tailieunhanh - báo cáo hóa học:" From project aid to sustainable HIV services: a case study from Zambia"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : From project aid to sustainable HIV services: a case study from Zambia | Torpey et al. Journal of the International AIDS Society 2010 13 19 http content 13 1 19 JOURNALOF THE INTERNATIONAL AIDS SOCIETY CASE STUDY Open Access From project aid to sustainable HIV services a case study from Zambia Kwasi Torpey 1 Lona Mwenda1 Catherine Thompson1 Edgar Wamuwi2 and Wim van Damme3 Abstract Introduction Sustainable service delivery is a major challenge in the HIV response that is often not adequately addressed in project implementation. Sustainable strategies must be built into project design and implementation to enable HIV efforts to continue long after donor-supported projects are completed. Case description This paper presents the experiences in operational sustainability of Family Health International s Zambia Prevention Care and Treatment Partnership in Zambia which is supported by the US President s Emergency Plan for AIDS Relief through United States Agency for International Development October 2004 to September 2009 . The partnership worked with Zambia s Ministry of Health to scale up HIV clinical services in five of the country s nine provinces reaching 35 districts and 219 facilities. It provided technical and financial support from within the ministry s systems and structures. By completion of the project 10 of the 35 districts had graduated beyond receiving ongoing technical support. Discussion and evaluation By working within the ministry s policies structures and systems the partnership was able to increase the ministry s capacity to add a comprehensive HIV service delivery component to its health services. Ministry structures were improved through renovations of health facilities training of healthcare workers procurement of essential equipment and establishment of a quality assurance plan to ensure continued quality of care. The quality assurance tools were implemented by both the ministry and project staff as the foundation for technical graduation. Facilities that met all the quality criteria for more than .