Where We Work


The Namibia Project for Retention of Patients on ART (NAMPROPA), was a quality improvement collaborative (November 2016 - February 2018) with the aim of improving retention, viral load monitoring and suppression, and hypertension screening and treatment among people living with HIV in Khomas, Zambezi, and Ohangwena regions of Namibia to reach the UNAIDS 90-90-90 targets for Namibia. NAMPROPA was led by Namibia's Ministry of Health and Social Services (MoHSS) with technical support from HEALTHQUAL.


The Ministry of Health and Child Care and HEALTHQUAL successfully launched the ART4All Collaborative to accelerate "Treat All" for PLHIV across 27 sites in City of Harare, Chitungwiza and Epworth District in Mashonaland East in Zimbabwe. This innovative collaborative addresses a new model of treatment implementation to reach the 90-90-90 goals.

ART4All Background and Results


HEALTHQUAL has launched a collaborative to identify and start 100% of HIV-infected children on treatment in selected hub-and-spoke networks in Lagos and FCT-Abuja, and Nasarawa states.

Southeast Asia

The Southeast Asia Stigma Reduction QI Learning Network is designed to accelerate implementation of national- and facility-level HIV-related stigma & discrimination reduction activities in Cambodia, Lao PDR, Thailand, and Vietnam through routine measurement, quality improvement (QI) methods, and structured peer learning and exchange. This multi-country undertaking offers a unique opportunity to share learning in this field between four countries in Southeast.

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HEALTHQUAL has launched a collaborative with 31 hospitals aimed at improving linkage, retention and treatment, particularly among young males in persons living with HIV (PLWH) between 15 and 30 years of age in the Blantyre region. The collaborative brings together teams from selected hospitals in Blantyre that will test multiple change activities, resulting in evidence-based improvement activities that can be replicated in other facilities.


In Haiti, HEALTHQUAL is working to enhance data systems to link improvement with performance and quality management, integrate PEPFAR SIMS results into routine planning, and establish a formal QI coaching certification program.

Papua New Guinea

In PNG, HEALTHQUAL provides TA to the national HIVQUAL program. A major accomplishment for the PNG national program has been the programming of the HIVQUAL indicators into the HIV Patient Database (HPDB). This work will now allow providers to produce HIVQUAL reports from the same database into which they enter their reporting data. Finalizing these indicators was a key step to finalizing the National HIVQUAL Framework.


In Vietnam, HEALTHQUAL is supporting the national HIVQUAL program, which has expanded from 11 outpatient clinics (OPCs) in 5 provinces in 2012, to 172 OPCs in 30 provinces in 2015. As part of the quality management program, HIVQUAL established a national TWG with 30 QM steering committees, 30 provincial TWGs, and 172 quality groups in hospitals/medical centers. As part of the performance measurement program, the national program has integrated multiple data platforms to track, analyze, and report on performance measurement data across sites (e.g. HIVQUAL software, eClinica). HIVQUAL-VN has established a national coaching program with a gradual transfer of technical support to provinces. Coaching supports the provinces and the OPCs to monitor QI implementation and site-level support for data collection. In addition to site visits, coaching is conducted through monthly web-based technical assistance via the ZOOM platform.


In Uganda, HEALTHQUAL and UCSF are supporting QI implementation through a partnership with the Makerere School of Public Health/METS Program. The focus for this project is on data use for improvement through peer exchange and building capacity within Uganda’s national improvement program to spread improvement learning and build a regional knowledge network.