A major new program of Pangaea is to develop and cost a series of single descriptive case studies documenting effective approaches to HIV service delivery in East and Southern Africa. The goal of this project is to document ARV treatment and support programs that are improving the uptake of and retention of clients in care. Pangaea is collaborating with the Clinton Health Access Initiative (CHAI) who will be performing the cost estimates for each of the case studies. The selection of programs for the case study development will seek to present information about a diverse set of programs, looking at both community- and facility-based services and at programs addressing urban and rural populations, key affected populations, and programs that are well integrated with other areas of health services including primary care, sexual, reproductive, and maternal health, and TB services. We are particularly interested in identifying effective HIV treatment initiatives that combine the clinical expertise found in the health facilities and the leadership of the local communities to help as many HIV positive people stay in care and on treatment. The ultimate goal of the project is to produce clear, policy-relevant cost and effectiveness data around best practices in the HIV space. In addition, dissemination of the methodology used to create the case studies and cost estimates can serve as a template for replication of the process at country levels in order to better understand what program models are working. Through this process, Pangaea seeks to improve uptake and scale of HIV services and fill the gaps in the HIV treatment cascade.
The project is funded by the Bill and Melinda Gates Foundation.
As each case study is finalized, it will be posted on this website. Completed case studies include:
- Academic Model Providing Access to Healthcare (AMPATH), Kenya
- Africaid-Zvandiri: The Community Adolescent Treatment Supporters (CATS), Zimbabwe
- Helping Tanzania Stop an HIV Epidemic Driven by Injection Drug Use
- Supporting the Harmonization of Community Health Worker Curricula in Tanzania
HIV and AIDS in Tanzania is a generalized epidemic. By early 2008 it was estimated that 1.3 million people including adult and children in Tanzania mainland were living with HIV and 10% are children (below18 yrs). Adults in the age group of (35 – 39) are more likely to be infected than the other age groups. Knowledge changes are noted in the THIMS but risky sexual acts still prevail among men and women of various age and socio-economic groups. Some of the driving factors includes poverty, (34% of households live below poverty line); pervasive socio-cultural norms and practices – which includes early marriages, gender inequities, gender-based violence, and crossgenerational.
- Pangaea and Local Partners Join Forces to Address Late Diagnosis of HIV Among African Americans and Latinos in Oakland, California
HIV continues to have the greatest prevalence in the United States among African Americans and men who have sex with men (MSM). At the end of 2006, blacks accounted for 45 percent (24,900) of people estimated to be living with HIV in the U.S., whites accounted for 35 (19,600) percent, and Hispanics for 17 percent (9,700).
Source: UNGASS, United States Progress Report, March 2010
- Strengthening Health Systems for Optimizing HIV Treatment and Care
- Empowering Young Women in Zimbabwe to Overcome HIV
Zimbabwe is one of the countries in sub-Saharan Africa most affected by the HIV/AIDS epidemic, and as such, is a major priority for the Pangaea. Pangaea is currently working to establish a local site, Pangaea-Zimbabwe, dedicated to country level treatment optimization, advocacy and community outreach, and furthering our decades-long work empowering adolescent girls and women living in the country who are disproportionally affected by HIV/AIDS.