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International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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Extending beyond Policy: Reaching UNAIDS' Three "90"s in Malawi.

Zengani Chirwa1, Florence Kayambo1, Lolade Oseni1

  • 1Jhpiego Malawi, Lilongwe, Malawi.

Frontiers in Public Health
|March 31, 2018
PubMed
Summary

Malawi is increasing HIV testing and care retention through innovative programs. Lay testers and HIV-positive peers are key to reaching UNAIDS 90-90-90 targets in the generalized HIV epidemic.

Keywords:
HIV preventionHIV testingMalawipolicy innovationreaching the three “90”ssub-Saharan Africaviral load testing

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Policy

Background:

  • Malawi faces a generalized HIV epidemic, aiming for UNAIDS 90-90-90 targets.
  • Progressive HIV/AIDS policies exist, but innovative service delivery is needed to fill policy gaps.

Purpose of the Study:

  • To describe innovative program approaches for HIV service delivery in Malawi.
  • To analyze the policy framework surrounding these innovations.

Main Methods:

  • Description of a program utilizing layperson testers and HIV-positive peers.
  • Analysis of program impact on HIV testing, viral load testing, and retention in care.
  • Policy framework analysis of program innovations.

Main Results:

  • Increased HIV testing rates.
  • Increased viral load testing rates.
  • Improved retention in HIV care.

Conclusions:

  • Innovative program approaches, particularly lay testers and peer support, are crucial for Malawi to achieve HIV targets.
  • These strategies help bridge policy gaps in HIV service delivery.