PSI at the 20th International AIDS Conference

Posted Julho 15, 2014

From July 20th to 25th PSI will join thousands of HIV program implementers, activists, researchers, policy makers and persons living with HIV in Melbourne, Australia for the 20th International AIDS Conference.

Representing 13 countries, members of the PSI network will participate in four satellites and present more than 40 abstracts.

Check back for more information; abstracts will be uploaded after they have been given in Melbourne.

For news in the moment, follow PSI Twitter at @PSIimpact

SATELLITES FEATURING PSI’S WORK

HIV/AIDS and youth: Presenting biomedical, behavioral and structural interventions that work

July 20

There are over 2 billion adolescents and young people in the world today; the largest population of youth to date. An estimated 7 million young people are living with HIV, 70 percent of whom contracted HIV through sexual activity or drug use. This satellite session will bring together leading voices in HIV prevention among young people, to share evidence and experiences from programs and advocacy that work. Designed around the combination prevention framework, the session will highlight biomedical, behavioral and structural interventions to prevent HIV among adolescents and young people, with particular focus on vulnerable populations. Speakers will discuss the advent of vaccines and microbicides, social media outreach, prevention with young people living with HIV and youth-led advocacy initiatives that are reshaping the discussion about HIV prevention and youth. Jorge Rivas, with PSI’s affiliate in Latin America, will present on innovative approaches for reaching young men who have sex with men using social media.

DETAILS: 9:00-11:00am, Room 103
HOSTS: Youth Health and Rights Coalition members: Pathfinder International, PSI, PPFA and LinkUS (a partnership of the Global Youth Coalition on HIV/AIDS, MSI, and the International HIV/AIDS Alliance)
PANEL: The Honorable Barbara Lee, Congressmember, from California’s 13th District (opening remarks); Purnima Mane, Pathfinder International (co-chair); Cedric Nininahazwe, The Burundian National Network ofYoung People Living with HIV (co-chair), Prince Ngongo Bahati, IAVI; Jorge Rivas, PSI/PASMO; Dessie Ayalew, MSI/Ethiopia; Caitlin Horrigan, PPFA; Musah Lumumba, CYSRA-Uganda and theY+ Programme

From research to practice to impact: Lessons and tools from the voluntary medical male circumcision scale-up

July 20

In 2007, WHO and UNAIDS recommended countries with high HIV prevalence and low male circumcision rates add voluntary medical male circumcision (VMMC) to their HIV-prevention programming. Subsequently, President Obama set a goal of 4.7million PEPFAR-funded circumcisions by December 2013. Countries in the East and Southern Africa (ESA) region set ambitious scale-up goals and some 6 million men have been circumcised to date, with funding from ESA governments, PEPFAR and the Bill & Melinda Gates Foundation. This three-panel session will present tools developed and lessons learned during the accelerated scale-up of VMMC. PSI/Zimbabwe’s Dr. Karin Hatzold will speak on a panel exploring the importance of partnerships and collaborations for VMMC scale-up.

DETAILS: 3:45-5:45pm, Room 104
HOSTS: JHPIEGO, MCHIP
PANEL: Leslie Mancuso, Jhpiego (opening remarks); Alain Damiba, Jhpiego (chair, panel 1); Emil Asamoah-Odei, WHO/ AFRO (chair, panel 2); Kelly Curran, Jhpiego (chair, panel 3); Emmanuel Njeuhmeli, USAID; Naomi Bock, CDC; Mitchell Warren, AVAC; Gissenge J. I. Lija, Tanzania Ministry of Health and Social Work; Yogan Pillay, South Africa Department of Health; Dino Rech, Centre for HIV/AIDS Prevention Studies; Virgile Kikaya, Jhpiego; Mehebub Mahomed, Jhpiego; Karin Hatzold, PSI

Can new technologies improve efficiency in voluntary medical male circumcision and early infant male circumcision scale-up?

July 22

New voluntary medical male circumcision (VMMC) devices have the potential to rapidly accelerate VMMC scale up by making the procedure faster, simpler and more acceptable. This session will provide updates from male circumcision device research and pilot implementation. Presentations from researchers from several African countries will discuss new advances and these advances’ potential impact on HIV-prevention programming. These will include presentations on the latest clinical profiles and acceptability of male circumcision devices in adult and early infant male circumcision, as well as other VMMC- related operations research to increase efficiencies for rapid scale up. PSI/Zimbabwe’s Dr. Karin Hatzold will discuss PSI’s experience with PrePex device use among adults and adolescents in Zimbabwe, South Africa and Zambia.

DETAILS: 6:30-8:30pm, Melbourne Room 1
HOSTS: PSI, FHI360, Population Council
PANEL: Emmanuel Njeuhmeli, USAID/Washington and Susan Kasedde, UNICEF (co-chairs); Karin Hatzold, PSI; Timothy Mastro, FHI360; Erica Soler- Hampejsek, Population Council; Dino Rech, CHAPS; Mafuta Tshimanga, ZICHIRE; Rebeca Plank, Harvard University; Webster Mavhu, CESSHAR

Realizing the potential for HIV self-testing

July 22

HIV self-testing (HIVST) has huge potential to scale-up access to HIV testing. This session features research developments and the launch of an AIDS and Behavior special issue. The session will include a series of presentations on opportunities and challenges for HIVST and a discussion of how the potential for HIVST can be realized. Petra Stankard, PSI’d HIV testing technical advisor, will discuss key considerations for bringing an HIV self-test to market.

