Despite a global pandemic, national crises, coups, and conflicts, Chemonics has accelerated its person-centered solutions to deliver HIV services to those most in need. On World AIDS Day 2022, Chemonics backs the call for equitable and equalized testing, treatment, and prevention—a call to action for accountability so everyone can readily access comprehensive, high-quality HIV services.
Four decades after UNAIDS began the fight against HIV, and nearly two decades into the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the world is closer than ever to reaching the Sustainable Development Goal of ending the global AIDS epidemic as a public health threat by 2030. However, inequities and inequalities persist.
Chemonics’ mission is to promote meaningful change around the world to help people live healthier, more productive, and more independent lives. This includes those living with or vulnerable to HIV. Through partnerships with governments, the private sector, and local communities, we improve access to testing at the last mile through mobile outreach, keep people on treatment through multi-month dispensing, and ensure that children receive treatment so they can live long, healthy lives. Through our health and supply chain flagship projects—the USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC–PSM) project, the USAID GHSC-Technical Assistance Francophone Task Order, and the USAID Nigeria Strategic HIV/AIDS and TB Response Program (SHARP)—we strive to empower communities and host governments in their HIV/AIDS response.
InfoMed Software
Supporting Improved HIV Treatment
There cannot be equitable HIV treatment without high-quality drugs for all. In this video, see how the Government of the Democratic Republic of the Congo (DRC) worked with the Chemonics-led GHSC-Technical Assistance Francophone Task Order to ensure a consistent supply of antiretroviral treatment (ART) by utilizing the InfoMed software. With this comprehensive logistics management information system for commodity management, health leaders in the DRC captured patient data digitally, and in real time. By using the web-based software to triangulate these data alongside supply chain data, the Ministry of Health and partners optimized the HIV supply chain, increasing stock availability across the DRC and bringing high-quality treatment to the last mile.
“One of the biggest innovations in the HIV response has been shifting to multi-month dispensing of ARVs. This helped to alleviate the burden for millions of people who previously had to make a trip to the clinic or pharmacy every month to pick up their medication. I’m proud that we’ve been part of making this innovation more accessible to millions.”
Senior Vice President, Chemonics
IDIQ Director, GHSC–PSM Project
Localized Solutions
Clients don’t stop needing HIV/AIDS treatment – not even in a pandemic. Read about how the Chemonics-implemented SHARP Task Order 3 team supported thousands of clients in Nigeria, helping them to enroll in HIV treatment and adhere to medications until they reach durable viral suppression. The team combined different localized client-centered strategies, such as forming treatment adherence clubs and improving patient-provider relationships, to help retain patients in treatment, particularly during the COVID-19 pandemic.
MARKING A MILESTONE IN THE FIGHT AGAINST HIV: MALAWI TRANSITIONS HEALTH WORKERS
Health workers are one of the most valuable resources for a country. The Chemonics-led HRH2030 program, in partnership with USAID and PEPFAR, supported the Government of Malawi by recruiting, deploying, and then transitioning more than 300 health workers focused on HIV/AIDS to the Malawi government payroll. This required collaboration and careful planning at all levels of the health system, including local government and district health offices, to ensure HIV service continuity and effective human resources management. HRH2030’s support helped Malawi to advance and sustain its health and development priorities, including strengthened HIV/AIDS service delivery.
Additional resources
chemonics.com
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Patient-years of ARV treatment delivered since 2016 by GHSC–PSM
People who received HIV counseling and testing in northern Nigeria from December 2019-March 2022
2.4M
Infections averted through GHSC–PSM commodity procurements
102M
<
66%
Percentage of HRH2030-supported facilities in Malawi with ART clinics open at least five days per week, increased from 29% at project start
350K
Number of deaths averted through GHSC–PSM support
Net increase in people linked to HIV care and treatment during the life of the Nigeria SHARP TO3 project
—Judi Heichelheim
Managing Director, Global Health Programs
Global Health Division, Chemonics
—Baz Semo
“In many high HIV burden countries, external funding for HIV has helped strengthen health systems. The integration of HIV services into primary health care and other clinical services has strengthened the delivery of childhood immunization, reproductive health and family planning, and tuberculosis services. Additionally, HIV funding has improved basic health infrastructure and strengthened national laboratory, supply chain, and health information systems.”
Nigeria Deputy Country Director, Program Operations
GHSC–PSM Project
—Jiru Bako
“With funding from USAID and the Global Fund, the Chemonics-led GHSC–PSM project implements a differentiated service delivery model to provide adequate HIV/AIDS commodities to keep about 2 million patients on antiretrovirals serviced through about 2,000 health facilities. Treatment adherence has improved and over 95% viral load suppression achieved. Together we push to end HIV in Nigeria!”
