Experiences and Lessons Learnt from the HIV Treat All Pilot Phase Implementation in Zimbabwe

Richard Makurumidze1– 3 1Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe; 2Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium; 3Gerontology, Faculty of Medicine & Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, BelgiumCorresp...

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Main Author: Makurumidze R
Format: Article
Language:English
Published: Dove Medical Press 2021-08-01
Series:HIV/AIDS: Research and Palliative Care
Subjects:
Online Access:https://www.dovepress.com/experiences-and-lessons-learnt-from-the-hiv-treat-all-pilot-phase-impl-peer-reviewed-fulltext-article-HIV
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author Makurumidze R
author_facet Makurumidze R
author_sort Makurumidze R
collection DOAJ
description Richard Makurumidze1– 3 1Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe; 2Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium; 3Gerontology, Faculty of Medicine & Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, BelgiumCorrespondence: Richard MakurumidzeFaculty of Medicine and Health Sciences, University of Zimbabwe, Harare, ZimbabweTel +263772759296Email rmakurumidze@ext.itg.beAbstract: Zimbabwe adopted the Treat All recommendations and started to implement them nationwide in 2017. Before launch, Treat All was piloted in nine districts. The sharing of implementation experiences and knowledge gained will significantly contribute to the implementation success in settings where Treat All still needs to be rolled out. We report on experiences and lessons learnt from the implementation of Treat All during the pilot phase in Zimbabwe. Coordination and well-structured engagement plans with the districts led to the successful implementation of the Treat All pilot. The established technical working groups offered standardisation and a platform for the exchange of experience between the implementing partners and the Ministry of Health and Child Care. Training and capacity building of the healthcare workers through mentoring, support and supervision, and the provision of job aides were necessary to equip them with the required skills. Community knowledge, commitment and support were critical to the successful implementation of the guidelines. Health facilities preparedness was of great importance. This enabled the health facilities to develop mitigating strategies at the local level using existing resources. Studies examining how patient outcomes will progress under Treat All are pertinent.Keywords: HIV, antiretroviral therapy, Treat All, sub-Saharan Africa
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spelling doaj.art-22358891367946bea62d7c098fbec97f2022-12-21T20:36:26ZengDove Medical PressHIV/AIDS: Research and Palliative Care1179-13732021-08-01Volume 1382382867925Experiences and Lessons Learnt from the HIV Treat All Pilot Phase Implementation in ZimbabweMakurumidze RRichard Makurumidze1– 3 1Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe; 2Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium; 3Gerontology, Faculty of Medicine & Pharmacy, Vrije Universiteit Brussel (VUB), Brussels, BelgiumCorrespondence: Richard MakurumidzeFaculty of Medicine and Health Sciences, University of Zimbabwe, Harare, ZimbabweTel +263772759296Email rmakurumidze@ext.itg.beAbstract: Zimbabwe adopted the Treat All recommendations and started to implement them nationwide in 2017. Before launch, Treat All was piloted in nine districts. The sharing of implementation experiences and knowledge gained will significantly contribute to the implementation success in settings where Treat All still needs to be rolled out. We report on experiences and lessons learnt from the implementation of Treat All during the pilot phase in Zimbabwe. Coordination and well-structured engagement plans with the districts led to the successful implementation of the Treat All pilot. The established technical working groups offered standardisation and a platform for the exchange of experience between the implementing partners and the Ministry of Health and Child Care. Training and capacity building of the healthcare workers through mentoring, support and supervision, and the provision of job aides were necessary to equip them with the required skills. Community knowledge, commitment and support were critical to the successful implementation of the guidelines. Health facilities preparedness was of great importance. This enabled the health facilities to develop mitigating strategies at the local level using existing resources. Studies examining how patient outcomes will progress under Treat All are pertinent.Keywords: HIV, antiretroviral therapy, Treat All, sub-Saharan Africahttps://www.dovepress.com/experiences-and-lessons-learnt-from-the-hiv-treat-all-pilot-phase-impl-peer-reviewed-fulltext-article-HIVhivantiretroviral therapytreat allsub-saharan africa
spellingShingle Makurumidze R
Experiences and Lessons Learnt from the HIV Treat All Pilot Phase Implementation in Zimbabwe
HIV/AIDS: Research and Palliative Care
hiv
antiretroviral therapy
treat all
sub-saharan africa
title Experiences and Lessons Learnt from the HIV Treat All Pilot Phase Implementation in Zimbabwe
title_full Experiences and Lessons Learnt from the HIV Treat All Pilot Phase Implementation in Zimbabwe
title_fullStr Experiences and Lessons Learnt from the HIV Treat All Pilot Phase Implementation in Zimbabwe
title_full_unstemmed Experiences and Lessons Learnt from the HIV Treat All Pilot Phase Implementation in Zimbabwe
title_short Experiences and Lessons Learnt from the HIV Treat All Pilot Phase Implementation in Zimbabwe
title_sort experiences and lessons learnt from the hiv treat all pilot phase implementation in zimbabwe
topic hiv
antiretroviral therapy
treat all
sub-saharan africa
url https://www.dovepress.com/experiences-and-lessons-learnt-from-the-hiv-treat-all-pilot-phase-impl-peer-reviewed-fulltext-article-HIV
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