DETAILS: 6:30-8:30pm, Rm 101-102
HOSTS: WHO
PANEL: Rachel Baggaley, WHO, and Paul Semugoma, ANOVA Health Institute (co-chairs); Cheryl Johnson, WHO; Joseph Tucker, UNC School of Medi- cine; Nicola Desmond, LSTM; Roger Peck, PATH; Annette Brown, 3ie; Margaret Zulu, SAT; Petra Stankard, PSI

ORAL ABSTRACT PRESENTATIONS

Estimating the cost efficiency of introducing the PrePexTM circumcision device in Zambia

CO-AUTHORED BY: PSI and CHAI
LOCATION: Room 109-110
DATE: 7/25/2014
TIME: 11:00am-12:30pm
TYPE: Oral

If you aren’t counted, you don’t count: Estimating the number of sex workers in Mandalay and Yangon, Myanmar

LOCATION: Room 109-110
DATE: 7/23/2014
TIME: 1:00-2:00pm
NUMBER: WEPDC0105
TYPE: Oral Poster Discussion
Copy of poster

Effectiveness of inter- personal communication activities and TV advertisements on HIV risk reduction behaviors among female sex workers in 5 provinces of Angola

LOCATION: Plenary 2
DATE: 7/24/2014
TIME: 2:30-4:00pm
NUMBER: THAC0304
TYPE: Oral
Copy of presentation

Can community-based HIV prevention have a positive effect on HIV testing behavior? Findings from a quasi-experimental study with female sex workers in Yangon and Mandalay

LOCATION: Plenary 2
DATE: 7/23/2014
TIME: 4:30-6:00pm
NUMBER: WEAE0204
TYPE: Oral
Copy of presentation

Are combination prevention interventions effective? Impact evaluation of combination prevention on increasing condom use among female sex workers in Central America

LOCATION: Plenary 2
DATE: 7/24/2014
TIME: 2:30-4:00pm
NUMBER: THAC0302
TYPE: Oral
Copy of presentation

Effect of anti-stigma legislation on the level of stigma directed towards persons living with HIV in Nigeria

LOCATION: Plenary 3
DATE: 7/22/2014
TIME: 11:00am-12:30pm
NUMBER: TUAD0103
TYPE: Oral
Copy of presentation

POSTERS

Biomedical Services in a Generalized Epidemic

Safety and efficacy of the PrePexTM device for male circumcision performed by non-physician clinicians: A one- arm, open-label prospective study among adult males in 3 urban settings in Zimbabwe

LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE152
TYPE: Poster
Copy of poster

Safety and efficacy of the PrePexTM device for male circumcision performed by primary care nurses at primary health care level in Zimbabwe

LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE149
TYPE: Poster
Copy of poster

Safety profile of PrePexTM male circumcision device in adolescents aged 13-17 years in Zimbabwe

LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE150
TYPE: Poster
Copy of poster

Scaling up voluntary male medical circumcision through effective demand creation strategies in Malawi

LOCATION: Exhibition Hall, Ground Level
DATE: 7/23/2014
TIME: 12:30-2:30pm
NUMBER: WEPE330
TYPE: Poster
Copy of poster

Achieving scale-up through strategic capacity building and integration of voluntary medical male circumcision services in routine public healthcare delivery channels in Southern Province of Zambia

LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE349
TYPE: Poster
Copy of poster

Predictors for uptake of voluntary medical male circumcision in Zimbabwe: Analysis using the adoption stairway

LOCATION: Exhibition Hall, Ground Level
DATE: 7/23/2014
TIME: 12:30-2:30pm
NUMBER: WEPE157
TYPE: Poster
Copy of poster

Lessons learned from integration of point of care CD4 cell count testing at PSI/ Zimbabwe HIV testing and counseling sites

LOCATION: Exhibition Hall, Ground Level
DATE: 7/23/2014
TIME: 12:30-2:30pm
NUMBER: WEPE217
TYPE: Poster
Copy of poster

Key Population Size Estimation and Tracking

Challenges and lessons learnt in estimating the number of men who have sex with men in Yangon, Myanmar

LOCATION: Exhibition Hall, Ground Level
DATE: 7/23/2014
TIME: 12:30-2:30pm
NUMBER: WEPE107
TYPE: Poster
Copy of poster

Use of a unique identifier code system to track key populations reached under a combination prevention program in six countries of Central America

LOCATION: Exhibition Hall, Ground Level
DATE: 7/23/2014
TIME: 12:30-2:30pm
NUMBER: WEPE458
TYPE: Poster
Copy of poster

Comparison of direct and indirect methods for estimating the size of the female sex worker population in Addis Ababa, Ethiopia

LOCATION: Exhibition Hall, Ground Level
DATE: 7/24/2014
TIME: 12:30-2:30pm
NUMBER: THPE117
TYPE: Poster
Copy of poster

Female Sex Workers

Gatekeepers’ influence on female sex workers’ HIV prevention and service seeking behaviors in Ethiopia

LOCATION: Exhibition Hall, Ground Level
DATE: 7/21/2014
TIME: 12:30-2:30pm
NUMBER: MOPE267
TYPE: Poster
Copy of poster

Prevalence of and factors associated with HIV, Syphilis and HSV-2 among female sex workers: Findings from a national biological and behavioral survey in Tanzania

LOCATION: Exhibition Hall, Ground Level
DATE: 7/21/2014
TIME: 12:30-2:30pm
NUMBER: MOPE138
TYPE: Poster
Copy of poster

Social vulnerability predicts consistent condom-use among female sex workers in Tanzania: Findings from the 2013 HIV Biological and Behavioral Survey in 7 regions

