PROGRAM ELEMENTS
Key elements of the BPS model include governance and technical leadership, data access and use, targeting of interventions, risk surveillance and response, community engagement and insights gathering, health promotion, expanded quality delivery, addressing structural risks, and partnership across sectors.
The BPS model is not just a series of individual program elements, but rather an approach to building an integrated system, under the governance and technical leadership of the district and city health teams, that leverages various functions and components for a holistic approach to HIV prevention.
In fact, the quality improvement and management platforms are now the central mechanism for reviewing and acting upon data, addressing implementation challenges, and sharing best practices among facilities. The network model has become the main vehicle for coordination and communication with partners at facility level. There also have been important improvements demonstrated in the fostering and sustaining of feedback loops between different activities, e.g. active surveillance, community insights, and QI.
Key program elements include:
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​Improved access and use of data leverage a BPS-supported data pipeline that pulls together existing and new data sources into user-friendly dashboards in the Prevention Adaptive Learning and Management System (PALMS), which supports data-driven decision making at the local and national levels. Government, HIV prevention service providers, and other local partners are using PALMS for regular data review, deliberation, and decision making – improving the targeting and delivery of services as well as the patient experience. This approach has been adapted in Lilongwe. Learn more >>​​​​
Use of active and passive surveillance for HIV through a pilot application of the Integrated Disease Surveillance and Response (IDSR) approach to HIV. The District Health Office, city health team, facilities, and community health workers use data signals, observation, and community insights to identify recent infections and/or proxy risk for infection by geographical area and sub-population, improving targeting of prevention interventions. Learn more >>
“BPS is helping us do our jobs better and we are seeing coordination where there were previously fragmented responses among partners. BPS is improving engagement between district and city —
shared data, shared responsibility.”
— Dr. Gift Kawalazira, Director of Health and Social Services, Blantyre District
Collection and use of insights from HIV prevention service users and their communities. Grassroots community labs use human-centered design (HCD) methods to solicit user preferences and community feedback, which informs better programming, improvements in client-centered care, and creation of feedback loops between communities, the district and city health offices, and facilities. This approach has been adapted in Lilongwe. Learn more >>
Using data and community insights to improve the targeting, framing, and timing of health promotion activities across the district and in specific communities. Learn more >>
Use of quality improvement (QI) methodologies and tools to improve HIV prevention service delivery. The PrEPUp! Collaborative, the first QI collaborative focused on PrEP, involves 23 participating facilities representing the public and private sectors, drop-in centers for key populations, and a university clinic in Blantyre. PrEPUp! has demonstrated that building district-based QI capacity for implementation and leadership embedded into the district health office structure supports sustainability and scale-up of HIV prevention products and services including oral PrEP. This approach has been adapted in Lilongwe. Learn more >>
Fostered linked networks led by district and city health offices in local communities around public facilities that bring together public and private service providers, political and community leaders, local governance and public health structures, community-based and civil society organizations. The networks link and strengthen multiple, fragmented channels across sectors; bring community groups into program planning and implementation; leverage network resources; and ensure data-driven, coordinated HIV prevention activities. It has been a key approach in building a unified, local management system. Learn more >>
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​Engaging political leaders to support the HIV prevention response. Structural Risk Reduction Working Groups provide Blantyre City and District Councilors with education on HIV and structural risks and training on data use for decision making, and Councilors engage diverse stakeholders in their ward communities to address risks, structural barriers to service access, and resource gaps. Learn more >>
