Email Us: samunews@joburg.msf.org

HIV & TB Clinical Programmatic workshop.

Project Description

Place of training: In the country of operation

Duration: Core Modules 5 days (additional days according to needs assessment)

Dates: To be agreed on between mission and SAMU during the request process

Nber of participants: 20 maximum

Language: English; French (according to mission context)

Application: To your local SAMU mission HIV/TB adviser (focal point) or the SAMU learning unit coordinator at olivier.bluteau@joburg.msf.org

Successful coordination, integration and implementation of HIV/TB programs requires an understanding of HIV epidemiology, HIV response priorities in a specific context, policies, strategies and tools. Appropriate program evaluation and strategic planning of HIV/TB programming is needed to identify operational priorities and identify areas for advocacy and innovation. MSF and MoH HIV/TB program coordinators face a wide range of challenges due to rapidly changing contexts, updating of medical protocols and the advent of new diagnostic tools.

The HIV Programmatic workshop aims to strengthen planning, coordination and management capacity for program managers in settings where HIV / TB is not the main operational priority and in vertical HIV/TB programs. This workshop offers a set of core modules focused on the HIV prevention care and treatment cascade (focusing on achieving the 90-90-90 targets) and key operational interventions to support integrated HIV/TB , SRH/PMTCT and paediatric HIV/TB services. In addition to the core modules, depending on program needs and target audience, further modules are available. These modules include advocacy, operational research and an overview of the current HIV political and funding environment.

The programmatic needs and challenges will vary according to context and hence this course will be adapted to the setting. For example the delivery of HIV care within a conflict area, or setting where the health system may of collapsed, will require different programmatic priorities to be set compared with a country with a high burden of HIV / TB in a stable setting, which is facing the challenges of further scale up to universal ART.

While the existing annual programmatic training held in Cape Town aims to respond to a wide variety of contexts represented by the participants, inevitably it will not always be relevant to each individuals reality. This training seeks to focus the training more closely on the specific challenges faced in implementing HIV in the context where the training takes place.

Therefore, by proposing an On-site programmatic workshop in the country:

  • We can adapt the training to respond to the local MSF-MoH- partners existing working dynamic in the national HIV/TB response.

  • We can use the national/regional context specificities and data to illustrate challenges faced and possible ways to overcome them.

  • We avoid disconnection between the classroom training and the project/mission context.

  • We can use organise field work within the country context

  • We can link the theoretical content and discussion with the direct feasibility and possible transfer to the work place (from theory to practice).

This course is offered exclusively to decision makers, programmes coordinators who have HIV/TB programmatic responsibilities within their organization or in public facilities, with medical, para-medical and/or public health background:

  • MSF Medical Coordinators, Medical team leader, Head of mission, Field coordinators.

  • MoH and or other NGO/partner, HIV / TB Programme managers and implementers (e.g district level HIV / TB coordinator positions )

The HIV/TB decentralised programmatic workshop, on the field, aims to:

  • Create synergies, to develop a common vision and to share respective constraints and opportunities among all actors involved in the response to TB/HiV within the country.

At the end of the workshop, participants will be able to:

  • Identify strategic and programmatic HIV /TB management challenges according to the country specific context and the local/national TB-HiV response mechanism in place.

  • Identify priorities and develop programmatic strategies accordingly

A suggested package of core and optional modules has been designed, based on the current needs and training experiences in MSF HIV/TB projects.

The main added value of the on-site workshop is to propose a tailor made content, adapted to the project/country context and to the participant needs, so the precise content of core modules will also be context adapted. Selection of the optional modules will be made after a needs assessment is carried out. Optional modules may also be aimed at a more specific target audience if required.

This will be a collaborative work that will need forward planning, between the HIV/TB managers of the mission/country, and the SAMU HIV/TB advisor and the SAMU training unit.

Core Modules

  • Needs assessment and priority setting for HIV/TB programming.

  • Programmatic strategies to scale up HIV testing and linkage

  • Programmatic strategies to enhance retention and adherence:

    • Organization of clinic services ( patient flow , appointments and defaulter tracing)

    • Patient education and counselling

    • Differentiated model of care for ART delivery

  • Programmatic strategies for the implementation of viral load monitoring

  • HIV /TB integration

  • SRH/PMTCT integration

  • Organization of HIV/TB care and treatment for children and adolescents.

  • HIV/TB programs for key and vulnerable populations

  • Pharmacy and supply management

  • Monitoring & Evaluation.

  • Mentorship and Supervision.

Optional Modules Selection and priorities will be made according to a needs analysis in collaboration with the mission

  • HIV epidemiology & natural history

  • The HIV political environment & response at international, regional and national level with future evolution

    • International /domestic funding perspective

    • HIV mobilization and advocacy.

  • Integration of HIV/TB services in MSF programs/interventions with other operational priorities.

  • Strategies for prevention

    • VMMC

    • PreP

  • Laboratory management

  • Operational Research.

  • Exit strategies and handover.

The workshop is overseen by the SAMU HIV/TB advisor and when needed the SAMU training coordinator. Facilitators are chosen in collaboration with the on-site team where the workshop is occurring. The options comprise the SAMU HIV/TB advisor, additional SAMU team member or intersectional HIV/TB advisor, experienced local expert, and other experienced external actors.

The methodology includes lectures, case-discussions, debates, site visits (if relevant) and case study based group work.

The group as a peer to peer source of learning, and the presenters as learning facilitators are the important pillars of the proposed method.

Project Details

  • Date February 1, 2016
  • Tags HIV/TB, On-site, Training
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