LOCATION: Exhibition Hall, Ground Level
DATE: 7/24/2014
TIME: 12:30-2:30pm
NUMBER: THPE116
TYPE: Poster
Copy of poster

Knowledge, empowerment and positive social norms as drivers of consistent condom use among female sex workers in 5 provinces of Angola

LOCATION: Exhibition Hall, Ground Level
DATE: 7/23/2014
TIME: 12:30-2:30pm
NUMBER: WEPE317
TYPE: Poster
Copy of poster

Geographic coverage of comprehensive clinical services for female sex workers in Ethiopia

LOCATION: Exhibition Hall, Ground Level
DATE: 7/24/2014
TIME: 12:30-2:30pm
NUMBER: THPE118
TYPE: Poster
Copy of poster

Men who have Sex with Men

The effectiveness of PSI outreach activities among men who have sex with men regarding condom use and HIV testing and counseling in Central Asia

LOCATION: Exhibition Hall, Ground Level
DATE: 7/21/2014
TIME: 12:30-2:30pm
NUMBER: MOPE356
TYPE: Poster
Copy of poster

Can a combination prevention strategy reduce HIV risks for men who have sex with men? Evidence from a quasi-experimental, mid- term evaluation in Central America

LOCATION: Exhibition Hall, Ground Level
DATE: 7/24/2014
TIME: 12:30-2:30pm
NUMBER: THPE143
TYPE: Poster
Copy of poster

Association between exposure to social marketing and HIV prevention behaviors among men who have sex with men in Vietnam

LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE202
TYPE: Poster
Copy of poster

Social vulnerability and HIV risk behaviors among men who have sex with men and transgender women in Central America

LOCATION: Exhibition Hall, Ground Level
DATE: 7/24/2014
TIME: 12:30-2:30pm
NUMBER: THPE142
TYPE: Poster
Copy of poster

People Who Inject Drugs

Assessing social marketing of low dead space syringes in Vietnam

LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE201
TYPE: Poster
Copy of poster

Factors associated with needle and syringe sharing in Vietnam

LOCATION: Exhibition Hall, Ground Level
DATE: 7/21/2014
TIME: 12:30-2:30pm
NUMBER: MOPE117
TYPE: Poster
Copy of poster

Youth

Expanding access to critical HIV and reproductive health services to low literacy youth in Liberia

LOCATION: Exhibition Hall, Ground Level
DATE: 7/21/2014
TIME: 12:30-2:30pm
NUMBER: MOPE354
TYPE: Poster
Copy of poster

Branding free condoms to increase acceptability and use among youth in Malawi

LOCATION: Exhibition Hall, Ground Level
DATE: 7/21/2014
TIME: 12:30-2:30pm
NUMBER: MOPE287
TYPE: Poster
Copy of poster

Gender-Based Violence and HIV

Barriers and motivators to accessing HIV post-exposure prophylaxis services among adult female survivors of sexual violence in Zimbabwe: Mixed methods results

LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE156
TYPE: Poster
Copy of poster

Prevalence and determinants of physical and sexual violence among female sex workers in Tanzania: Findings from the 2013 National HIV/STI Biological and Behavioral Survey

LOCATION: Exhibition Hall, Ground Level
DATE: 7/21/2014
TIME: 12:30-2:30pm
NUMBER: MOPE216
TYPE: Poster
Copy of poster

Stigma, Discrimination and Legal Context

Creating an enabling environment for HIV intervention: Lessons from Police Action Committee on AIDS in Abuja

LOCATION: Exhibition Hall, Ground Level
DATE: 7/21/2014
TIME: 12:30-2:30pm
NUMBER: MOPE330
TYPE: Poster

Prevalence and correlates of stigma and discrimination index in Nigeria

LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE258
TYPE: Poster

Quality of care to key populations by private health service providers in Central America

PRESENTED BY: IPPF/WHR with support from PSI/PASMO
LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE274
TYPE: Poster
Copy of poster

Other Research of Interest

Analysis of factors promoting use of sexual and reproductive health care services among most at risk populations: Evidence from a mystery client survey in Nigeria

LOCATION: Exhibition Hall, Ground Level
DATE: 7/22/2014
TIME: 12:30-2:30pm
NUMBER: TUPE295
TYPE: Poster

Factors associated with consistent condom use with non marital partners among truck drivers and their assistants in 5 provinces of Angola

LOCATION: Exhibition Hall, Ground Level
DATE: 7/23/2014
TIME: 12:30-2:30pm
NUMBER: WEPE316
TYPE: Poster
Copy of poster

Could the definition of comprehensive knowledge of HIV prevention be a possible barrier to the achievement of zero new infections? Evidence from Nigeria

LOCATION: Exhibition Hall, Ground Level
DATE: 7/24/2014
TIME: 12:30-2:30pm
NUMBER: THPE209
TYPE: Poster

HIV testing uptake, social norms and condom use trends among adult men and women 15 to 49 years old in Zimbabwe

LOCATION: Exhibition Hall, Ground Level
DATE: 7/23/2014
TIME: 12:30-2:30pm
NUMBER: WEPE156
TYPE: Poster
Copy of poster

Reducing on-going transmission risks among people living with HIV in Central America: Findings from an HIV combination prevention evaluation

LOCATION: Exhibition Hall, Ground Level
DATE: 7/23/2014
TIME: 12:30-2:30pm
NUMBER: WEPE158
TYPE: Poster
Copy of poster

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Building Resilient, Consumer-Powered Health Systems

PSI’s Health Systems Accelerator is built on 50+ years of experience collecting and elevating consumer and health system insights, scaling innovations and partnering with government and private sector actors to shape stronger, more integrated health systems that work for consumers. Learn more here.

