HIV Treatment Continuity Technology Intervention Framework (TIF)
v0.4
Last updated
v0.4
Last updated
This document is a work in progress. The interactions described are a moment in time snapshot of the interventions that are being used to help HIV patients stay in treatment. To provide input or feedback see How to Provide Feedback and Input on the TIF and Toolkit
Welcome to the HIV Treatment Continuity Technology Intervention Framework (TIF). This document provides an overview of various technology-driven interventions designed to enhance the continuity of HIV treatment, including examples from multiple countries. By leveraging data and digital tools, these interventions aim to help ensure patients remain engaged in their HIV care, ultimately contributing to better health outcomes. The framework serves as a dynamic, evolving resource that captures a snapshot of interventions being employed globally to support HIV treatment retention. It includes detailed examples from countries such as Nigeria, Kenya, Uganda, South Sudan, Eswatini, Botswana, and several others, illustrating how different regions adapt technology to their unique healthcare landscapes.
The TIF is organized into three layers that provide a structured approach to cataloging and understanding technology interventions:
The TIF is designed to support layers of information pertaining to the technology interventions.
Strategies implemented before the patient arrives at a health facility, such as appointment reminders and pre-visit support.
Interventions occurring during the patient’s interaction with the healthcare system, like visit management tools and adherence counseling.
Approaches to re-engage patients who have missed appointments, including outreach and follow-up reminders.
interaction between parties involved in care delivery. It is part of the care/clinical process.
Patient Touchpoint: the care system ←→ patient
System Touchpoint: the care system ←→ other members of the system
This layer groups similar interventions together, enabling easy comparison and analysis across different settings. Examples include population-based scheduling, congestion redistribution, and anticipatory guidance.
specific approach using data/HIT to support touchpoint. Examples: paper register, SMS message, decision support reminder, phone call.
We want to understand data approaches to the care process
The TIF is more than just a catalog of interventions; it is a tool for understanding how digital and data-driven approaches are being implemented across various settings. It allows stakeholders to compare and contrast different interventions, identify trends, and synthesize practice-based evidence. By using a common framework, the TIF facilitates a shared understanding among implementers, helping to surface best practices and areas for improvement.
However, it is important to note what the TIF is not. It does not attempt to describe the entire HIV care cascade or serve as a formal conceptual model. Rather, it focuses specifically on technology interventions and their role in supporting HIV treatment continuity.
Throughout the document, you will find detailed examples of interventions from different countries:
These examples highlight the diversity and creativity in how different regions approach the challenge of maintaining HIV treatment continuity.
Each intervention is described in detail, offering a snapshot of the technology used, its implementation context, and specific characteristics. For instance, you will find descriptions of interventions like and , showcasing the diverse ways technology is used to support treatment continuity.
: An SMS reminder system integrated with patient appointment lists to ensure patients attend their scheduled visits.
: A system that tracks patients across the continuum of care, helping providers manage patient data effectively.
: Tools that provide detailed insights into HIV care and treatment data, enabling better decision-making at the national level.
: Automated systems for tracking and re-engaging patients who have missed appointments, improving retention rates.
The HIV Treatment Continuity Technology Intervention Framework (TIF) is an essential resource for anyone involved in the design, implementation, or evaluation of digital health interventions for HIV care. By providing a structured overview of current practices and detailed case studies from around the world, the TIF helps to foster a deeper understanding of how technology can be leveraged to keep patients engaged in their treatment and care. We invite you to explore the examples provided, , and consider how these interventions can be adapted or scaled in your context.
