A framework to support new product introduction in national health systems
Facility-Level Implementation
Strategies to facilitate smooth product rollout and transition
Smooth product rollout and transition requires programs to plan ahead and develop tools and mechanisms, such as product memos which describe the key features of products and how they should be used, job aides, such as wall chart algorithms to decide if a patient is eligible for a new product, and trainings, to ensure effective uptake of new products. It is also critical that new products are integrated into existing systems for ordering and reporting, and patient information systems.
Facility-Level Implementation Checklist
Develop a comprehensive national rollout plan (e.g. CHAI Product Rollout Planning Template) that clearly defines targets, timelines, and roles and responsibilities across stakeholders
Develop and implement product introduction tools, including product memos, job aides, and patient information guides
Update stock monitoring tools (e.g. CHAI National Stock Status Dashboard), ordering forms, and patient management systems to include new products
Disseminate and implement the rollout plan working with key stakeholders at the national, regional, and facility-level
Educate health care providers, patients, and civil society about the benefits and characteristics of new products so that they can better understand their treatment
Incorporate supervision of appropriate prescribing and use of the new product within ongoing training and mentorship activities at facilities
Facility-Level Implementation Resources
The tools and resources below are intended to support the management and coordination of product phase-in as rollout activities take place at the facility-level. Facility-level rollout should be implemented in accordance with the national rollout strategy and plan developed during the national rollout planning exercise. Facility-level rollout can be time and labor intensive, and coordinated activities and messaging across Ministries of Health, implementing partners, community advocates, and other stakeholders is critical to successful implementation.
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CHAI Product Rollout Planning Template
The CHAI Product Rollout Planning Template is designed to provide a skeleton for Ministries of Health and implementing partners to map out and document the key activities, milestones, and timelines required to implement product introduction plans. The tool is designed as a template for Ministries of Health to add the relevant activities and milestones for their context; however, some key steps and milestones are included for consideration.
Resources for Dolutegravir (DTG) and Tenofovir Disoproxil Fumarate/Lamivudine/Dolutegravir (TLD) Rollout
Countries should develop comprehensive product introduction plans depending on their priorities and resources available. Planning tools, guides, and presentations to build the case for introducing and transitioning to a new product in-country can be found in this section.
HIV i-Base Resources
HIV i-Base is a treatment activist group based in London, UK. The organization is committed to providing timely and up-to-date information about HIV treatment to HIV-positive individuals and health care professionals. This includes technical and non-technical publications (all also available online, many in other languages) and a Q&A service (by phone, email and online). All resources are produced by and with the involvement of HIV-positive people and are reviewed by a medical advisory group, and can be made available for adaption to support the needs of local rollout and training, on request.
Mental Health Resources
Due to the bi-directional risk between mental health and HIV, CHAI, through the FASTER project, and in collaboration with the Pediatric-Adolescent Treatment Africa (PATA) and the Tanzania MoH, developed resources to build the capacity of health care workers and peer supporters in delivering mental health services for adolescents and young mothers living with HIV. These resources can be utilized in similar settings to orient providers on adolescent mental health and wellbeing and to support improvements in service delivery.
