USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project | Cote d’Ivoire

Overview

Building on several years of assistance to the National HIV program (PNPEC) under the USAID Health Care Improvement Project (HCI), ASSIST is supporting the Ministry of Health (MOH) to address key challenges in the delivery of antiretroviral therapy (ART) services. Those challenges include adherence to and retention in treatment, linkages and referral to community care services to reduce loss to follow-up, increasing survival rates, and preventing new infections.

ASSIST is also building the capacity of facility providers and implementing partners to address key challenges related to the prevention of mother-to-child transmission of HIV (PMTCT), including retention in treatment and the adherence to treatment of the mother-infant pair; linkages and referral to treatment and care services, including food and nutrition support; male involvement and couples counseling and testing services to increase PMTCT uptake; and integration of PMTCT with routine maternal-child health/ reproductive health services, adult and pediatric treatment services, and broader prevention programs.

ASSIST is also strengthening the leadership, management, and planning capacity of the MOH’s new Quality Improvement Unit.

Key Activities

  • Support ART and PMTCT improvement activities in 80 sites in Abidjan, San Pedro, Daloa, and Bouaké
  • Support the US Centers for Disease Control (CDC) and World Health Organization (WHO) laboratory accreditation program
  • Assist the MOHH to develop national standards to improve the national health information system and strengthen monitoring and evaluation activities
  • Strengthen the health system—through support for continuous improvement at the district and regional levels of the health system—to establish and maintain continuous improvement activities as an integral, sustainable part of the health system routine activities
  • Identify the costs of poor quality in the HIV care program due to loss to follow-up to understand the budget impact of quality improvement interventions and their cost-effectiveness and to inform MOHH policies on HIV treatment
Duration
2013 to present
Funders 
US Agency for International Development (USAID) | Cote d'Ivoire
Partners 
CRESAC Ministry of Health
ACONDA
SEV-CI
Elizabeth Glaser Pediatric AIDS Foundation
International Center for AIDS Care and Treatment Programs (ICAP)
ARIEL Glaser
Regions/ Countries 
Geographic Scope 
Abidjan, San Pedro, Daloa and Bouaké regions