Join us in this illuminating session as we explore the evolution of the STAR self-testing project, sharing insights, challenges, and successes that have emerged over the years. By examining the lessons learned and considering the implications for future healthcare strategies, we hope to foster a deeper understanding of the transformative potential of self-testing in improving healthcare accessibility and patient-centric services.   

This enlightening session promises to provide updates from WHO guidelines and share insights on the journey toward viral hepatitis elimination. It will also showcase outcomes from the STAR hepatitis C self-testing research and discuss how these findings could potentially inform hepatitis B antigen self-testing and the use of multiplex test kits in the context of triple elimination. Join us in this crucial discussion as we work together to fast-track the global journey toward a hepatitis-free world by 2030.   

In this two-part session, the Bill & Melinda Gates Foundation, PSI, and Population Solutions for Health will share lessons and best practices from rigorous research and hands-on implementation experience in Zimbabwe. The session will cover important topics like client-centered, community-led demand creation, differentiated service delivery, sustainable financing, and digital solutions. The sessions will also cover lessons in the program.

In this session, PSI and PSH will share lessons for optimizing access to comprehensive, culturally sensitive HIV and sexual and reproductive health services. Topics will include enhancing the accuracy and reliability of sex worker population data, improving HIV case finding among men who have sex with men (MSM) through reverse index case testing, and scaling differentiated service delivery models. The session will also cover integrating mental health and substance abuse in key populations (KP) programming and lessons in public sector strengthening.

Additionally, the session will showcase solutions that MSMs have co-designed, highlighting how this collaboration has improved the consumer care experience. It will demonstrate the critical role of KP communities in establishing strong and sustainable HIV responses, including amplifying KP voices, strengthening community-led demand, and establishing safe spaces at national and subnational levels for KP communities to shape and lead the HIV response.

In this two-part session, the Bill & Melinda Gates Foundation, PSI, and PSH will share lessons and best practices from rigorous research and hands-on implementation experience in Zimbabwe. The session will cover important topics like client-centered, community-led demand creation, differentiated service delivery, sustainable financing, and digital solutions. The sessions will also cover lessons in program management. These insights are applicable beyond Zimbabwe and can be used to scale up HIV prevention efforts in the region.

Scaling Digital Solutions for Disease Surveillance

Strong surveillance systems are essential to detect and respond to infectious disease outbreaks. Since 2019, PSI has worked alongside the Ministries of Health in Cambodia, Laos, Myanmar, and Vietnam to strengthen disease surveillance systems and response. Learn more here.

Misinformation and Vaccine Hesitancy

As COVID-19 spread globally, so did misinformation about countering the pandemic. In response, PSI partnered with Meta to inspire 160 million people to choose COVID-19 preventative behaviors and promote vaccine uptake. Watch the video to learn how.

The Frontline of Epidemic Preparedness and Response

Early warning of possible outbreaks, and swift containment actions, are key to preventing epidemics: disease surveillance, investigation and response need to be embedded within the communities. Public Health Emergency Operations Centers (PHEOCs) are designed to monitor public health events, define policies, standards and operating procedures, and build capacity for disease surveillance and response. Learn more here.

The Consumer as CEO

For over 50 years, PSI’s social businesses have worked globally to generate demand, design health solutions with our consumers, and work with local partners to bring quality and affordable healthcare products and services to the market. Now consolidating under VIYA, PSI’s first sexual health and wellness brand and social business, our portfolio represents the evolution from traditionally donor–funded projects towards a stronger focus on sustainability for health impact over the long term. Across 26 countries, the VIYA model takes a locally rooted, globally connected approach. We have local staff, partners and providers with a deep understanding of the markets we work in. In 2022, we partnered with over 47,000 pharmacies and 10,000 providers to reach 11 million consumers with products and services, delivering 137 million products. VIYA delivers lasting health impact across the reproductive health continuum, from menstruation to menopause. Consumer insights drive our work from start to finish. Their voices, from product exploration to design, launch, and sales, ensure that products not only meet consumers’ needs but exceed their expectations. The consumer is our CEO.

In 2019, our human-centered design work in East Africa explored ways that our work could support and accompany young women as they navigate the various choices required for a healthy, enjoyable sexual and reproductive life. Harnessing insights from consumers, VIYA is revolutionizing women’s health by addressing the confusion, stigma, and unreliability surrounding sexual wellness. Across five markets – Guatemala, Kenya, South Africa, Uganda and Pakistan – VIYA utilizes technology to provide women with convenient, discreet, and enjoyable tools for making informed choices about their bodies. The platform offers a wealth of high-quality sexual wellness information, covering topics from periods to pleasure in an accessible and relatable manner. Additionally, VIYA fosters a supportive community where users can share experiences and receive guidance from counselors. In 2023, VIYA will begin offering a diverse range of sexual wellness products and connect users with trusted healthcare providers, ensuring comprehensive care tailored to individual needs.

