Bi-directional Lessons Learned Along the HIV Treatment Cascade Between the RWHAP and PEPFAR

Author
Abt Associates
HRSA HIV/AIDS Bureau (HAB)

Examination of potential areas for bi-directional sharing between the U.S. Ryan White HIV/AIDS Program (RWHAP) and the President’s Emergency Plan for AIDS Relief (PEPFAR).

The review entailed a multi-modal approach to develop an understanding of best practices and lessons learned from both domestic and international HRSA-funded HIV initiatives. Each section presents a high-level description of the program, populations, and settings that could benefit from the intervention strategy; considerations for implementation; and resources where more information may be found. The paper concludes with recommendations for RWHAP and PEPFAR leadership. 

RWHAP Lessons for PEPFAR

  • Medical and non-medical case management 
  • Integration of behavioral health services 
  • Trauma-informed care 
  • Capacity building of local institutions
  • Use of community health workers in treatment initiation and adherence 

PEPFAR Lessons for RWHAP 

  • Differentiated service delivery
  • Sustainability index dashboards 
  • Data use for real-time decision-making 
  • Capacity building of local institutions 
  • Use of community health workers in treatment initiation and adherence 
  • Rapid initiation of treatment 

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