Over the past two decades, targeted collaboration between international donors, national governments, and numerous private organizations has expanded access to HIV and AIDS treatment and saved the lives of millions of people living with the disease worldwide. Today, thanks to this collaboration, an AIDS-free generation is within reach. However, the work to achieve and sustain this vision is far from done. In order to ensure all people living with HIV know their status and are receiving treatment, and that people can live positively with the disease long-term, it is critical that stakeholders from donor organizations, government, civil society, and the private sector work together. No one actor or entity can achieve UNAIDS' global 95-95-95 targets alone, and it will take strong collaborative action across the global society to end AIDS by 2030. Over the past several years, it has become increasingly clear that national HIV and AIDS responses must find ways to more urgently and adequately incorporate the human, financial, and technical capacities available in both the private health sector and among corporate actors to expand and sustain treatment availability.
SHOPS Plus aims to advance new and best practices to engage the private sector in HIV prevention, treatment, and retention efforts across the cascade of care. We support efforts to increase knowledge of evidence-based approaches for generating sustainable domestic financing of HIV programs, and we identify how various private health sector and corporate actors can contribute to successes and help overcome persisting challenges in global HIV responses. Our work brings public and private sector stakeholder together to help identify gaps in clinical and systems programming and develop private sector solutions to sustaining and accelerating progress towards national HIV goals.
To achieve this, SHOPS Plus prioritizes partnership and sustainable solutions in all our HIV and AIDS work, collaborating with donors, public sector leaders, and a diverse array of private sector partners to achieve program aims. Under USAID’s Sustainable Financing Initiative, SHOPS Plus is working in multiple countries, including Nigeria, Tanzania, Namibia, the Dominican Republic, and the Caribbean, to identify targeted areas where private actors can mobilize financial and other resources to expand access to HIV services through social enterprise business models, expanded private health insurance coverage, and corporate partnerships. SHOPS Plus is also providing technical assistance in multiple countries to strengthen and expand the total markets for priority HIV products, including condoms, HIV self-test kits, and anti-retroviral medications. These efforts seek to reduce reliance on donor funds and commodities while also easing financial burdens on people seeking care and treatment in the private sector to support the national HIV response and sustainable markets.
Examples of our work
In Tanzania, SHOPS Plus works in collaboration with the Ministry of Health, Community Development, Gender, Elderly, and Children, and a broad range of private health sector stakeholders to strengthen the availability and quality of pre-service practical training of private nursing and midwifery students. The project helped create and will implement the new national nursing mentorship guidelines by linking private medical training institutions to private health facility partners delivering integrated HIV and primary health care services. Through the program, senior level nursing and midwifery students will be exposed to practical hands-on learning in a clinical setting, strengthening the quality of their pre-service skills development and preparing them for an integrated clinical HIV and AIDS role after graduation.
In the Dominican Republic, SHOPS Plus is taking a comprehensive approach to strengthening the sustainability of private sector contributions to the national HIV response. The Dominican national HIV response has long relied heavily on private NGOs to identify, treat, and support key populations that drive the country’s HIV epidemic. These NGOs have traditionally relied on support from external donors to fund their programs. SHOPS Plus is providing technical assistance to these organizations to adopt new, more efficient business models and to access new sources of financing – such as contracting with the country’s social health insurance program – that will allow them to continue offering affordable, high quality HIV services. At the same time, the project is working with the Dominican government to ensure that people living with HIV are enrolled in the social health insurance scheme so that they can continue to access HIV care from these facilities.
In Nigeria, SHOPS Plus supported USAID’s Sustainable Financing Initiative to develop a strategy to scale up use of HIV services in Rivers and Lagos states through the private sector. SHOPS completed an assessment that examined both states’ broad health system conditions, as well as the market for HIV services, and identified private service delivery models that could bridge any gaps between supply and demand. The project identified seven different types of people living with HIV based on their general care seeking behavior, the length of time they have been living with their diagnosis, and their income. For each type, SHOPS Plus developed targeted recommendations for how USAID could invest in private sector solutions to address the clients’ needs and desires for accessing HIV care and treatment services. Take a look at the brief and video series.