. 2: Link to treatment #605: Work with heads of units other than UPEC to identify linkage gaps and improve patient flow
Obj. 2: Link to treatment #561: 2.2: Implement differentiated ART initiation through ARV starter packs
Obj. 2: Link to treatment #606: Support availability of immediate ART, offered as a starter pack upon testing
Obj. 2: Link to treatment #609: Assess all the facilities and Identify those able to Implement ARV starter pack model
Obj. 2: Link to treatment #610: Extend implementation of ARV starter packs through the general pharmacy and/or in clinician consultation rooms when ART pharmacies have closed to allow ART initiation for patients identified outside pharmacy hours
Obj. 2: Link to treatment #611: Daily triangulation of linkage records of cases initiated during extended hours or in entry points other than the UPEC
Obj. 2: Link to treatment #607: Integrated HIV testing and treatment services with other services such as STD, TB
Obj. 2: Link to treatment #612: Avail ARV in TB units , maternity/labour room, and emergency unit for immediate ART initiation by trained service providers
Obj. 2: Link to treatment #608: Optimize linkage among men using male friendly clinics and extended hours for linkage
Obj. 2: Link to treatment #613: Identify peer mentors to be train in selected pilot sites
Obj. 2: Link to treatment #614: Train men peer mentors to reinforce linkage of male clients in selected facilities, provide peer gender support for men, set up focused group discussions for men
Obj. 2: Link to treatment #615: Reinforce the counseling of male clients to optimize Partner disclosure of HIV status
Obj. 2: Link to treatment #616: Provide flexible services for men (reducing waiting time for men, fast tracking men services etc)
Obj. 2: Link to treatment #617: Redesign clinic to be more welcoming to men including male only places/corners, waiting areas, specific male only hours and more male images in clinic (posters)
Obj. 2: Link to treatment #618: Enhance confidentiality and privacy at facilities
Obj. 2: Link to treatment #562: 2.3: Deploy expert clients in new cohorts
Obj. 2: Link to treatment #619: Select, orient and mentor expert clients in counseling techniques and linkage to ART
Obj. 2: Link to treatment #620: Organize Cluster refreshers and audio visual support for selected expert clients in post test counseling activities (50 EC in the Center / 30 EC in the East)
Obj. 2: Link to treatment #621: Mentor the selected expert clients in post test counseling activities engage them in the tracking of missed initiation
Obj. 2: Link to treatment #622: Implement the pairing of expert clients with new clients to enhance posttest counseling, treatment preparation, and early treatment support in all facilities
Obj. 2: Link to treatment #623: Support the engagement of the selected expert clients through facilitation fees of support groups, airtime and transportation fare for daily duties in facilities and in the communities
Obj. 2: Link to treatment #563: 2.4: Support linkage data review
Obj. 2: Link to treatment #624: Supporting periodic linkage data review meetings
Obj. 2: Link to treatment #625: Supporting periodic linkage data review meetings in all the 96 facilities
Obj. 3: Retention and VL Sup #634: 3.1: Optimize ART regimen for all clients
Obj. 3: Retention and VL Sup #642: Optimize TLD uptake during linkage on ART
Obj. 3: Retention and VL Sup #645: Cluster mentoring on TLD optimisation for service providers
Obj. 3: Retention and VL Sup #646: Train and mentor new facility staff on optimized TLD management
Obj. 3: Retention and VL Sup #648: Bring out and discuss data on TLD transition for review during monthly coordination meeting at site level with facility team
Obj. 3: Retention and VL Sup #644: Collaborate with RTG to Print and distribute updated ART Guidelines to all supported facilities
Obj. 3: Retention and VL Sup #647: Print and distribute the document for pharmacovigillance and brief staff on the implementation.
Obj. 3: Retention and VL Sup #643: Ensure completion of treatment optimization in old eligible clients on ART
Obj. 3: Retention and VL Sup #649: Line listing of patients on treatment and review their protocols to identify patients not on optimised protocol
Obj. 3: Retention and VL Sup #635: 3.2: Optimize CCM model in all supported sites
Obj. 3: Retention and VL Sup #650: Harmonise APS workload to improve case management
Obj. 3: Retention and VL Sup #651: Redistribute and update APS cohorts to ensure retention APSs have similar proportion of unstable clients to manage in their respective cohorts of clients on ART in all supported sites
Obj. 3: Retention and VL Sup #652: Identify sites with needs of additional retention APSs to facilitate redistribution and recruitement
Obj. 3: Retention and VL Sup #655: Implement CCM model to improve case management in all supported facilities
Obj. 3: Retention and VL Sup #666: Mentor retention APSs on proper documentation and systematic update of the CCM Register, tracking register and the use of the information by case managers in all 96 supported sites.
