HIV/AIDS Treatment and Adherence Trainings

CAI conducted two trainings in September 2003 on HIV/AIDS treatment and adherence with health care providers, PLWHAs, psychologists and social service workers from all 32 states of Mexico. These workshops were organized in collaboration with CENSIDA (the National Center for HIV/AIDS of the Ministry of Health) and FRENPAVIH (Frente Nacional de Personas Afectadas por el VIH/SIDA, the national PLWHA network). This initiative responded to a request to help strengthen the HIV health care infrastructure and support the implementation of the national strategic plan to combat HIV/AIDS in Mexico. The trainings were co-sponsored by CENSIDA, the New York Community Trust and its corporate affiliate Community Funds Inc.

Early Alert and Rapid Response Adherence Project

CAI was contracted to execute a project to improve adherence to antiretroviral therapy (ART) in Mexico. The aim of the pilot project was to provide training and technical assistance to build capacity of providers of integral care services in five clinics to offer adherence counseling and services; and to improve the adherence of PLWHA to ART through the implementation of an early alert and rapid response system which identifies actions to prevent a lack of adherence. The program also includes a component of integrating peers into the multidisciplinary team of care providers to support clients in adhering to their medications.

In order to adequately design the early alert system developed by CAI, a needs and gaps analysis was conducted in each of the five clinics. After identifying the needs of each clinic, technical staff were trained in adherence counseling for multidisciplinary teams. CAI has and will continue to provide, technical assistance for the implementation of the Early Alert and Rapid Response System, and the integration of peers into the pilot clinics. CAI adapted and utilized the Institute for Healthcare Improvement’s (IHI) “Collaborative Learning” strategy for the effective implementation of change at the clinic level.