Promoting Inclusive Markets and Financial Systems
GHAIN - Referral Directory
GHAIN provided a model that strengthened referral links in co-located TB and HIV clinics to optimise the acceptability of the interventions by patients, service providers and programme managers. TB and HIV services remained separate with parallel supply chain management system but the basic programmatic and service arrangements within the health facility was expanded so that HIV diagnosis, prevention, care and support services are integrated into the DOTS program while TB screening, care and support services are incorporated into the HIV program. To implement the model, GHAIN provided support to upgrade DOTS facilities and Acid Fast Bacilli (AFB) microscopy centres, built capacity through training, onsite mentoring, supporting TB infection control, formalizing and strengthening the referral mechanism between TB and HIV service points. GHAIN developed SOPs and provided job aides to care providers and microscopists. Many DOTS and AFB microscopy facilities were upgraded to meet minimum national standards for the provision of TB-HIV services.