The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) put countries most affected by the HIV/AIDS epidemic on a trajectory to transition HIV/AIDS program ownership to local governments from international health organizations. To ensure sustainability of this forward movement, the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), through funding from the U.S. Centers for Disease Control and Prevention (CDC) launched the Delivering Technical Assistance (DELTA) project in 2013. Technical assistance services provided through the global, five-year project will optimize the impact of PEPFAR and Global Fund-supported programs to ultimately achieve an AIDS-free generation. The purpose of DELTA is to provide targeted and cost-effective technical assistance and program implementation expertise in prevention of mother-to-child transmission of HIV/AIDS (PMTCT), HIV care and treatment clinical services for adults and HIV pediatric care and treatment in a various settings (see below)
- DELTA Fact Sheet
- To read more about the variety of technical assistance activities EGPAF pursues in supported countries, click here.
Current DELTA Activities:
Project DELTA currently has two assignments implemented in Namibia. In its first assignment, CDC identified a promising model of clinical mentorship, called Project Extension for Community Healthcare and Outcomes (Project ECHO). Designed by the University of New Mexico (UNM/HSC), ECHO aims to treat complex and chronic health conditions in rural and underserved communities in the U.S. and globally by linking less experienced providers with subject matter experts through use of videoconference technology, promotion of best practices, case-based learning, and outcomes measurement. Project DELTA is collaborating with partners to conduct a pilot of ECHO’s mentorship model in Namibia. In its second assignment, Project DELTA, supported by HEALTHQUAL, is providing TA to the Namibia’s Ministry of Health and other relevant institutions for implementation and institutionalization of quality assurance/quality improvement (QA/QI) systems at the regional level.
Project DELTA currently has three ongoing assignments in Cameroon. In its first assignment, EGPAF has been implementing a task-shifting policy, which has involved the development PMTCT/ART health worker tools, training of health staff to institute a system for patient adherence to treatment, and the establishment of a pediatric training center in each of Cameroon’s four PEPFAR-supported regions (all in line with Option B+). Under its second assignment, EGPAF is supporting trainers trained in Project DELTA’s first program year to carry out pediatric trainings in three PEPFAR-supported regions as well as in six other regions throughout the country (a training of trainers model to promote the impact of these skills-building activities). Lastly, DELTA, in collaboration with the Ministry of Health, developed and validated a National Pediatric HIV management training curriculum in 2014 with 20 national and regional trainers of trainers trained in early 2015. As part of the third assignment in Cameroon, the Project DELTA team will train additional health care workers using the new curriculum and develop national guidelines and Standard Operating Procedures (SOPs) on the formation, management, and reporting of pediatric psychosocial support groups and a pediatric/adolescent HIV adherence counseling and treatment.
The Zimbabwe Ministry of Health and Child Care has requested technical assistance from EGPAF to support the scale-up and sustainability of the national Quality Improvement/Quality Management (QI/QM) program by complementing existing or planned activities. Under this assignment, EGPAF will focus QI coaching efforts of four district focal persons in five provinces.
Under Project DELTA, EGPAF is currently supporting Uganda Ministry of Health to improve the quality of PMTCT services in the country, focusing on retention of mother-baby pairs in the program using real time data to enhance program monitoring.
Developed through Project DELTA’s first assignment in Tanzania, the Tanzanian Rapid Assessment and Response (RAR) system enables rapid identification and response to site‐level challenges in three critical programmatic areas of PMTCT—1) commodity availability, 2) early retention of women initiated on ART, and 3) quality assurance of HIV testing. The RAR tool has been developed and piloted. DELTA will now support the operationalization of the RAR system at the national level and the roll out of the system throughout all areas of the country.
Lesotho and Malawi
DELTA’s technical assistance has been requested to develop a standard training model to support national HIV/AIDS and information management programs to improve existing early infant diagnosis (EID) and viral load data management processes. EGPAF is piloting this model in Malawi and Lesotho, the content and structure of which is adapted to fit the specific context of each country.