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Facility-Level Implementation

Strategies to facilitate smooth product rollout and transition

​Smooth product rollout and transition requires programs to plan ahead and develop tools and mechanisms, such as product memos which describe the key features of products and how they should be used, job aides, such as wall chart algorithms to decide if a patient is eligible for a new product, and trainings, to ensure effective uptake of new products. It is also critical that new products are integrated into existing systems for ordering and reporting, and patient information systems.

Facility-Level Implementation Checklist

Develop a comprehensive national rollout plan (e.g. CHAI Product Rollout Planning Template) that clearly defines targets, timelines, and roles and responsibilities across stakeholders

 

Develop and implement product introduction tools, including product memos, job aides, and patient information guides

 

Update stock monitoring tools (e.g. CHAI National Stock Status Dashboard), ordering forms, and patient management systems to include new products

 

Disseminate and implement the rollout plan working with key stakeholders at the national, regional, and facility-level

 

Educate health care providers, patients, and civil society about the benefits and characteristics of new products so that they can better understand their treatment

Incorporate supervision of appropriate prescribing and use of the new product within ongoing training and mentorship activities at facilities

Facility-Level Implementation Resources

The tools and resources below are intended to support the management and coordination of product phase-in as rollout activities take place at the facility-level.  Facility-level rollout should be implemented in accordance with the national rollout strategy and plan developed during the national rollout planning exercise.  Facility-level rollout can be time and labor intensive, and coordinated activities and messaging across Ministries of Health, implementing partners, community advocates, and other stakeholders is critical to successful implementation.

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CHAI Product Rollout Planning Template

The CHAI Product Rollout Planning Template is designed to provide a skeleton for Ministries of Health and implementing partners to map out and document the key activities, milestones, and timelines required to implement product introduction plans. The tool is designed as a template for Ministries of Health to add the relevant activities and milestones for their context; however, some key steps and milestones are included for consideration.

 

Resources for Dolutegravir (DTG) and Tenofovir Disoproxil Fumarate/Lamivudine/Dolutegravir (TLD) Rollout

Countries should develop comprehensive product introduction plans depending on their priorities and resources available. Planning tools, guides, and presentations to build the case for introducing and transitioning to a new product in-country can be found in this section.

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Resources for Pediatric DTG Rollout

These facility-level resources are intended to help clinicians introduce pediatric DTG to patients and caregivers.

Job Aides for Pediatric Lopinavir/Ritonavir (LPV/r) Oral Pellets & Granules

The following facility-level resources and job aides provide guidance to clinicians administering LPV/r oral pellets and granules.

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HIV i-Base Resources

HIV i-Base is a treatment activist group based in London, UK. The organization is committed to providing timely and up-to-date information about HIV treatment to HIV-positive individuals and health care professionals. This includes technical and non-technical publications (all also available online, many in other languages) and a Q&A service (by phone, email and online). All resources are produced by and with the involvement of HIV-positive people and are reviewed by a medical advisory group, and can be made available for adaption to support the needs of local rollout and training, on request.

Resources for Sexual and Reproductive Health Integration

Job aides and resources for countries integrating HIV and sexual and reproductive health (SRH) services.

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