• Course information

    Place of training
    In the country of operation
    English; French (according to mission context)
    Number of participants
    20 maximum
    Core Modules 5 days (additional days according to needs assessment)

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

    To be agreed on between mission and SAMU during the request process
  • Background

    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 training 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 training 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 (off-site) 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 it takes place.

    By proposing an On-site programmatic training in the country (on-site):

    • 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).

    Which countries / missions can apply?

    • Currently this training is available to any projects/mission/country where HIV/TB management forms a significant component of its operational objectives. This includes both vertical HIV /TB programmes and where HIV/TB activities have been integrated into projects with other operational activities.
    • Such workshops ideally should be developed jointly with MoH and other implementing partners engaged in the HIV/ TB national response.
    • This workshop is currently available in both English and French speaking projects/missions

    Target Group

    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)
  • Objectives

    General Objective
    The HIV/TB 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.

    Specific Objectives 
    At the end of the training, 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
  • Content

    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 

    • Setting the scene: Overview of global and country epidemiology; landscaping of the HIV response
    • Needs assessment and priority setting for HIV/TB programming.
    • Programmatic strategies for prevention of HIV
    • 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 provision of care for late presenters
    • 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.
    • 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

    International /domestic funding perspective 
    HIV mobilization and advocacy. 

    • Strategies for prevention
    • VMMC
    • PreP
    • HIV/TB programs for key and vulnerable populations 
    • Laboratory management
    • Operational Research.
    • Exit strategies and handover.
  • Facilitators and Methodology

    The training is overseen by the SAMU HIV/TB advisor and when needed the SAMU training coordinator. Facilitators are chosen in collaboration with the project/mission team where the training 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. 

    Pedagogic Approach
    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.