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We document and disseminate various results, trainings, and resources from our research, programs, and projects.


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Using Programmatic Data to Assess Pediatric Service Coverage and HIV Treatment Cascades in Western Region, Ghana

The USAID Strengthening the Care Continuum project, implemented by JSI Research & Training Institute, Inc., reviewed program data of pediatric patients on ART from January 2019 to December 2021. This included those tested for HIV, positivity rates, and linkage to treatment; ART facilities and those offering pediatric services; patients who received viral load results; and…


Implementing Safe and Ethical Index Testing Services: Adapting Provider Referral Contact Tracing Method to Suit Client and Provider Needs in the Western Region of Ghana

The USAID Strengthening the Care Continuum Project, implemented by JSI Research & Training Institute, Inc., trained health care providers from 43 facilities in the Western Region of Ghana to support clients to notify and contact their sexual partners and biological children under 19 years of age to test for HIV. Index testing, or tracing the…


A Qualitative Comparative Analysis of the Reasons for Interruption in Care of People Living with HIV in Ghana

This cross-sectional exploratory qualitative research study was conducted by the USAID Strengthening the Care Continuum (CareContinuum) project, implemented by JSI Research & Training Institute, Inc. The project looked at supported antiretroviral therapy sites in Ghana’s Western and Western North. From October to December 2020, 10 health care staff, 10 clients who had interrupted care, and…


The Positive Impact of Multi-Month Dispensing of ARVs of Client Treatment Continuity

Treatment continuity is essential to controlling the AIDS epidemic and spread of HIV. By using multi-month dispensing (MMD) of antiretrovirals (ARVs) at health facilities, barriers to care and treatment for both patients and providers can be reduced. Ghana adopted MMD in October 2019 and continued to scale it up, especially during the COVID-19 pandemic. The…


The Utility of the Continuous Quality Improvement Methodology in Identifying and Addressing Gaps in the HIV Care Continuum: the Case of the USAID Strengthening the Care Continuum Project

In low-prevalence and generalized epidemic contexts, strategically using health facility client entry points is an important policy-driven approach to optimize resources for effective HIV case identification. The USAID Strengthening the Care Continuum (Care Continuum) project, implemented by JSI Research & Training Institute, Inc. (JSI), used continuous quality improvement (CQI) methodology to test a change idea…


Increasing Uptake of Prep Through Community Distribution: The Case of a CSO in Western Region of Ghana

Pre-exposure prophylaxis (PrEP) is a very efficacious medicine for HIV prevention, but initial policy in Ghana required PrEP to be provided in health facilities, which led to low uptake. As a pioneering civil society organization in HIV service provision for key populations in Ghana, Maritime Life Precious Foundation (MLPF), a sub-grantee of the JSI Research…


Know your numbers: A catalyst to improve viral load coverage in the Western Region of Ghana

The USAID Strengthening the Care Continuum project, led by JSI Research & Training Institute, Inc., implemented enhanced demand-generation activities in the Western Region to increase viral load (VL) testing. These include the “Know Your Numbers” campaign, which developed VL awareness messages promoting Undetectable=Untransmittable (U=U). The project met with key stakeholders to discuss practical solutions to close…


Improved Access to Cervical Cancer Screening and Treatment for Women Living with HIV in Central Zambia

Cervical cancer is preventable and curable if detected early and managed effectively. In Zambia, it is the fourth-most common form of cancer among women ages 15-49 years. Women living with HIV (WLWH) are six times more likely than those who are HIV-negative to develop cervical cancer and should be targeted for screening and treatment (Dryden-Peterson…


International COVID-19 Programming at JSI

As a leading global provider of technical assistance and service delivery, JSI leverages existing health systems to address the ongoing COVID-19 pandemic. Ministries of health have engaged JSI to support the international COVID-19 pandemic response in over 28 countries. From preparedness planning to infection prevention and control, JSI staff have supported ministries of health worldwide…


Tailored HIV Self-Testing Approaches

HIV self-testing (HIVST) has transformed the HIV testing landscape, allowing a person to test a sample of their own blood or oral fluid and interpret the result at their convenience. HIVST doubles general population HIV testing uptake compared to standard HIV testing services (Jamil, M. 2021) and has increasingly expanded the reach of HIV testing, particularly…


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