Communities of Practice

CQUIN Communities of Practice (CoP) bring network member countries together for joint learning and co-creation of resources that advance differentiated service delivery.

National DSD Coordinators

Launched in April 2017, this CoP meets regularly to facilitate exchange of information, best practices and tools amongst national differentiated service delivery (DSD) coordinators. The CoP provides a platform for the CQUIN Project Director to provide technical support and mentorship to the DSD Coordinators; exchange and review of tools and resources; peer-to-peer feedback; CQUIN-related updates; and planning for upcoming meetings.

  • Participants include 15 people from 14 network countries.
  • Dr. Peter Preko (CQUIN Project Director) is the technical lead, supported by Ms. Siphiwe Shongwe (CQUIN Clinical Advisor)
  • The CoP had four virtual meetings in CQUIN’s most recent project year
  • The platform facilitated swift exchange of policy documents, SOPs, and data collection tools used in DSD among the network countries.

M&E of DSD

Launched in August 2017, the CoP reflects the ongoing high interest amongst CQUIN country teams in the need to adapt routine monitoring and evaluation (M&E) systems to accommodate DSD models and to develop tools and resources for ad hoc data collection related to DSD.

  • Participants include 26 people from six countries: Côte d’Ivoire, Eswatini, Mozambique, Uganda, Zambia, and Zimbabwe
  • Dr. Bill Reidy (CQUIN Senior SI Specialist) is the technical lead, supported by Ms. Andrea Schaaf (ICAP SI Specialist)
  • The CoP had 10 online meetings/calls and two in-person meetings in CQUIN’s most recent project year
  • In its first year, the CoP developed an M&E framework, which was subsequently adopted for use in at least six countries: Côte d’Ivoire, Eswatini, Malawi, Uganda, Zambia, and Zimbabwe

In 2019, the CoP worked to develop a toolkit for DSD Performance Reviews, in order to facilitate the ad hoc data collection needed to assess DSD coverage and quality.

Advanced HIV Disease 

Differentiated service delivery (DSD) for people with advanced HIV disease and those at high risk of HIV disease progression (P@HR) has been an important theme within the CQUIN network. Network participants selected it as a priority at the CQUIN Launch Meeting, and early network activities included hosting an all-network meeting on DSD for P@HR in Harare, the development of a Call to Action for differentiated treatment models for patients with advanced disease and those who are at high risk of progression and development of a screening tool for use by frontline health workers.

  • In 2018-2019, 14 CoP members from Eswatini, Malawi, Uganda, and Zimbabwe worked to develop a P@HR screening tool, with support from Dr. Joanne Mantell from Columbia University and Dr. Herve Kambale from the Eswatini Ministry of Health
  • In 2020, CQUIN partnered with CHAI and Unitaid to convene a multi-country workshop on DSD for advanced HIV disease

Recipients of Care / Community Engagement

Launched in in November 2018, the Community Engagement technical working group ensures that the voices of people living with HIV and recipients of care are central to the CQUIN network. The CoP supports the engagement of representatives of national and regional networks of people living with HIV in all CQUIN activities.

  • 19 people from all 11 network countries are currently participating in the CoP. They include representatives of national and regional networks of people living with HIV
  • Ms. Solange Baptiste and Dr. Bactrin Killingo from ITPC are the technical leads, supported by Ms. Siphiwe Shongwe, CQUIN Clinical Advisor
  • The CoP has had three virtual meetings and three in-person meetings
  • The group has drafted a Community Engagement Framework, which was presented at the 3rd CQUIN Annual Meeting in November 2019
  • In 2020, the group will develop an accompanying monitoring toolkit to enable stakeholders to assess the extent of Community Engagement in DSD-related policy, implementation, and evaluation

Quality and Quality Improvement

Launched in October 2018, the CoP had its first call in February 2019. Since then, it has focused on sharing updates on QI projects and on co-creating DSD quality standards. The CoP allows network countries to contribute towards the scale up of high-quality DSD programs by exchanging best practices related to DSD quality management; identifying opportunities to co-create resources; and working to strengthen networks of practitioners and policy makers to promote ongoing cross-country learning.

  • Participants include 40 people from 10 countries: Cote d’Ivoire, Eswatini, Kenya, Malawi, Mozambique, South Africa, Tanzania, Uganda, Zambia, and Zimbabwe
  • Mr. Martin Msukwa is the technical lead, supported by Ms. Siphiwe Shongwe  
  • The CoP has had three virtual meetings and substantively contributed to the design of the June 2019 workshop on Quality and QI for DSD
  • The first co-created product is the DSD Quality Standards tool; members are next going to develop quality indicators for DSD programs

Differentiated TB/HIV

Launched in March 2019 following the CQUIN workshop in Lusaka, the CoP had its first call in June 2019. There has been great interest in continuing the discussions held in Lusaka and in supporting the integration of TB intensive case finding and TB preventive treatment (TPT) into less-intensive DSD models.

  • Participants include 49 people from the 11 network countries and global agencies/organizations including OGAC, CDC and WHO.
  • Dr. Andrea Howard, Dr. Cassia Wells, and Dr. Mohammed Mahdi are the technical leads, supported by Ms. Laura Block (CQUIN Project Officer)
  • The CoP has had four virtual meetings
  • The first co-created product was a “differentiated TB/HIV” framework, outlining issues related to TPT implementation in the context of less-intensive DSD models
  • In 2020, the CoP will develop an accompanying toolkit, designed to guide the integration of TPT into less-intensive DSD models

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