Field-Driven Learning Meeting: Linkages to and Retention in HIV Care and Support Programs

A critical element of HIV prevention, care, and treatment is linking persons who test positive for HIV to care and treatment services. Moreover, it is important to ensure they continue to receive these services over time, not only at the facility level but also in the community or at home. Responding to substantial interest in sharing experiences, strategies, and best practices in this area, AIDSTAR-One and the PEPFAR HIV Care and Support Technical Working Group convened the "Field-Driven Learning Meeting: Linkages to and Retention in HIV Care and Support Programs" from November 3-5, 2010 in Maputo, Mozambique.

Sixty-one participants and presenters from Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia, Zimbabwe, and the US attended the meeting. Participants shared clinic- and community-based experiences across the spectrum of healthcare settings, including diagnostic settings, community settings, non-HIV clinical settings post-diagnosis (i.e., TB centers, ANC clinics), and HIV-specific treatment settings (i.e., pre-ART). Participants addressed opportunities for and challenges to successful linkage and retention, shared emerging practices, and identified country-specific next steps for strengthening linkage and retention in key services, after HIV diagnosis occurs.

PDF View the Summary Report (PDF, 311 KB)

Presentations and other resources from the consultation are available for download below.


Day 1 Day 2 Day 3

Linking and Retaining PLHIV: Successes and Opportunities; Voice of Clients and USG Perspective
(PDF, 1.58 MB)
Presented by Barbara Marston, CDC

Measuring for Improvement: Can QI Facilitate Retention in HIV Care
(PDF, 575 KB)
Presented by Bruce Agins
, HealthQual

Malawi: Data Collection and Factors Associated to Linkages and Retention
(PDF, 497 KB)
Presented by Chirwa Zengani
, Ministry of Health

Telephone Follow-up System: The Swaziland Experience
(PDF, 510 KB)
Presented by Londiwe Nkambule

Mozambique: Family Health International Experience in Nassa
(PDF, 111 KB)
Presented by Paultre Desrosiers, FHI

Impact of a Community Based Adherence Support Programme on ART Outcomes – KHETH'IMPILO
(PDF, 169 KB)
Presented by Thobekile Finger

Role of Community Systems to Retain People in HIV Care in Thyolo, Malawi
(PDF, 920 KB)
Presented by Marielle Bemelmans

Mozambique: Retention Strategies to HIV Care and Treatment
(PDF, 248 KB)
Presented by
Ruth Bechtel for Michele Rocha, FGH

Namibia: Improving Home and Community-Based Palliative Care Services
(PDF, 576 KB)
Presented by Wilhelmina M. Kafitha, Ministry of Health and Social Services

South Africa: Approaches Toward Enhancement of HIV and TB Patient Enrollment and Retention in Care and Treatment Programs: An Integrated Clinic- and Community-Based Support System
(PDF, 154 KB)
Presented by Peter Vranken

South Africa: Basic Care Package: A Continuum of Care and Support for PLHIV
(PDF, 1.18 MB)
Presented by Tony Diesel
, South Africa Partners

Lesotho: Training District Level Focal People in Care, Linkages, LTFU and Supportive Supervision
(PDF, 955 KB)
Presented by Charles Ayayi
, State Department

Access to ART by Pregnant Women in Chitungwiza, Zimbabwe
(PDF, 728 KB)
Presented by Auxilia Muchedzi

Zimbabwe: Point of Care CD4 Testing and Referral for Care and Support
(PDF, 492 KB)
Presented by Stefano Gudukeya, PSI

TB Screening of Newly Diagnosed PLHIV and Linkages to TB Diagnostic and Treatment Services in Zimbabwe
(PDF, 796 KB)
Presented by Stefano Gudukeya, PSI
Day Two Small Group Report Outs
(PDF, 95.5 KB)

Zambia: Franchised VCT with Newly Diagnosed HIV. Link to Care and Prevention for Positives
(PDF, 1.46 MB)
Presented by Sara Ngoma, Society for Family Health

Zambia: Military HIV Services with Mobile C&T, Lower Level CD4 Testing, and Use of ART Adherence Supports to Address Loss to Follow-up
(PDF, 561 KB)
Presented by Benny Njobvu, Project Concern

Mozambique: Use of Home-Based Visits, Active Case Finding and Monthly Patient Meetings to Strengthen Retention
(PDF, 174 KB)
Presented by Michele Rocha, FGH

Access and Notification for Early Infant Diagnosis in Zambia
(PDF, 1.03 MB)
Presented by Cathy Thompson

Integrating Follow-up of HIV Exposed Infants into Routine EPI Services in a Changing Policy Environment in Zimbabwe: Yes We Can and Why We Should
(PDF, 272 KB)
Presented by Grapper Mujaranji


Linkages and Retention in Catholic Church HIV Care and Treatment Programs in South Africa
(PDF, 121 KB)
Presented by Peter Vranken

Improving Quality of Life of PLHIV in Walvis Bay, Namibia
(PDF, 336 KB)
Presented by Ochi Ibe

South Africa: Community Based Hospice Services
(PDF, 520 KB)
Presented by Kath Defilippi

Malawi: Community Structures to Link and Retain People in Care: Use of Community Support Structures and Cadres to Link PLHIV with Services
(PDF, 435 KB)
Presented by Ann Akesson

Botswana: Community Volunteer System with Home Visits, Psychosocial Support and Food Baskets
(PDF, 153 KB)
Presented by Tumelo Tlhoiwe

Mozambique: Use of Peer Educators for Patient Tracking and Home Visits
(PDF, 429 KB)
Presented by Milena Mello

Zambia: Use of Data to Strengthen Community Structures and Their Role in HIV Care and Support
(PDF, 1.39 MB)
Presented by Bridget Chisenga, AIDSRelief

South Africa: ARTemis and Use of Tracker for Retention
(PDF, 150 KB)
Presented by Thobekile Finger, USAID

Day 1 Small Group Report Outs
(PDF, 66 KB)