Anova Health Institute at SA AIDS 2017

Anova took part in the Southern African AIDS Conference (SA AIDS 2017),  June 13-15, 2017 in Durban, South Africa, where we presented some highlights of our work as achieved in partnership with the Department of Health and various organisations across the country.

We are working hard as a district development support partner to improve access to and quality of healthcare services, in particular for HIV, TB and STIs. The team supporting the City of Johannesburg presented a poster showing exciting data of a successful innovative way of attracting men to HIV counselling and testing services. An integrated approach that improves viral load uptake was also presented. Anova’s paediatric programme aims to ensure that all HIV-infected children are receiving quality care. The posters from this group show the value of different approaches to identify and link HIV-infected children to care, demonstrate the usefulness of active follow-up on birth PCR results to link HIV-infected children to care, and highlight the importance of psychosocial assessment and support to these children to retain them in care.

Support to the ward-based outreach team programme is an important aspect of Anova’s work in Mopani district (Limpopo). We presented two posters showing that programme reach and quality of service provision is promising and identify ways to further enhance the contribution of these ward-based outreach teams to the HIV programme. Another poster demonstrated how the face of TB epidemic has changed over time following implementation of the Xpert MTB/Rif testing algorithm, illustrating that some focus shift in TB programme support may be required.

Our work in the Cape Winelands (Western Cape) focused around supporting ‘hotspot’ clinics, i.e. facilities supporting communities with relatively high HIV prevalence and a large programme gap. We presented a poster describing our innovative ‘3x90 hotspot model’, that combines an approach of direct support and technical assistance with a focus on sustainability to improve such sites. In addition, Dr Nelis Grobbelaar provided an oral presentation on lessons learnt implementing universal test and treat in the POPART study.

Highlighting Anova’s work cross-cutting these three districts, Prof Remco Peters had two oral presentations on the limitations of syndromic management of sexually transmitted infections (STIs) and the challenges that may present when managing pregnant women with STIs.

Our Health4Men programme, focusing on men who have sex with men (MSM), presented two very exciting posters. The pre-exposure prophylaxis (PrEP) demonstration project for MSM in Johannesburg provides the first safety data from this setting. It shows that renal function changes may occur, albeit uncommon, and that monitoring of renal function is recommended. Another study emphasizes the complexity of factors that impact on ART adherence in a group of HIV-infected transgender female sex workers.

Links to all our posters:

Carol Tait: Linking HIV-infected children into care

Geoff Jobson: Circles of secrecy

K Monchwe: HIV-PCR testing: closing the linkage-to-care gap

Kate Rees: TB diagnosis after Xpert MTB/RIF implementation in Greater Tzaneen Sub-district

Kate Rees: What is needed to implement differentiated models of care?

Moyahabo Mabistsi: VL QI Intervention

Moyahabo Mabitsi: HCT in Men

Nelis Grobbelaar: Hotspots in Cape Winelands

Kevin Rebe: PrEP Early Safety

Johan Hugo: Exploring factors contributing to adherence in HIV+ transgender FSW

R Tumba: A psychosocial approach to improving comprehensive HIV care in children and adolescents

Nireshni Naidoo: Qualitative WBOTs

Nireshni Naidoo: CHW contribution to healthcare in Mopani

 

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