Clinic-CBO Collaboration (C3)
The Clinic-CBO Collaboration (C3) Programme is a partnership between PATA and ViiV Healthcare´s Positive Action for Children Fund (PACF) to link health facilities and communities to deliver services together for improved PMTCT- paediatric case finding and HIV treatment, and support for adolescents across the HIV care cascade.
The Clinic-Community Collaboration Toolkit: Working together to improve PMTCT and paediatric HIV treatment, care and support
PATA and PACF have worked across nine countries and strengthened 36 community-clinic collaborations on the three-year Clinic-CBO Collaboration (C3) programme. Together, PATA and PACF have identified how transformative collaboration at a local level between community-based organisations (CBOs) and clinics can be to the health response. Thus PATA and PACF have developed a Clinic-Community Collaboration Toolkit and accompanying Be Connected e-learning course informed by the C3 programme’s successes and lessons learnt.
Through these new tools, we hope to continue empowering and capacity-building health providers, community-based staff and local coordinators to initiate, expand and improve upon joint activities and action plans to strengthen paediatric case finding and treatment access and reduce mother-to-child transmission (MTCT).
“Small improvements in hundreds or even thousands of clinic-community collaborations can lead to improvements in the quality of care and the health and well-being of children living with HIV. This in turn can contribute to our global targets to end MTCT and paediatric HIV by 2020, strengthen paediatric HIV case finding and improve access to treatment.”
– Luann Hatane, Executive Director of PATA.
The Be Connected e-learning course
The Be Connected e-learning course aims to further scale the results of collaboration by providing a practical ‘how to’ application in the methodology of working together that is centred on cooperation, joint planning and structured partnership.
While the course is based on lessons from C3, which aimed to strengthen linkage and retention along the PMTCT and paediatric treatment cascade, its intention is to be applicable to all target populations and service areas. The course provides transferable building blocks for cooperative planning, implementation and monitoring of community engagement strategies and activities. The course has also integrated lessons and contributions from key stakeholder projects.
An estimated 150,000 children (age 0–14 years) were newly infected with HIV globally in 2015, 85% of whom live in sub-Saharan Africa. Of the 1.8 million children living with HIV globally, half do not receive ART and for those who do receive ART, it often comes too late. Without timely treatment, half of the children living with HIV who are not initiated on treatment will not reach two years of age.
Achieving global fast track targets, scaling up comprehensive PMTCT and rolling out WHO guidance on the immediate initiation of ART will require up-skilling of health providers and expanded service delivery. In a health system that has limited human resources and whose clinics are already overburdened, high impact interventions, together with community-based models need to be identified at each step of the HIV prevention, care, and treatment cascade. Greater efforts are needed to build and document a growing body of evidence, demonstrating the impact of community engagement and clinic – community-based collaboration. PATA will draw upon lessons and opportunities from C3 Phase I (2014-2017) where 36 clinic-CBO partnerships were initiated across 9 countries to expand and deepen the program in C3 Phase II (2017 -2020).
Leverage C3 learning• Consolidate C3 learning into a Toolkit for local and global distribution
• Develop a complementary online set of interactive tools and infographics
• Link learning to a Community of Practice on clinic – community engagement
Build upon and strengthen PATA-PACF collaboration• Scale-up and initiate 60 new clinic-CBO partnerships across 6 countries
• Facilitate Partnership Initiation Forums and the development of Joint Activation Plans
• Undertake operational deep dive case study on C3 methodology
Establish a C3 Community of Practice to document and share lessons• Establish an online set of tools and e-learning platform
• Share information, tools, and resources
• Document and share promising practices and operational research
• Host a biennial Regional Collaborative Learning Forum on the prevention of mother-to-child transmission (PMTCT), early infant diagnosis (EID), paediatric case finding, and HIV treatment and care
Advocate for improved linkage along the paediatric HIV prevention and treatment cascade – with adoption of community engagement policy and practice• Communication strategy on C3 methodology developed and distributed
• C3 presentations, papers and policy briefing documents or case studies delivered
• Promote increased investments into C3 and community engagement
• Advocate for improved monitoring and reporting on clinic-community engagement