An Ambitious HIV Goal within Reach Working together to improve HIV health outcomes by strengthening global health supply chains, transforming the health workforce, and building resilient communities.

By 2030, the global health community aims to reach the ambitious 95-95-95 UN Fast-Track targets to end the AIDS epidemic. We have made great progress towards this goal: two-thirds of the estimated 38 million people living with HIV globally have access to the treatment they need to live productive lives; there is a one third decline in AIDS-related deaths worldwide; and new HIV infections are gradually declining. Even though we have made great progress, we still have a long way to go to end the AIDS epidemic. Fast tracking AIDS response in low-and middle-income countries can avert 28 million new HIV infections and 21 million AIDS-related deaths from 2015-2030.

Photo credit: Kenya Pharma/David Mutua

With more than a decade of experience accelerating the global response to HIV/AIDS, Chemonics has learned how to leverage technology to deliver HIV commodities worldwide, build strong partnerships with local governments, involve stakeholders and communities in the decision-making process, and use a participatory approach that empowers individuals and institutions to build resilient communities. Here’s how some of our projects around the world are working toward ending the AIDS epidemic.

Strengthening Global Health Supply Chains

Through the USAID Global Health Supply Chain – Procurement and Supply Management (GHSC-PSM) project, Chemonics is helping to create a safe, secure, reliable, and sustainable pharmaceutical supply chain by leveraging technology to procure, deliver, and track HIV commodities in 60 countries. With the support of USAID and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), we have reached these milestones:

In Zambia

With PEPFAR support, not only did GHSC-PSM contribute substantially toward the transition to the most effective antiretroviral (ARV) regimen—tenofovir, lamivudine, and dolutegravir (TLD) – but has also been scaling up multi-month dispensing (MMD) in Zambia.

Photo credit: GHSC-PSM.

MMD is a patient-centered strategy that aims to reduce the burden of having to visit pharmacies monthly to pick up medicines, saving them time and money traveling to and from clinics. With MMD, patients live healthier lives.

Chemonics has a long history of providing systems strengthening support around the world. Our projects are creating safe, secure, and reliable national pharmaceutical supply chains that are transferable to local partners for sustainability.

In Kenya

From 2009-2015, Kenya Pharma built a sustainable model for seamless transition of the HIV supply chain to local partners by coordinating with national and county forecasting mechanisms.

Photo credit: Kenya Pharma

Transforming the Health Workforce

Chemonics is supporting countries to develop a well-managed health workforce that can adapt to disruptions such as global pandemics and natural disasters. With PEPFAR support, the Human Resources for Health in 2030 (HRH2030) program field tested and launched the HRH Optimization Tool for ART (HOT4ART).

Photo credit: HRH2030

Developed to address staffing gaps that better meet HIV client needs and support countries’ roll-out of “Test and Start” policies, the tool is adaptable to other contexts and priorities. During a pandemic, the tool can rapidly assess the effect of staff shortages, and facilities can use this data to offset potential HIV service reductions by scaling up MMD regimens or reallocating resources to other differentiated service delivery models.

In Malawi

With support from USAID and the Centers for Disease Control and Prevention, the HRH2030 program is using the HOT4ART tool to provide quantitative evidence that support HIV human resources for health planning and decision making, including designing models that are most appropriate during the COVID-19 response.

Additionally, HRH2030 is collaborating with key cross-cutting stakeholders to develop a transition plan for transferring health workers from PEPFAR to Malawian government support for long-term sustainability.

Photo credit: Jennifer Moffatt

In Nigeria

The USAID Nigeria Strategic HIV/AIDS and TB Response Program (SHARP) Task Orders 1 and 3 provide mentorship and job aid to help frontline providers, community pharmacies, and community groups transition in the wake of the COVID-19 epidemic in Nigeria to aggressively accelerate adoption of three-to-six month dispensing of ARVs to limit the potential of exposure for immunocompromised patients.

Photo credit: GHSC-PSM/Anthony Abu

Another key step Chemonics is taking is improving health workforce equity, which contributes to resiliency and extends HIV care to rural communities. Empowering women and youth to join the health workforce expands access to health care and opportunities. Globally, health care is delivered by women and led by men. Women represent 70 percent of the global workforce, and only 25 percent of senior leadership roles. In the video below, Margaret Odera, a community health worker in Nairobi, Kenya, talks about her role improving access to prevention of mother-to-child transmission (PMTCT) services.

Building Resilient Communities

Chemonics is building local capacity for HIV response through a participatory approach that empowers individuals and institutions. Empowering local governments and stakeholders in health facilities, communities, and local organizations leads to data-driven decision making that actively listens to community needs for health services. From 2010 to 2014, the USAID Communications Support for Health (CSH) project in Zambia built local capacity to catalyze change and empower institutions to save lives through the Safe Love campaign, which used the power of good storytelling to break taboos and get people talking about healthy attitudes and behavior to prevent HIV.

In Indonesia

The HRH2030 program is promoting data-driven human resources for health decision-making and building the capacity of facility, district, and province level stakeholders to utilize HRH data for planning and to improve the quality of HIV care.

Photo credit: Andi Gultom

In Rwanda

From 2012 to 2015, our USAID Rwanda Family Health Project (FHP) worked to build the capacity of health facilities and community-based organizations to provide integrated HIV and maternal, newborn and child health services, including integrated HIV testing and treatment, PMTCT, gender-based violence, and family planning services. Through this project 88,076 adults and children received ARV treatment.

Photo credit: Rwanda Family Health Project