Obj. 3: Retention and VL Sup #669: Mentor APS, daily, on effective follow up of newly initiated clients to enhance 12-month retention and retention of newly initiated patients , particularly among AGYW, KP, and young men
Obj. 3: Retention and VL Sup #670: Integrate weekly mentoring of APS retention using cohort and facility level performance data, in addition to CQI principles and data use for improvement
Obj. 3: Retention and VL Sup #671: Weekly and monthly monitoring of the number of unstable clients received and offered services in each APS cohort to improve quality of care
Obj. 3: Retention and VL Sup #672: Redistribution and update of cohorts to APS retention to ensure they have successive cohorts of 200-250 clients on ART in all supported sites
Obj. 3: Retention and VL Sup #673: Motivate best perforrning APS through exchange visits to encourage sharing of best practices
Obj. 3: Retention and VL Sup #674: Implement site mentorship on retention activities and encourage sharing of best practices across all supported facilities within and between the cluster(s)
Obj. 3: Retention and VL Sup #668: Identify quarterly the sites with poor patient flow and redefine it according to the gap.
Obj. 3: Retention and VL Sup #675: Joint quarterly supervision session with RTG team to reinforce and harmonize the implementation of CCM model, using cohort and facility level performance data, in addition to CQI principles and data use for improvement
Obj. 3: Retention and VL Sup #667: Training of all 33 new sites on the use of standardize registers to facilitate follow up of clients on treatment and refreshers on 73 old facilities together with dispensation points existing in both regions
Obj. 3: Retention and VL Sup #656: Actively track all patients who missed appointments or are LTFU using the patient tracking tool
Obj. 3: Retention and VL Sup #676: Implement, reinforce and scale up group calls for tracking of defaulters and LTFU clients in all supported sites and organize role play session on calling technique amongst APS
Obj. 3: Retention and VL Sup #677: Mentoring of retention APSs daily on strategies for patient tracking using the tracking tool and daily return to care sheet
Obj. 3: Retention and VL Sup #678: Support transport reimbursement for needy clients for ART refill, monthly
Obj. 3: Retention and VL Sup #679: Support communication credit and transportation fare for APS for home visit/dispensation as a means of patient tracking both at facility, dispensation points and CBO level
Obj. 3: Retention and VL Sup #680: Systematic enrollment of clients who became IIT and brought back to care on EAC .
Obj. 3: Retention and VL Sup #681: Support retention committee meeting involving CBOs in all sites and using CQI approach in resolving gaps identified. (transport reimbursement and snacks during meetings).
Obj. 3: Retention and VL Sup #682: Scale up and optimize pill count strategy in all supported facilities and CBO
Obj. 3: Retention and VL Sup #683: Identification and triangulation of information of LTFU and newly initiated clients between facilities and border communities existing between facilities to identify and eliminate situations of double counting
Obj. 3: Retention and VL Sup #684: Develop and distribute to sites consistent affirmative welcome back messaging that avoids the negative consequences of interruption of care and provides positive reinforcement for re-engagement (develop and print flyers on U=U messaging with males pictur
Obj. 3: Retention and VL Sup #657: Expand case management, including use of expert clients and peer mentors for men, adolescents, pregnant and breastfeeding women
Obj. 3: Retention and VL Sup #685: Identify and Reengage expert clients in facilities in need for linkage, reinforce adherence in ART and active tracking of defaulters and LTFU clients.
Obj. 3: Retention and VL Sup #687: Provide motivation package to expert clients (Transportation and Airtime)
Obj. 3: Retention and VL Sup #686: Conduct refresher training of expert clients on generalities of HIV, linkage, adherence counselling and best practices in the active tracking of defaulters and LTFU clients and mentor service providers on their use
Obj. 3: Retention and VL Sup #658: Implement facility peer mentoring on case management
Obj. 3: Retention and VL Sup #688: Implement, in selected facilities, site mentorship on case management activities and encourage sharing of best practices across all supported facilities and between APS in a facility
Obj. 3: Retention and VL Sup #689: Pairing of retention APS for peer mentoring
Obj. 3: Retention and VL Sup #659: Support program monitoring of individual APS with their cohorts
Obj. 3: Retention and VL Sup #690: Support weekly retention meetings in all supported facilities using CQI approach and data visualized by cohort
Obj. 3: Retention and VL Sup #691: Support weekly retention meetings in all supported facilities using CQI approach and data visualized by cohort
Obj. 3: Retention and VL Sup #693: Implement weekly monitoring of APS performance to identify gaps and provide tailored support
Obj. 3: Retention and VL Sup #692: Joint quarterly evaluation sessions of CBO activities with RTG team
Obj. 3: Retention and VL Sup #694: Support quarterly evaluation meetings of CBO activities
Obj. 3: Retention and VL Sup #654: Provide all facilities with all tools to support to retention in care, including forms, registers, SOPs etc.
