RESPOND’s QI Collaborative Regions


QI Collaborative Change Package




Dnipropetrovska Oblast

Kyiv City

Kyivska Oblast

Mykolayivska Oblast

Odeska Oblast

Zaporizka Oblast


Number of ART Sites in each region
37 12 4 13 9 41 12

1. HIV testing and referral

1.1. HIV risk assessment by specialists and/or PHC providers



1.2. HIV testing with two rapid tests or ELISA by specialists and/or PHC providers

1.3. Making HTS info materials available for physicians and patients



1.4. Implement a patient tracking system (vouchers, coupons or invitations)




1.5. Escorting patients by medical or social workers


1.6. HTS for sexual partners of PLHIV


1.7. Assessment of behavioral risks and clinical indicators, and HTS for in-patients within the first day of hospitalization





1.8. Double coding at the time of HTS to ensure identification of PWID




1.9. Redistribution of the HTS duties among doctors and medical nurses




1.10. Change in the text of the informed consent to HTS






1.11. Provider initiated HST







2. Linkage and enrollment in care

2.1. Providing the required lab tests (2 rapid tests+ELISA, CD4 and biochemical screening) over one patient visit to the Trust Office/ART site




2.2. Extend/adapt the working hours of Trust Offices/ART sites







2.3. More frequent transporting of biomater

ial to the lab






2.4. Returning lab results (CD4, viral load) to ART sites through Internet




2.5. Lab tests based in local blood transfusion center








2.6. Text messages, phone calls or letters to patients



2.7. Active home visits by medical and social service providers



2.8. Engage specialists and family doctors into care for PLHIV






2.9. Registering with AIDS service the HIV-positive in-patients before they are discharged from the hospital




3. Treatment

3.1. Initiation and management of ART at ART site




3.2. Transfer patients on ART from AIDS Centers to local ART sites


3.3. Identification and treatment of PLHIV in discordant couples, par.1.8.






3.4. ARV drugs stock management at ART site



3.5. Dispensing of ART for six months




3.6. Follow-up visits once in 12 months






3.7. ART by PHC physician







4. Cross-cutting

4.1. Implement electronic database for the patient and individual-level PLHIV service tracking

4.2. Develop and implement regional and local referral protocols/patient pathways





4.3. Increase the number of Trust Offices/ART sites





4.4. Train physicians and nurses on HTS



4.5. Train physicians on ART





4.6. Train physicians on management of HIV/TB co-infection



4.7. HIV rapid tests purchasing by a local/district budget





4.8. At least monthly meetings of local QI teams

4.9 Cooperation with NGOs (case management by social workers) for linkage and enrollment in care of PLHIV from key populations





4.10. Introducing a position of social worker at health care facility/ART site








4.11 Implementation of the “Trust” hotline in a region.