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Module Description


The goal of this session is to empower learners to collaborate with community partners and have them recognize the resources, structures, and processes available to persons with HIV, while underscoring the important role of community-based, decentralized care to ensure person-centered services.



By the end of the module, the learner will be able to:

  1. Identify the levels of health care available from community level to hospital level in your context.
  2. Identify the categories of health care workers and health professionals available at each level of care in your context.
  1. Identify non-governmental organizations in your context that support people living with HIV in different settings.
  1. Recognize different challenges in delivering high quality care, both at the patient level and at the level of health system
  1. Discuss the models for differentiated/decentralized care and realize the risks and benefits of these different approaches in your context.
  2. Construct a patient-centered management plan to ensure collaboration with the patient, health care workers and relevant health professionals (IPE).
  1. Discuss how to evaluate whether differentiated service delivery models are working (QI).

Optimizing Team-Based Care to Achieve High Quality HIV Care

Central to this module, facilitators should prompt all learners to consider how they can deliver care that fosters optimized team-based care to ensure high quality HIV care. Consider how the case enables learners to gain greater competency in the following domains:

  • Values and ethics: Work with individuals of other professions to maintain a climate of mutual respect and shared values.
  • Roles/responsibilities: Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations.
  • Interprofessional Communication: Communicate with patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease.
  • Teams and Teamwork: Apply the values and principles of team dynamics to build relationships and perform effectively in different team roles to plan, deliver and evaluate person-centered care and population health programs and policies that are safe, timely, efficient, effective and equitable.


AIDS               Acquired Immune Deficiency Syndrome
CAG                Community ART group
OPD                Outpatient Department
HIV                  Human Immunodeficiency Virus
ART                 Antiretroviral Therapy
NGO                Nongovernmental Organization
PEPFAR          U.S. President’s Emergency Plan for AIDS Relief
PWH               People with HIV
PWID              People who inject drugs
DFID               Department for International Development
UN                  United Nations
UNICEF          United Nations International Children’s Emergency Fund
UNAIDS         Joint United Nations Program on HIV/AIDS
WHO              World Health Organization