Obj. 3: Retention and VL Sup #664: Review and print all SOPs, forms and registers that are pertinent to retention in care and CBO (44) (disclosure counseling inclusive) - APS daily diaries, tracking tool, CCM register, ART register, home visit forms, stickers for categorization and patient
Obj. 3: Retention and VL Sup #665: Do quarterly inventory of stock at warehouse and facilities for all retention tools in all facilities
Obj. 3: Retention and VL Sup #653: Targeted cluster training and mentoring of APS on case management
Obj. 3: Retention and VL Sup #660: Conduct cluster trainings and mentoring of APS on management of unstable and stable clients
Obj. 3: Retention and VL Sup #661: Conduct cluster trainings and mentoring of APS on therapeutic education and the use of image boxes
Obj. 3: Retention and VL Sup #662: Conduct cluster trainings and mentoring of staff at satellite sites (DIC) on clients follow up using the CCM model and therapeutic education
Obj. 3: Retention and VL Sup #637: 3.4: Support community-led monitoring (CLM)
Obj. 3: Retention and VL Sup #731: Collaborate with patients’ groups and sub-groups and civil society organizations for improvement of client outcomes (KP groups, elderly clients as well as Children and adolescents)
Obj. 3: Retention and VL Sup #733: Collaborate with patients’ groups and sub-groups and civil society organizations for improvement of client outcomes (KP groups, elderly clients as well as Children and adolescents)
Obj. 3: Retention and VL Sup #732: Support indicators review co-developed with communities to monitor improvements in service provision
Obj. 3: Retention and VL Sup #743: Collaborate with community partners to customize and use indicators to monitor quality of HIV services
Obj. 3: Retention and VL Sup #638: 3.5: Carry out patients’ literacy exercise for all patients in supported facilities
Obj. 3: Retention and VL Sup #744: Train and mentor care providers and community dispensers on therapeutic education, as needed
Obj. 3: Retention and VL Sup #746: Conduct cluster trainings and mentoring of care providers and community dispensers in CBO on therapeutic education, as needed
Obj. 3: Retention and VL Sup #747: Conduct Monthly KP support groups in selected high volume KP facilities (10 in the Centre and 4 in the East).
Obj. 3: Retention and VL Sup #745: Conduct patient education to improve literacy through morning health education talks and support group by cohort for clients on ART in facilities using HCW and expert clients
Obj. 3: Retention and VL Sup #748: Support implementation of morning health education talks and support groups by sub population and patient needs of patients on various topics concerning their health and their wellness to improve their self-management
Obj. 3: Retention and VL Sup #750: Reinforce the use of suggestion boxes at every contact to the facility to identify and address clients' particular barriers and challenges.
Obj. 3: Retention and VL Sup #751: organize montly questioning and answering sessions on HIV management with clients during morning health education talks and reward or compensate clients who give right responses
Obj. 3: Retention and VL Sup #752: Develop and Provide video messages, role plays and image boxes on U=U and materials for education sessions according to CDC branding policies to reinforce patient engagement for all the supported facilities
Obj. 3: Retention and VL Sup #749: Organize literacy campaign during World AIDS week celebration through knowledge assessment using short questionnaires and education on HIV/AIDS in all supported sites. Create awareness for visitors coming to the health facility in Tier 1 sites . Collabor
Obj. 3: Retention and VL Sup #639: 3.6: Scale up VL access to all patients on ART
Obj. 3: Retention and VL Sup #754: Enhance U=U messaging especially, during ART initiation, to generate demand for VL
Obj. 3: Retention and VL Sup #764: Organize role-play between expert retention APSs (with cohorts having good viral suppression) and other APS on adherence counselling sessions, adherence evaluation.
