A SERVICE MANUAL FOR TEAM LEADERS, TRAINERS AND SUPERVISORS

Introduction

PURPOSE The purpose of this guide is to provide standard procedures for the implementation of High HIV Impact services that integrate (i) social network strategies with (ii) assisted HIV selftesting and (iii) HIV index testing. This guide describes how to plan and implement high HIV impact services that put people living with HIV at the centre of HIV case finding response. High HIV impact services aim to increase HIV case finding by merging four elements:

1. People living with HIV deployed as mobilizers (in respondent driven sampling called ‘seeds’) to reach people at risk of HIV unknown to current HIV services in local places.
2. Assisted HIV self-testing that centralizes HIV diagnostic services so they can be peerdriven and delivered in the community.
3. HIV index testing to prioritize the testing of primary partners and family members of newly diagnosed people living with HIV.
4. Social networking strategies to uncover networks and outliers from key populations who are unknown to current HIV services in local places.
5. Simple HIV case management for newly diagnosed people living with HIV.

The guide has been developed with the leadership and guidance of the HIV/TB Agency, Information and Services (AIS) Activity and its implementing partners in Burma. AIS is an activity of the US President’s Emergency Plan for AIDS Relief (PEPFAR) and the USAID Accelerator to End Tuberculosis (TB Accelerator). The dual purpose of this activity is to achieve HIV epidemic control and to achieve a Burma free from TB (Duke University, 2021). The guide is for supervisors, trainers and team leaders of peer education teams and HIV diagnostic service teams within AIS Activity implementing partners. It should be read in conjunction with the High HIV Impact Train the Trainer (ToT) Manual and the PowerPoint slide deck of the same name developed for training supervisors and staff teams.