To increase the effectiveness of HIV prevention using practical Quality Assurance (QA) and Quality Improvement (QI) tools, this Joint Action`s objectives are: To train at least 60 experts in participating Member States (MS) to provide capacity building and technical assistance to programs/projects applying QA/QI tools adapted to HIV prevention; to ensure that experts attain the knowledge and skills for providing technical support to those using QA/QI; to liaise with participating programs and projects in support of at least 80 applications of QA/QI tools and to collect and analyse data on the process and results; to develop, adopt and disseminate a Charter for Quality in HIV Prevention` with agreed quality principles and criteria to assess and improve the quality of programs and projects; to produce recommended policy statements and strategic actions for incorporating QA/QI into HIV prevention strategies, policies and action plans at the European, regional and MS levels.
The Joint Action responds to the interim report on the EU Communication and Action Plan. Its 2012 Health Programme Work Plan heading "Improvement of HIV Prevention in Europe" asks for QA/QI to improve effectiveness. Improving quality will contribute to reducing new HIV infections, discrimination and social exclusion. The Joint Action addresses health inequalities by focusing on programs and projects targeting vulnerable populations. It is a practical approach to key problems identified e.g. in the 2010 report on the Dublin Declaration, creating added value and sustainability using common tools for solutions to common problems. Transferable knowledge for the region will be disseminated by a network of experts. A set of recommended policy statements and strategic actions agreed by MS will support the permanent adoption of QA/QI for an increasingly harmonised and coordinated response to HIV as well as increased coherence with activities in other parts of the world.
Methods correspond to WP based on the concept diagram attached.
WP4 adapts tools in an iterative, theory-based process. WP5 uses adult education, e-learning and practice-based learning. WP6 coordinates the practical application of the tools in demonstration pilots, collecting data for WP3 and WP7 and documenting storyboards and feedback mechanisms. WP7 uses document analysis, theme identification and consultative discussions to articulate quality principles and criteria. WP8 conducts a desk/literature review including assessing policy impact. Stakeholder analysis, stakeholder platform, project brochure, presentations and fact sheets support WP2 in dissemination. The WP3 evaluation plan will include details of the methodology for each evaluation component, driven by the project`s process, output and outcome indicators and including electronic collection of quantitative/qualitative data, focus groups and document review.
Effectiveness requires combining testing and treatment, condoms and sterile injecting equipment, safe sex and safe injecting, human rights and reducing stigma, discrimination, poverty and criminalisation. The Joint Action will promote quality policy that follows epidemiology and responds with strategically sound and well-resourced programs. Stakeholders will include QA/QI in policy and strategy and grant the necessary resources. At the intervention level, it will improve planning, implementation and evaluation, maximising impact on priority populations to improve health. Specifically: Recognition of QA/QI in strategic documents and forums; commitment to integrate QA/QI at all levels; transferable, evidence-based, pilot-tested, practical QA/QI tools and training; capacity to use QA/QI at the program and project levels; a sustainable network of organisations and trained experts experienced in QA/QI; guidance on effective HIV prevention based on a Charter for Quality and a Policy Kit.