Obj. 3: Retention and VL Sup #765: Organize monthly mentoring and supportive supervision to satelitte sites use as dispension points on U=U messages during ART dispensation
Obj. 3: Retention and VL Sup #766: Share the produced spot videos in local languages on U=U messaging to pass through social media and Treatment Unit for a literacy campaign for all sub-groups populations using different channels
Obj. 3: Retention and VL Sup #769: Support systematic reminders calls for clients eligible to VL testing with a clinical appointment or on MMD, both at facility and CBO level
Obj. 3: Retention and VL Sup #763: Organize afternoon mentoring session with APS and clinicians once a month per facility with 5 staffs to ensure provision of patient education during treatment preparation for newly identified clients during morning education talks or individual discussion
Obj. 3: Retention and VL Sup #770: Print U=U messaging for all facilities and CBO to support health education talks following CDC branding policies
Obj. 3: Retention and VL Sup #767: Organize and carry out joint quaterly supervision by facility staff, RTG and clinical partner to evaluate quality of services offered in facilities
Obj. 3: Retention and VL Sup #768: Organise a CBO/Facility quarterly regional coordination meeting in Yaounde with 37 participants in Center region and 7 in East region
Obj. 3: Retention and VL Sup #755: Mentor VL champions in supported facilities
Obj. 3: Retention and VL Sup #772: Transport support to VL champion to attend viremia clinic at the all facilities
Obj. 3: Retention and VL Sup #771: Identify and train VL champions in all the sites to support the care providers during the viremia clinics in generating demand for VL and display U=U messaging
Obj. 3: Retention and VL Sup #756: Strengthen the collaboration with CBO for VL collection in the facility or the community
Obj. 3: Retention and VL Sup #773: Promote referral of clients from the community to the supported facilities for VL collection
Obj. 3: Retention and VL Sup #774: Share the information of eligible clients for viral load with CBOs regularly for their follow-up with the clients
Obj. 3: Retention and VL Sup #775: Identify and train CBO staffs on viral load collection and biosecurity
Obj. 3: Retention and VL Sup #757: Scale up VL testing for children, adolescents, and pregnant and breastfeeding women with HIV through subpopulations monitoring and using care providers, peers and OVC partner
Obj. 3: Retention and VL Sup #758: Support provision of laboratory materials and transport documentation
Obj. 3: Retention and VL Sup #759: Strengthen lab clinic interface
Obj. 3: Retention and VL Sup #760: Ensure proper documentation of VL activities at all level and performance monitoring
Obj. 3: Retention and VL Sup #753: Train and mentor providers on routine VL monitoring, management of patients with detectable VL, enhanced adherence counselling, identification and management of therapeutic failure, and adequate patient and information flow for adequate second line switch
Obj. 3: Retention and VL Sup #761: Organize onsite mentoring of care providers (Doctor, Major and APS) in monitoring and management of patients with low and high viral load, depending on needs
Obj. 3: Retention and VL Sup #762: Train at the regional level care providers ( doctor, Major, APS) in monitoring and management of patients with low and high viral load, depending on needs
Obj. 3: Retention and VL Sup #640: 3.7: Line-list and track all patients eligible for VL testing and systematically request VL tests
Obj. 3: Retention and VL Sup #641: 3.9: Support advanced HIV disease and co-morbidities management
Obj. 3: Retention and VL Sup #700: Implement Community ART dispensation via dispensation points, CBO and ART Groups, private pharmacy
Obj. 3: Retention and VL Sup #734: Train and mentor care providers and community dispensers on therapeutic education, as needed
Obj. 3: Retention and VL Sup #736: Conduct cluster trainings and mentoring of care providers and community dispensers in CBO on therapeutic education, as needed
Obj. 3: Retention and VL Sup #737: Conduct Monthly KP support groups in selected high volume KP facilities (10 in the Centre and 4 in the East).
Obj. 3: Retention and VL Sup #735: Conduct patient education to improve literacy through morning health education talks and support group by cohort for clients on ART in facilities using HCW and expert clients
Obj. 3: Retention and VL Sup #738: Support implementation of morning health education talks and support groups by sub population and patient needs of patients on various topics concerning their health and their wellness to improve their self-management
Obj. 3: Retention and VL Sup #740: Reinforce the use of suggestion boxes at every contact to the facility to identify and address clients' particular barriers and challenges.
Obj. 3: Retention and VL Sup #741: organize montly questioning and answering sessions on HIV management with clients during morning health education talks and reward or compensate clients who give right responses
Obj. 3: Retention and VL Sup #742: Develop and Provide video messages, role plays and image boxes on U=U and materials for education sessions according to CDC branding policies to reinforce patient engagement for all the supported facilities

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Estimated time

% Done
 
2024-8
2024-9
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2024-12
2025-1
 
32
33
34
35
36
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40
41
42
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48
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50
51
52
1
2
3
4
5
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