Introduction

Partners working on HIV care and treatment across Low- and Middle-Income Countries (LMICs) in Africa identified the development of an Advanced HIV Disease (AHD) toolkit as a critical enabler to support the rollout of the World Health Organization (WHO) recommended package of care for people with AHD. The Global AHD toolkit is the culmination of this recognition and involves a strong collaboration of partners under the AHD Implementation Steering Committee (ISC) of the Unitaid/CHAI AHD Initiative.

Guiding principles for the development of the toolkit:

1. Focus on current WHO recommendations for AHD care.

2. Considers Ministries of Health (MoH), the community, frontline healthcare workers and Partners, the primary target audience in a bid to support planning, training and treatment literacy for AHD rollout and implementation.

3. Development of training content is currently focused on commodities provided through the Unitaid AHD initiative.  These relate primarily to the diagnosis, prevention and management of HIV-related tuberculous and cryptococcal disease.

4. Recognition of the need for MOHs to review and adapt tools from the toolkit considering local guidelines, priorities, and context.

5. The division of training materials for ease of implementation into AHD ‘hub’, ‘spoke’ and programmatic slide decks.

 

The Global AHD Toolkit

The Global AHD toolkit is divided into 6 sections and features tools developed by Partners. Sections and tools are listed below:

6. Job aids

Acknowledgements

This toolkit was developed through a collaborative process involving a coalition of partners (The World Health Organization, Clinton Health Access Initiative, Centers for Disease Control & Prevention, St George’s University of London, United States Agency for International Development, Médecins Sans Frontières, Elizabeth Glaser Pediatric AIDS Foundation, International AIDS Society, National Institute for Communicable Diseases South Africa, National Institute for Medical Research Tanzania, Joint United Nations Program on HIV/AIDS, Infectious Disease Institute Uganda, U.S. President’s Emergency Plan for AIDS Relief, The Global Fund, Bill & Melinda Gates Foundation, Global Health Impact Group, Coalition Plus, Medical Mycology Society of Nigeria and Lighthouse Malawi) and made possible through the Unitaid Advanced HIV Disease Initiative.

Contributors

Alexander Jordan, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Amir Shroufi, CDC Foundation

Angela Loyse, Driving Reduced AIDS-associated Meningo-encephalitis Mortality (DREAMM)/St. Georges University Hospital London (SGUL) 

Anna Grimsrud, International AIDS Society

Barry Longwe, Elizabeth Glaser Pediatric AIDS Foundation

Ben Cheng, The London School of Hygiene & Tropical Medicine

Brian Ngwatu, Clinton Health Access Initiative

Carmen Pérez Casas, Unitaid

Carolyn Amole, Clinton Health Access Initiative

Chase Perfect, Coalition Plus

Danielle Ferris, Unitaid

Elfriede Agyemang, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Eric Goemaere, Médecins Sans Frontières International

Florence Anam, Médecins Sans Frontières International

Gabriella Ferlazzo, Médecins Sans Frontières International

Gilles van Cutsem, Médecins Sans Frontières International

Gregory Greene, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Heather Paulin, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Helen Bygrave, International AIDS Society

Herb Harwell, Clinton Health Access Initiative

Ikechukwu Amamilo, Clinton Health Access Initiative

Ikwo Oboho, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Jason Williams, USAID

Jennifer Cohn, Elizabeth Glaser Pediatric AIDS Foundation

Jessica Burry, Médecins Sans Frontières International

Joram Sunguti, Elizabeth Glaser Pediatric AIDS Foundation

Katherine Blumer, Unitaid

Lara Vojnov, World Health Organization

Lee Abdelfadil, The Global Fund

Lynne Wilkinson, International AIDS Society

Miriam Rabkin, ICAP at Columbia, Columbia University Mailman School of Public Health

Mohammed Lamorde, Infectious Diseases Institute, Uganda,

More Mungati, Elizabeth Glaser Pediatric AIDS Foundation

Nathan Ford, World Health Organization

Nelesh Govender, National Institute for Communicable Diseases, South Africa

Patricia Hall, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Peter Ehrenkranz, Bill & Melinda Gates Foundation

Richard Borain, Clinton Health Access Initiative

Rita Oladele, Medical Mycology Society of Nigeria

Roland Van de Ven, Elizabeth Glaser Pediatric AIDS Foundation

Sam Phiri, Lighthouse Malawi

Sarita Shah, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Satvinder Singh, World Health Organization

Sayoki Mfinanga, National Institute for Medical Research, Tanzania

Serhin Birhanu, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Sokoine Kivuyo, National Institute for Medical Research, Tanzania

Teri Roberts, International AIDS Society

Tom Boyle, The Wits Reproductive Health and HIV Institute

Tom Chiller, CDC Foundation

Wale Ajose, Unitaid

The development of the Global AHD toolkit was led by Angela Loyse (DREAMM), Ikechukwu Amamilo (CHAI) and Brian Ngwatu (CHAI)

Annex - Links to partner toolkits