Catalyzing quality improvements in HIV prevention
J. Ogden1, G. Maguerez2
1Ogden Health & Develoment Connections, Lovettsville, United States, 2College Maurice Gallouen, São Paulo, Brazil
prevail about the ad hoc nature and smallness of scale that characterize
many HIV prevention programs, the lack of comparability across contexts, and
difficulties in measuring effectiveness.
As the AIDS community gears-up to intensify HIV prevention and ensure
universal access, interest in improving the quality of HIV prevention is
growing, presenting a critical opportunity to develop a harmonizing conceptual
framework and common language of 'quality' to apply to HIV prevention globally.
Description: This discussion paper is part of an
effort by UNAIDS and the HIV Prevention Reference Group improve quality in HIV
prevention. The paper proposes an approach that applies industrial sector
'quality' concepts and methods to HIV prevention, and introduces the Quality Improvement in HIV Prevention Grid.
Providing a broad perspective, the grid is expected to fit any situation
and any context but at the same time integrate universal evidence-based
standards. There are no criteria to follow, no path imposed; it is a framework
to classify actions according to the quality concept that best suits them.
Lessons learned: The authors tested the grid on the 23
services of UNAIDS' HIV Prevention Glossary.
Widespread use of the grid could provide of a common language
among HIV prevention stakeholders, create a culture of dialogue and stimulate exchange
of experiences across diverse settings. The grid empowers those at the sharp
end of prevention (the providers, implementers and beneficiaries) because it
takes their knowledge, their needs and expectations seriously, and incorporates
them into plans for quality improvement.
Next steps: The grid offers a
potential alternative to current Quality approaches to HIV prevention, yet
requires further development for field application. Because it requires a shift
in perspective from orthodox public health approaches, next steps will include broad-scale
dissemination incorporating opportunities for dialogue and exchange.
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