Evaluations of the Partnership for HIV-Free Survival
The Partnership for HIV-Free Survival (PHFS), implemented in six countries in eastern and sub-Saharan Africa between 2012 and 2016, was a collaboration among the United States President's Emergency Plan for AIDS Relief (PEPFAR), UNICEF, and the World Health Organization (WHO). Its goal was to accelerate the uptake of WHO’s Guidelines on HIV and Infant Feeding: 2010 by the participating countries. These countries were Kenya, Lesotho, Mozambique, South Africa, Tanzania, and Uganda.
Although aims differed slightly by country, the initiative was designed to reduce mother-to-child transmission of HIV and increase child survival through improvements in breastfeeding practices, antiretroviral therapy uptake and coverage among HIV-positive pregnant women and mothers, and overall mother-baby care.
These briefs outline the findings of a rapid assessment of PHFS, conducted in June 2017 by MEASURE Evaluation, which is funded by the United States Agency for International Development and PEPFAR.
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Legacy Evaluation of the Partnership for HIV-Free Survival: Kenya, Lesotho, Mozambique, South Africa, Tanzania, and Uganda This report shares findings from the legacy evaluation of PHFS in 2017–2018 in six countries, reviewing the project’s effects on prevention of mother-to-child transmission. |
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 | Country Assessment: Kenya This brief focuses on nine components of PHFS in Kenya: mother-baby pairs, HIV-exposed infant days, integration of services, peer mothers, facility-level innovation, coaching, knowledge exchange, existing health system structures and staff, and partnership. |
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Country Assessment: Lesotho This brief focuses on seven components of PHFS in Lesotho: mother-baby pairs, breastfeeding practices, integration of services, community-client links, quality improvement, coaching, and quality improvement versus quality assurance. |
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This brief focuses on six components of PHFS in Tanzania: partnership, mother-baby pairs, integration of services, quality improvement, knowledge exchange, and community engagement. |
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This brief focuses on seven components of PHFS in Uganda: mother-baby pairs, mother-baby care points, integration of services, national policy, quality improvement, coaching, and knowledge exchange. |
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Country Assessment: South Africa This brief focuses on seven components of PHFS in South Africa: government engagement, continuous quality improvement, mentoring, knowledge exchange, integration of services, mother-baby pairs, and nutrition |
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Country Assessment: Mozambique This brief focuses on seven components of PHFS in Mozambique: harmonized quality improvement, patient records, mother-baby pairs, breastfeeding practices, integration of services, community-patient links, and coaching. |
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Using a quality improvement approach in the prevention of mother-to-child HIV transmission program in Uganda improves key outcomes and is sustainable in demonstration facilities: Partnership for HIV-Free Survival This journal article shares findings from an evaluation of PHFS that used a retrospective longitudinal design to assess the program’s association with four outcomes. |