Digitalizing contraceptive counseling to reach rural women and girls in Ethiopia

By: Fana Abay, Marketing and Communications Director, PSI Ethiopia

In rural Ethiopia, women and girls often face significant barriers in accessing healthcare facilities, which can be located hours away. Moreover, there is a prevailing stigma surrounding the use of contraception, with concerns about potential infertility or the perception of promiscuity. To address these challenges, the Smart Start initiative has emerged, linking financial well-being with family planning through clear and relatable messaging that addresses the immediate needs of young couples—planning for the lives and families they envision. Smart Start takes a community-based approach, utilizing a network of dedicated Navigators who engage with women in their localities. These Navigators provide counseling and refer interested clients to Health Extension Workers or healthcare providers within Marie Stopes International-operated clinics for comprehensive contraceptive counseling and services.

In a significant development, PSI Ethiopia has digitized the proven counseling messaging of Smart Start, expanding its reach to more adolescent girls, young women, and couples. This approach aligns with the priorities set by the Ethiopian Ministry of Health (MOH) and is made possible through funding from Global Affairs Canada. The interactive and engaging digital messaging has revolutionized counseling services, enabling clients to make informed and confident decisions regarding both their finances and contraceptive choices.

Clients who received counseling with the digital Smart Start tool reported a higher understanding of their options and were more likely to choose contraception (74 percent) compared to those counseled with the manual version of Smart Start (64 percent). Navigators also found the digital tool more effective in connecting with clients, leading to higher ratings for the quality of their counseling.

By December 2023, PSI Ethiopia, working in close collaboration with the MOH, aims to reach over 50 thousand new clients by leveraging the digital counseling tool offered by Smart Start. This innovative approach allows for greater accessibility and effectiveness in providing sexual and reproductive health services, contributing to improved reproductive health outcomes for women and couples across the country.

Building community health worker capacity to deliver malaria care

By: Christopher Lourenço, Deputy Director, Malaria, PSI Global

Community health workers (CHWs) are critical lifelines in their communities. Ensuring they have the training, support, and equipment they need is essential to keep their communities safe from malaria, especially in the hardest to reach contexts.

For example, in Mali, access to formal health services remains challenging, with four in ten people living several miles from the nearest health center, all without reliable transportation or access. In 2009, the Ministry of Health adopted a community health strategy to reach this population. The U.S. President’s Malaria Initiative (PMI) Impact Malaria project, funded by USAID and led by PSI, supports the Ministry with CHW training and supervision to localize health services.

In 2022, 328 thousand malaria cases were recorded by CHWs); 6.5 thousand severe malaria cases were referred to health centers, according to the national health information system.

During that time, the PMI Impact Malaria project (IM) designed and supported two rounds of supportive supervision of 123 CHWs in their workplaces in the IM-supported regions of Kayes and Koulikoro. This included developing and digitizing a standardized supervision checklist; and developing a methodology for selecting which CHWs to visit. Once a long list of CHW sites had been determined as accessible to supervisors for a day trip (including security reasons), the supervisors telephoned the CHWs to check when they would be available to receive a visit [as being a CHW is not a full-time job, and certain times of the year they are busy with agricultural work (planting, harvesting) or supporting health campaigns like mosquito net distribution].

Supervisors directly observed how CHWs performed malaria rapid diagnostic tests (RDTs) and administered artemisinin-based combination therapy (ACT). They recorded CHW performance using the digitized checklist, interviewed community members, reviewed records, and provided on-the-spot coaching. They also interviewed the CHWs and tried to resolve challenges they expressed, including with resupply of commodities or equipment immediately or soon afterwards.

Beyond the observed interactions with patients, supervisors heard from community members that they were pleased that CHWs were able to provide essential malaria services in the community. And the data shows the impact.

In IM-supported areas of Mali, 36% of CHWs in the first round were competent in performing the RDT, which rose to 53% in the second. 24% of CHWs in the first round compared to 38% in the second were competent in the treatment of fever cases and pre-referral counseling. Between both rounds, availability of ACT increased from 80 percent to 90 percent.

Supportive supervision with interviews and observations at sites improved the basic competencies of CHWs between the first and second rounds, and additional rounds will help to understand the longer-term programmatic benefits.

Taking a market-based approach to scale sanitation in Ethiopia

By: Dr. Dorothy Balaba, Country Representative, PSI Ethiopia

In Ethiopia, PSI leads the implementation of USAID Transform WASH (T/WASH) activity with consortium partners, SNV and IRC WASH. Contrary to traditional models that rely on distribution of free or heavily subsidized sanitation products, T/WASH utilizes a market-based sanitation approach. This approach creates sustainable and affordable solutions, by integrating market forces and supporting businesses to grow, while creating demand at the household level.

During the last six years, T/WASH has worked alongside the private sector and government (Ethiopia’s Ministry of Health, Ministry of Water and Energy, and Ministry of Labor and Skills), among other stakeholders, to increase household access to affordable, quality sanitation products and services. For example, more than 158 thousand households have invested in upgraded sanitation solutions with rapid expansion to come as the initiative scales and market growth accelerates.

T/WASH has successfully trained more than 500 small businesses, including community masons and other construction-related enterprises, with technical know-how in sanitation product installation, operational capacities, and marketing and sales skills needed to run successful, growing businesses. The Ethiopian government is now scaling the approach to all districts through various national, regional, and local institutions with requisite expertise. T/WASH has also worked the One WASH National Program, Ministry of Health, Ministry of Water and Energy, and Ministry of Labor and Skills to examine policies that influence increased household uptake of basic WASH services, such as targeted sanitation subsidies, tax reduction to increase affordability, and increased access to loan capital for business seeking to expand and households needing help to improve their facilities.

To share the journey to market-based sanitation, representatives of the Ethiopian Ministry of Health and the USAID Transform WASH team took to the stage at the UN Water Conference in 2023.

