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HIV, TB, & Other Infectious Diseases

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Strengthening HIV, TB, & Other Infectious Diseases Services

HIV, TB, malaria, Ebola, and other infectious diseases can pose a heavy burden on families and communities. We believe that the most sustainable solutions to challenges associated with infectious diseases are locally owned and led.

We provide technical expertise to strengthen and expand local programs as they implement services to eliminate health care disparities and reduce new outbreaks. We also provide organizational strengthening, equipping our partners with the resources, skills, and systems to manage chronic disease and prevent outbreaks. 

Our services include partnering with ministries of health to:

  • Strengthen monitoring for HIV, TB, and other infectious diseases
  • Expand services based on emerging evidence
  • Develop efficient supply chains
  • Integrate services for multiple diseases 
  • Improve disease-surveillance systems

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HIV, TB, and Other Infectious Diseases

HIV
For more than 30 years, we have been a leader in the global HIV response, demonstrating sustained and measurable impacts in countries around the world.
We are committed to scaling local evidence-based solutions and building context-specific services. We encourage active participation of project beneficiaries, including people living with and affected by HIV, to ensure that programs are relevant.
We strive to reduce the HIV risk of key and priority populations by building prevention, care, and treatment responses, including the roll-out of innovations such as:
  • Pre-exposure prophylaxis (PrEP)
  • Index testing
  • HIV self-testing
  • Recency testing
  • Voluntary male medical circumcision
  • Enhanced initiation counseling for improved retention 
We collaborate with local partners,  designing interventions that optimize access for people who are on the fringes of the global HIV response. These interventions use a variety of approaches using peers and outreach workers:
  • community outreach  
  • home-based services 
  • workplace programs
  • mobile outreach
Using these varied channels, our teams conduct testing, implement differentiated treatment distribution models, link clients to care, and support retention to achieve viral suppression. We focus on vulnerable populations, such as intimate partners and clients of sex workers, adolescent girls and young women (AGYW), and migrant/mobile workers such as truck drivers, police, and military members.
We recognize that adolescents living with HIV (ALHIV) have special needs—psychosocial; developmental; related to sexuality and alcohol and drug use; relationships with parents and other family members; etc.—that must be addressed to enhance their overall treatment outcomes, especially adherence.
We build capacity of health providers, caregivers, and adolescents to manage the transition from pediatric care and treatment of HIV to adult care. We have also provided guidance to program implementers and policymakers who work with ALHIV.
All our projects are grounded in the concept of health as a human right, with the intention of reducing discrimination and stigma to provide health services for all.
Tuberculosis
We have worked to strengthen tuberculosis service delivery and management systems in high-prevalence settings around the world. Our TB work takes place at all levels—strengthening local government responses, building on existing networks, and expanding the role of communities in planning, implementation, and monitoring efforts.
To enhance TB prevention as well as diagnosis and treatment to completion among people who are infected, we focus on:
  • Social and behavior change communication (SBCC)
  • Improving case detection 
  • Strengthening case tracking using data on treatment compliance, cure rates, and other key information 
  • Improving the availability of life-saving medicines
Our comprehensive approach to TB data stems from our experience working at all levels of the health information system. We strengthen data systems for TB, including developing standards on monitoring and evaluation to assessments on the quality of services; and improving use of existing TB data and expanding its dissemination.  We strive to improve program quality by refurbishing lab infrastructure, developing human resources, and ensuring the availability of medicines that are essential for effective treatment.
Malaria
Through numerous partnerships and projects, we have had an essential role in global efforts to wipe out malaria. Our malaria prevention and treatment activities in more than 25 countries in collaboration with host country governments have helped cut sub-Saharan Africa’s malaria mortality rate by 54% since 2000.
We support and strengthen malaria programs through technical leadership and technical assistance by:
  • Expanding access to malaria services at the community level.
  • Improving malaria diagnosis and case management at all levels of the health system.
  • Strengthening supply chains for malaria products and systems for health care waste management.
  • Supporting surveillance, monitoring, evaluation, and strategic information.
Other Tropical Diseases
Epidemic diseases like Ebola, pulmonary plague, and cholera can decimate health systems and communities.
Our in-country teams have worked at national, regional, district, and community levels to provide extensive support to epidemic response efforts by:
  • Improving surveillance systems
  • Revitalizing health facilities through improvements in infrastructure
  • Building the capacity of health workers with clinical management skills
In short, we help with the immediate response and long-term recovery, from strengthening health systems to improving services for survivors.

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