Recommendations for FY2 Sample Clauses

Recommendations for FY2. Final decision on provinces to be covered in phases 2 and 3 should happen in a more timely manner to avoid delays in planning and cause increased expenses in distribution. ● No activity should be initiated without the official decision from the NMCP/DNSP clearly communicated to the provincial authorities. ● In the field, registration and distribution activities should be combined in areas of difficult access to facilitate logistical operations and optimization of time. ● The number of activists and their activities in the field must be optimized to facilitate their administrative management. PSI proposes to reduce the number of activists by combining pre -communication and registration tasks under one activist. That will allow to reduce the activists’ costs significantly. ● PSI should work more closely with NMCP to define a clear communication strategy for the distribution campaign, in coordination with other partners (x.x. XXXXXX, UNITEL). ● Planning time in the provinces should be optimized with microplanning in the municipalities without doing provincial macroplanning, since they are redundant. ● Activists should have a job aid (manual) to guide their activities when they are in the field. ● The training program should to be revised to include more practical exercises in the field. ● To streamline training activities, training should be provided to other trainers directly in the provinces.
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Recommendations for FY2. FIRST 90: 90% of all people living with HIV will know their HIV status • Continue the incrementation of Index Case Testing and Tracing in the nine PEPFAR assigned HUs (Community Counselors’ activity). • Improve the quality of the Testing Points and reduce to a minimum those that don’t achieve the basic priority requirements in the nine PEPFAR assigned HUs, according with the results of the last assessment done by AFENET and HFA. • Strongly consider testing patients in the inpatient medical wards (adult and children) with severe symptoms and/or signs of immune-depression. • Consider testing 100% of TB and malnourished patients. • Ensure high quality post-test counseling to ensure that patients are not stigmatized and know of the benefits of ART for them and their loved ones (PAF’s activity). • Ensure that first adherence counseling is also high quality and addresses positive aspects of treatment (PAF’s activity). • Ensure active linkage from HIV Testing Services to ART clinics (PAF’s activity). • Work with LINKAGES project on Key Populations (KP) for testing to ensure active linkage of HIV+ patients from the community to ART clinics. • Focus on populations and locations with high positivity rates, but also on entry points with high numbers of HIV positives, to increase the number of identified positives. SECOND 90: 90% of all people with diagnosed HIV infection will receive sustained TARV • Increase the number of new patients on treatment with the implementation of the strategy Test & Treat. Consolidate the results of the assessment done by XXXX on the 24 HUs involved in the strategy, including the nine PEPFAR assigned HUs. • Immediately include all HIV+ patients in Pre-TARV to ART clinics according to feasibility of each HUs. • Implement task shifting to ensure that enough health staff are skilled and trained to initiate ART (not only medical doctors). • Reduce the frequency of ART pick-up for patients on treatment by offering multi-month scripting (3 or 6 months) to stable clients. • Use community health workers to deliver ARVs to the patients in the community who have some inconvenient to pick them up at the Health Unit. • Follow up on the “one stop-shop” strategy procedure for ART and TB treatment for co- infected patients. • Ensure that registration for both TB and HIV happen in both locations. • Test all TB suspects, not just confirmed infected ones. • Continue with active defaulter tracing to improve retention (PAF’s activity) and promote and dissemi...
Recommendations for FY2. High level advocacy for the inclusion of contraceptives and other SRH products in the Government General Budget. • Standardize and train healthcare providers on correctly and timely filling statistical forms. • Use of electronic report system, which does not require health care providers to travel 80 kilometers or more to deliver statistics. • Include men in the communication activities to improve FP uptake among couples.

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