“Rather than relying on traditional aid models that often distribute free or heavily subsidized sanitation products, market-based sanitation creates sustainable and affordable solutions, integrating market forces and supporting businesses to grow.”

— Michael Negash, Deputy Chief Party of T/WASH

Promoting self-managed care like Self-testing and Self-Sampling

By: Dr Karin Hatzold, Associate Director HIV/TB/Hepatitis

Building upon the success and insights gained from our work with HIV self-testing (HIVST), PSI is actively applying this approach to better integrate self-care, more broadly, in the health system beginning with Hepatitis C and COVID-19. Self-testing has emerged as a powerful tool to increase access to integrated, differentiated, and decentralized health services, accelerating prevention, care, and treatment for various diseases, while also increasing health system resilience against COVID-19.

Here’s how we got there.

Seven years ago, the landscape of HIV self-testing lacked global guidelines, and only the U.S., the UK and France had policies in place that allowed for HIV self-testing. High disease burdened countries in low-and-middle-income-countries (LMICs) lacked evidence and guidance for HIVST despite major gaps in HIV diagnosis.

However, through the groundbreaking research from the Unitaid-funded HIV Self-Testing Africa (STAR) initiative led by PSI, we demonstrated that HIVST is not only safe and acceptable but also cost-effective for reaching populations at high risk with limited access to conventional HIV testing. This research played a pivotal role in informing the normative guidelines of the World Health Organization (WHO) and shaping policies at the country level. As a result, more than 108 countries globally now have reported HIVST policies, with an increasing number of countries implementing and scaling up HIVST to complement and partially replace conventional testing services. This became especially significant as nations tried to sustain HIV services amidst the disruptions caused by the COVID-19 pandemic.

By leveraging our expertise, PSI is conducting research to identify specific areas and populations where the adoption of Hepatitis C and COVID-19 self-testing could significantly enhance testing uptake and coverage. This research serves as the foundation for developing targeted strategies and interventions to expand access to self-testing, ensure that individuals have convenient and timely options for testing for these diseases, and are linked to care, treatment and prevention services through differentiated test and treat approaches.

Using peer coaches to counter HIV stigma in South Africa

By: Shawn Malone, Project Director, HIV/AIDS Gates Project in South Africa, PSI Global

In South Africa, where the HIV response has lagged in reaching men, PSI’s Coach Mpilo model has transformed the role of an HIV counselor or case manager into that of a coach and mentor who provides empathetic guidance and support based on his own experience of living with HIV. Coaches are men who are not just stable on treatment but also living proudly and openly with HIV. Situated within the community and collaborating closely with clinic staff, they identify and connect with men struggling with barriers to treatment and support them in overcoming those barriers, whether that means navigating the clinic or disclosing their HIV status to their loved ones.

PSI and Matchboxology first piloted the model in 2020 with implementing partners BroadReach Healthcare and Right to Care as well as the Department of Health in three districts of South Africa. Since then, the model has been rolled out by eight implementing partners in South Africa, employing more than 300 coaches and reaching tens of thousands of men living with HIV. To date, the model has linked 98 percent of clients to care and retained 94 percent of them, in sharp contrast to the estimated 70 percent of men with HIV in South Africa who are currently on treatment.

Given the success of the program, South Africa’s Department of Health and the United States President’s Emergency Plan for AIDS Relief (PEPFAR) have each embraced the Coach Mpilo model in their health strategy and are embedding it in their strategies and programs.

“The men we spoke to [while I was traveling to South Africa for a PrEP project with Maverick Collective by PSI] were not only decidedly open to the idea of taking a daily pill…many were willing to spread the word and encourage friends to get on PrEP too. We were able to uncover and support this new way forward because we had flexible funding to focus on truly understanding the community and the root barriers to PrEP adoption. This is the philanthropic funding model we need to effectively fight the HIV epidemic, and it’s beneficial for all sorts of social challenges.”

– Anu Khosla, Member, Maverick Collective by PSI

simplifying consumers’ journey to care in Vietnam

By: Hoa Nguyen, Country Director, PSI Vietnam

In late 2022, with funding from the Patrick J. McGovern Foundation, PSI and Babylon partnered to pilot AIOI in Vietnam. By combining Babylon’s AI symptom checker with PSI’s health provider locator tool, this digital health solution analyzes symptoms, recommends the appropriate level of care, and points them to health providers in their local area. The main goal is to support people in low-income communities to make informed decisions about their health and efficiently navigate the healthcare system, while reducing the burden on the healthcare workforce. The free 24/7 service saves people time and subsequent loss of income from taking time off work and from having to pay unnecessary out-of-pocket expenses. Under our global partnership with Meta, PSI launched a digital campaign to put this innovative product in the hands of people in Vietnam. By the end of June 2023 (in the nine months since product launch), 210 thousand people accessed the AIOI platform; 2.4 thousand people created personal accounts on the AIOI website, 4.8 thousand triages to Symptom Checker and linked 2.2 thousand people to health facilities.

Babylon’s AI symptom checker and PSI’s health provider locator tool captures real-time, quality data that supports health systems to plan, monitor and respond to consumer and provider needs. But for this data to be effective and useable, it needs to be available across the health system. Fast Healthcare Interoperability Resources (FHIR) standard provides a common, open standard that enables this data exchange.
PSI’s first consumer-facing implementation of FHIR was launched in September 2022 as part of the Babylon Symptom Checker project in Vietnam, enabling rapid alignment between PSI and Babylon’s FHIR-enabled client records systems. PSI already has several other consumer health FHIR implementations under active development in 2023, including PSI’s collaboration with the Kenya MOH to launch a FHIR-enabled WhatsApp national health line for COVID-19 health information. PSI will also look to adopt and scale health workforce-facing FHIR-enabled tools, such as OpenSRP2, which will be piloted in an SRH-HIV prevention project in eSwatini in partnership with Ona by the end of 2023.

