Table 5 ART sites providing comprehensive care through the involvement of PLHIV and links to CHBC
Cambodia | Myanmar | Nepal | PNG | Thailand | Vietnam | |
|---|---|---|---|---|---|---|
Linking approach | ||||||
National guidance and framework | −Framework and SOPs on continuum of care | Strategy on comprehensive continuum of care for PLHIV | −Strategy to initiate CHBC | −Strategy of greater involvement of PLHIV | −Policy of National Security Office to support PLHIV network | −Action plan on care and treatment |
−SOPs for ‘MMM’ (center for friends help friends) and CHBC | −Guidelines and SOPs for CHBC | −ART protocol | ||||
−SOPs for CHBC | ||||||
Features of collaboration between ART sites, PLHIV and CHBC | −‘MMM’ established inside ART sites and managed by a few PLHIV | −NGO clinics covering about 75% of PLHIV on ART | −PLHIV workers of NGOs visit ART sites on clinic days to complement services provided by health workers | −ART sites established continuum of care centers as pilot project | −Comprehensive Continuum of Care (CCC) Centers run by PLHIV | −ART sites involving PLHIV as member of ART team and facilitating PLHIV peer support groups |
−Monthly meetings of ‘MMM’ involving patients, health workers and often hospital management | −In all NGO clinics, PLHIV working as part of care team | −Most CHBC teams involve PLHIV and are based at NGO-run HIV prevention and care centers | −PLHIV peer educators in ART sites | −CCC Centers located inside ART sites in some areas, outside in other areas | −A number of CHBC models including ART sites based; Stand-alone model run by PLHIV groups and local NGOs; Led by Women’s Union; and Commune health station based. | |
−PLHIV working as part of ART team | −PLHIV having some role in government run clinics too | −The continuum of care centers linked to CHBC teams | −CHBC led by PLHIV as part of activities of CCC Centers | |||
−NGO-led CHBC teams involving PLHIV and attending ‘MMM’ meetings and local coordination meetings | −Local coordination meetings involving CHBC | |||||
Scale | −Most ART sites having MMM | −PLHIV as care provider in all NGO run clinics | −All ART sites supported by PLHIV workers | −4 ART sites established the centers | −367 CCC Centers operational | −More than 100 ART sites involve PLHIV as member of ART teams and linked to CHBC |
−356 CHBC teams linked to 848 sub-district health centers | −CHBC at least in 15/325 townships | −More than half of ART sites linked to CHBC | −5 ART sites having PLHIV peer educators | −CHBC at least in 400/878 districts | −185 CHBC teams | |
−CHBC in 13/75 districts | −CHBC in 2/89 districts | |||||