Key Strategies and Approaches

Integrating HIV service delivery into hospital systems: USAID/SUSTAIN is integrating HIV services (which were often managed separately from other hospital systems because of the targeted donor support for the initial emergency response) into hospital systems in order to promote their long-term sustainability and country ownership. Hospital managers, the MOH, and other key stakeholders are closely involved in planning for and implementing the integration process to ensure continued access to quality services.

Institutionalizing quality improvement (QI) methods: Guided by the National QI Framework and the MOH Quality of Care Initiative, USAID/SUSTAIN supports hospitals to improve their quality of care by training service providers to analyze systems and processes, identify gaps in achieving standards of care, and implement and measure changes toward improvement. 

Planning and implementation with stakeholders: USAID/SUSTAIN works closely to plan for and implement program activities with various stakeholders, including the MOH (departments include the Central Public Health Laboratories, the AIDS Control Program, the Pharmacy, Clinical Services, and Infrastructure Divisions), National Medical Stores, Joint Medical Stores, implementing partners, hospital directors, and HIV service delivery managers. By ensuring all program activities are aligned with national priorities and guidelines, SUSTAIN aims to promote ownership and build consensus for long-term sustainability plans.

Utilizing a health systems strengthening (HSS) approach: Using a health systems strengthening perspective, USAID/SUSTAIN supports service delivery in a sustainable way. The project supported the printing of the revised tools for the supported hospitals, a skilled and expanded health workforce, improving the commodity/supply chain management system and the quality of laboratory services within the public healthcare system for both general and HIV-related healthcare service delivery.