— Martin Dale, Director, Digital Health and Monitoring, PSI

Engaging the private sector for disease surveillance in Myanmar

By: Dr. Zayar Kyaw, Head of Health Security & Innovation, PSI Myanmar

Under a three-year investment from the Indo-Pacific Center for Health Security under Australia’s Department for Foreign Affairs and Trade (DFAT), PSI is enhancing disease outbreak surveillance and public health emergency preparedness and response capacities in Myanmar, Cambodia, Laos, and Vietnam. When PSI conducted a review of existing disease surveillance systems in Myanmar, it identified several gaps: although the Ministry of Health had systems in place for HIV, tuberculosis, malaria and other communicable diseases, they were fragmented, with different reporting formats and reliance on paper-based reporting. In addition, private sector case surveillance data were not routinely captured, yet private clinics and pharmacies are the dominant health service delivery channel in the country. This hindered effective disease prevention and control efforts.

Building on our extensive private sector malaria surveillance work under the BMGF-funded GEMS project in the Greater Mekong Subregion, PSI implemented a case-based disease notification system using social media channels to overcome the limitations of paper-based and custom-built mobile reporting tools. These chatbots, accessible through popular social media platforms like Facebook Messenger and Viber, proved to be user-friendly and required minimal training, maintenance, and troubleshooting. The system was implemented in more than 550 clinics of the Sun Quality Health social franchise network as well as nearly 470 pharmacies. The captured information flows to a DHIS2 database used for real-time monitoring and analysis, enabling rapid detection of potential outbreaks. Local health authorities receive instant automated SMS notifications, enabling them to promptly perform case investigation and outbreak response.

In 2022, private clinics reported 1,440 malaria cases through the social media chatbots, while community mobilizers working with 475 private providers and community-based malaria volunteers reported more than 5,500 cases, leading to the detection of two local malaria outbreaks. Local health authorities were instantly notified, allowing them to take action to contain these surges in malaria transmission. During the same time, pharmacies referred 1,630 presumptive tuberculosis cases for confirmatory testing – a third of which were diagnosed as tuberculosis and enrolled into treatment programs.

Training health workers in Angola

By: Anya Fedorova, Country Representative, PSI Angola

The shortage of skilled health workers is widely acknowledged as a significant barrier to achieving Universal Health Coverage. To address this challenge, PSI supported ministries of health to develop a digital ecosystem that brings together stewardship, learning, and performance management (SLPM). The ecosystem enhances training, data-driven decision-making, and the efficiency of healthcare delivery.

Here’s what it looks like in practice.

In July 2020, PSI Angola, alongside the Angolan digital innovation company Appy People, launched Kassai, an eLearning platform that targets public sector health workers in Angola. Through funding from USAID and the President’s Malaria Initiatve (PMI), Kassai features 16 courses in malaria, family planning, and maternal and child health – with plans to expand learning topic areas through funding from ExxonMobil Foundation and private sector companies. A partnership with UNITEL, the largest telecommunication provider in Angola, provides all public health providers in Angola free internet access to use Kassai.

Kassai’s analytics system to follow learners’ success rate and to adjust the course content to learners’ performance and needs. Kassai analytics are integrated with DHIS2 – the Health Management Information System (HMIS) of Angolan MOH, to be able to link learners’ knowledge and performance with the health outcomes in the health facilities. The analytics track learners’ performance by course and gives visibility by health provider, health facility, municipality, and province. Each course has pre-and post-evaluation tests to track progress of learning, too.

By the end of 2022, there were 6,600 unique users on the Kassai platform and 31,000 course enrollments. PSI Angola’s partnership with UNITEL, the largest telecommunication provider in Angola, allows for free internet access to learn on the Kassai for all public health providers in Angola. Building on its success for malaria training, Kassai now also provides courses in family planning, COVID-19, and maternal and child health. This reduces training silos and provides cross-cutting benefits beyond a single disease.

Implementing the SLPM digital ecosystem brings numerous benefits to health systems. It allows for more strategic and efficient workforce training and performance management, enabling ministries of health to track changes in health workers’ knowledge, quality of care, service utilization, and health outcomes in real time. The ecosystem also supports better stewardship of mixed health systems by facilitating engagement with the private sector, aligning training programs and standards of care, and integrating private sector data into national HMIS. Furthermore, it enables the integration of community health workers into the broader health system, maximizing their impact and contribution to improving health outcomes and strengthening primary healthcare.

OUR COMMITMENTS

WHISTLEBLOWER AND ANTI-RETALIATION

PSI does not tolerate retaliation or adverse employment action of any kind against anyone who in good faith reports a suspected violation or misconduct under this policy, provides information to an external investigator, a law enforcement official or agency, or assists in the investigation of a suspected violation, even if a subsequent investigation determines that no violation occurred, provided the employee report is made in good faith and with reasonable belief in its accuracy.

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Global Code of Business Conduct And Ethics

PSI’s code sets out our basic expectations for conduct that is legal, honest, fair, transparent, ethical, honorable, and respectful. It is designed to guide the conduct of all PSI employees—regardless of location, function, or position—on ethical issues they face during the normal course of business. We also expect that our vendors, suppliers, and contractors will work ethically and honestly.