Deputy Director HIV/AIDS
GHSC–PSM Project
—Mary Freyder
“Engaging the private sector in last mile strategies has proven to be successful in reaching HIV patients with life-saving drugs. For example, in Mozambique, the GHSC-PSM project has worked with the MOH to engage private pharmacies in dispensing ARV drugs in addition to government-run pharmacies, increasing the number of locations and expanding hours for pick-up to weekends.”
Botswana Country Director
GHSC–PSM Project
—Phetogo Phoi
“As we take time to remember the many souls lost through the HIV/AIDS scourge, Chemonics joins Botswana as she celebrates achieving 95-98-98 of the UNAIDS 95-95-95 HIV targets. By collaborating with the Ministry of Health, GHSC–PSM supported the transition to optimized ARVs and put this life-saving medicine in the hands of those most in need.”
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55%
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HUMAN RESOURCES FOR HEALTH OPTIMIZATION TOOL FOR ART: HOT4ART
GHSC–PSM
Annual Report: Comprehensive Agency Report on Condoms and Lubricants FY2021
Guidelines: A Network Approach to Scaling Up Laboratory Services
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Strides Toward HIV
Epidemic Control in
Northern Nigeria
Manual: Supply Chain Considerations for Implementing Decentralized Drug Distribution
Private Sector Engagement to Advance and Sustain Health Supply Chain Resiliency
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Strong Supply Chains: A Vital Link to HIV/AIDS Epidemic Control
Accelerating Progress Toward HIV Epidemic Control
HRH2030’s Best Resources for the HIV Workforce
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Restoring Optimism by Increasing Access to HIV Treatment in Nigeria
Driving Last-Mile Solutions to Ensure Access to Public Health Commodities
The GHSC–PSM project ensures more equitable access to life-saving HIV prevention and treatment medicines and services. In a first-of-its-kind technical report, the project describes challenges and successes driving last mile solutions – from overcoming infrastructure and security challenges in Haiti (p. 26) to working with private pharmacies in Mozambique (p. 10). The project works with local partners to meet clients where they are, and GHSC–PSM promotes local ownership and private sector engagement to ensure last-mile sustainability, and implements innovative last-mile solutions to ensure access to public health commodities for those living in the most challenging circumstances.
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Director, HIV/AIDS
GHSC–PSM Project
—Jackie Sallet
“Despite many challenges in 2022, GHSC–PSM continued to ensure equitable access to pharmaceuticals and services for those living in the most challenging circumstances. This is a testimony to the resilience of our teams across the globe, and the strength of our relationships with supported country governments, suppliers, and logistics partners.”
Haiti Country Director
GHSC–PSM Project
—Dr. Florence Duperval-Guillaume
“Despite immeasurable challenges that we are facing in Haiti, including the recent cholera resurgence and fuel crisis, within a climate of insecurity caused by political turmoil and armed group violence, GHSC–PSM is using agile approaches ensuring availability of life-saving health commodities for people living with HIV until the last mile.”
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Having an adequate supply of well-trained health workers is essential for reaching HIV epidemic control. Lesotho, a tiny landlocked country in southern Africa with the second highest number of people living with HIV per capita in the world, is a case in point. It reached its 90% testing goal by investing in trainings to improve HIV service delivery quality, hiring nurses, doctors, and other professionals where they were most needed, and strengthening the capacity of health managers and local systems needed to support a high-performing workforce.
STRATEGIC INVESTMENTS IN THE HEALTH WORKFORCE:
LEARNING FROM LESOTHO
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Being equitable means access for all, including the youngest children. GHSC-PSM assists the Ministry of Health in Zambia to scale up early testing of HIV-exposed infants and ensure rapid return of test results by integrating new point-of-care testing technologies into national laboratory networks, which are critical steps toward meeting the United Nations HIV/AIDS 95-95-95 targets. Furthermore, GHSC-PSM, to date, has delivered more than 49,000 bottles of infant- and child-friendly, generic antiretroviral (ARV) medication, pDTG, to Zambia to support Zambian children with effective treatment and care that ensures continuous viral suppression.
Pediatric HIV Treatment Optimization: Access for the Youngest Children in Zambia
An equitable and equalized approach to HIV testing, treatment, and care is critically important so that people know their HIV status, can monitor their viral loads, and diagnose and manage co-morbidities. Anita Shimirimana is a lab technician at a hospital in Burundi who processes blood samples to measure the levels of HIV infection in a person’s blood. Regular, accessible, affordable, and reliable blood tests are important for patients to know how effective their HIV treatment is. GHSC–PSM supports the Ministry of Public Health to operate labs throughout Burundi, more than doubling the number of Burundians who can access viral load testing at labs like the one where Anita works.
Monitoring HIV treatment IN BURUNDI
Equitable Approach
WORLD AIDS DAY