OUR COMMITMENTS

The Future of Work

With overarching commitments to flexibility in our work, and greater wellbeing for our employees, we want to ensure PSI is positioned for success with a global and holistic view of talent. Under our new “work from (almost) anywhere,” or “WFAA” philosophy, we are making the necessary investments to be an employer of record in more than half of U.S. states, and consider the U.S. as one single labor market for salary purposes. Globally, we recognize the need to compete for talent everywhere; we maintain a talent center in Nairobi and a mini-hub in Abidjan. PSI also already works with our Dutch-based European partner, PSI Europe, and we’re creating a virtual talent center in the UK.

OUR COMMITMENTS

Meaningful Youth Engagement

PSI is firmly committed to the meaningful engagement of young people in our work. As signatories of the Global Consensus Statement on Meaningful Adolescent & Youth Engagement, PSI affirms that young people have a fundamental right to actively and meaningfully engage in all matters that affect their lives. PSI’s commitments aim to serve and partner with diverse young people from 10-24 years, and we have prioritized ethics and integrity in our approach. Read more about our commitments to the three core principles of respect, justice and Do No Harm in the Commitment to Ethics in Youth-Powered Design. And read more about how we are bringing our words to action in our ICPD+25 commitment, Elevating Youth Voices, Building Youth Skills for Health Design.

OUR COMMITMENTS

Zero Tolerance for Modern-Day Slavery and Human Trafficking

PSI works to ensure that its operations and supply chains are free from slavery and human trafficking. Read more about this commitment in our policy statement, endorsed by the PSI Board of Directors.

OUR COMMITMENTS

UNITED NATIONS GLOBAL COMPACT

Since 2017, PSI has been a signatory to the United Nations Global Compact, a commitment to align strategies and operations with universal principles of human rights, labor, environment and anti-corruption. Read about PSI’s commitment to the UN Global Compact here.

OUR COMMITMENTS

Environmental Sustainability

The health of PSI’s consumers is inextricably linked to the health of our planet. That’s why we’ve joined the Climate Accountability in Development as part of our commitment to reducing our greenhouse gas emissions by 30 percent by 2030. Read about our commitment to environmental sustainability.

OUR COMMITMENTS

Affirmative Action and Equal Employment Opportunity

PSI does not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, protected veteran status or any other classification protected by applicable federal, state or local law. Read our full affirmative action and equal employment opportunity policy here.

OUR COMMITMENTS

Zero Tolerance for Discrimination and Harassment

PSI is committed to establishing and maintaining a work environment that fosters harmonious, productive working relationships and encourages mutual respect among team members. Read our policy against discrimination and harassment here.

PSI is committed to serving all health consumers with respect, and strives for the highest standards of ethical behavior. PSI is dedicated to complying with the letter and spirit of all laws, regulations and contractual obligations to which it is subject, and to ensuring that all funds with which it is entrusted are used to achieve maximum impact on its programs. PSI provides exceptionally strong financial, operational and program management systems to ensure rigorous internal controls are in place to prevent and detect fraud, waste and abuse and ensure compliance with the highest standards. Essential to this commitment is protecting the safety and well-being of our program consumers, including the most vulnerable, such as women and children. PSI maintains zero tolerance for child abuse, sexual abuse, or exploitative acts or threats by our employees, consultants, volunteers or anyone associated with the delivery of our programs and services, and takes seriously all complaints of misconduct brought to our attention.

OUR FOCUS

Diversity and Inclusion

PSI affirms its commitment to diversity and believes that when people feel respected and included they can be more honest, collaborative and successful. We believe that everyone deserves respect and equal treatment regardless of gender, race, ethnicity, age, disability, sexual orientation, gender identity, cultural background or religious beliefs. Read our commitment to diversity and inclusion here. Plus, we’ve signed the CREED Pledge for Racial and Ethnic Equity. Learn more.

OUR COMMITMENTS

Gender Equality

PSI affirms gender equality is a universal human right and the achievement of it is essential to PSI’s mission. Read about our commitment to gender equality here.

OUR FOCUS

People & Communities

We prioritize the voices of people and communities in designing programs, deliver direct-to-consumer products and information, and accelerate social and behavioral change for health impact.

OUR FOCUS

Scaling Digital Health Innovations

Across 40+ countries, we scale digital solutions that make it easier for people to take ownership of their own health, and health systems to use resources efficiently and increase health impact.

Our Focus

Supporting People to be Active Agents in their Healthcare

We support health systems in shaping the policy and regulatory environment for self-care interventions and ensuring self-care is included as an essential part of healthcare services.

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Digitalizing contraceptive counseling to reach rural women and girls in Ethiopia

Building community health worker capacity to deliver malaria care

Taking a market-based approach to scale sanitation in Ethiopia

Promoting self-managed care like Self-testing and Self-Sampling

Using peer coaches to counter HIV stigma in South Africa

simplifying consumers’ journey to care in Vietnam

Engaging the private sector for disease surveillance in Myanmar

Training health workers in Angola

WHISTLEBLOWER AND ANTI-RETALIATION

Global Code of Business Conduct And Ethics

The Future of Work

Meaningful Youth Engagement

Zero Tolerance for Modern-Day Slavery and Human Trafficking

UNITED NATIONS GLOBAL COMPACT

Environmental Sustainability

Affirmative Action and Equal Employment Opportunity

Zero Tolerance for Discrimination and Harassment

Diversity and Inclusion

Gender Equality

People & Communities

Scaling Digital Health Innovations

Supporting People to be Active Agents in their Healthcare

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