1.a HIV Treatment Hub (Assessment Checklist)

Checklist for HIV Treatment Hub
NATIONAL HIV, AIDS AND STI PREVENTION AND CONTROL PROGRAM (NASPCP)
Disease Prevention and Control Bureau
Department of Health
Name of Facility: Date Accomplished:

Address: Office Tel. No./ Cell No.:
HACT Chair/Point Person: Email address:
Purpose of this document:
Due to social and clinical complexity of providing of HIV services in a hospital, Treatment Hubs must institute systems and mechanisms to ensure a well-
coordinated delivery of comprehensive services not only in providing HIV treatment but also support and prevention services. Treatment hubs shall
continue to embark on efforts that fosters a more accepting and non-judgmental service delivery in the facilities.
This checklist will guide the DOH-CENTER FOR HEALTH DEVELOPMENT in the establishment of Treatment Hubs and monitor and improve the existing ones.
This guide does not measure performance, rather it aims to look at a holistic system in the facility required to operationalise a Treatment Hub.
Steps:
1. The HACT of the hospital will do self-assessment using the checklist below.
2. The DOH-CHDNASPCP Regional Coordinator will monitor and validate the self-assessment done by the interested facility.
3. The DOH-CHD will send recommendation/endorsement to the Disease Prevention and Control Bureau (DPCB) once 70% of the checklist have been
complied by the interested facility.
4. The facility which is not a DOH-retained hospital will engage in a partnership with the DOH CHD through a Memorandum of Agreement for said
facility to function as a treatment hub.
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5. DOH will issue a Department Memorandum to include the name of facility in the list of DOH-Designated Treatment Hubs.
INDICATORS YES NO COMMENTS

I. HIV Clinic Set-up
a. Structural Requirement
1. Waiting area ensures confidential registration
2. Presence of room/area providing auditory and visual privacy for clients

during counseling, consultation, examination and specimen collection
3. Availability of bed/ward for admissible people living with HIV
4. Presence of drop-in-centers/clinic/area for organizing self-help groups (i.e.
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learning group sessions)
5. Storage room is secure and drugs have proper storage
6. There are separate entrance and exit for patients
7. The clinical protocol on post-exposure management for HIV and Hepatitis are
visibly placed in the clinic*
b. Client Flow
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1. Clearly defined client destination through visible signage
2. Patient flow chart is posted properly in visible area(s)
3. Set schedule for regular clients are in place
II. Human Resources
a. The facility has an HIV and AIDS Core Team (HACT) composed of, but not
limited to, a physician, nurse and/or midwife, pharmacist, medical
technologist, and social worker
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b. The members of the HACT have received training on HIV and AIDS clinical
management in the past 2 years*
c. There are at least two facility staff who received training on HIV Counseling
and Testing by DOH since 2010*
d. Presence of medical technologist who has undergone HIV proficiency

training from NRL-SACCL in the last 2 years or have updated proficiency
license*
e. Pharmacist have knowledge on drug storage/stocking and updated review of

forecasting
Page 5 of 15
III. Management and administration
a. A designated hub manager is identified to supervise overall operation of the

treatment hub and provides feedback to staff on their performance
b. Presence of written policies and procedures through a hospital order of the

HACT (including its composition with identified members and their terms of
reference)
c. Policies and/or mechanism are in place to prevent breach in confidentiality.

All staff have signed the “Oath of Confidentiality” and oriented on RA 11166
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d. Mechanism are in place to prevent stigma and discrimination related to HIV

and AIDS
IV. Services
a. Services include HIV counseling and testing, and counseling on partner

disclosure (Note: This includes availability of condoms, lubricants and IEC
materials.)
b. Basic laboratory services are available (or at least with clear referral
mechanism to other laboratory or Treatment hubs), including viral load
testing
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c. Family planning counselling including PMTCT services are offered*
d. Management of newly diagnosed PLHIV is based on the current ART

guidelines
e. There is a capability of providing immunization , Isoniazid and Co-

trimoxazole prophylaxis for PLHIV
f. HACT trained on providing HIV palliative care
g. HACT trained on continuing psychosocial counseling
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h. Dispensing, storage and inventory of ARV drugs follow the standard

pharmacy procedures
V. Mobilization and Coordination
a. Presence of inter-departmental/interdisciplinary coordination committee on

HIV and AIDS care and treatment involving people living with HIV or with
support group, and OB, Pedia and TB service providers
b. Facility is accredited by PhilHealth and utilizes PhilHealth package
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c. Important referral relationships have been established. This include health

facilities (treatment hubs, TB DOTS, surgeons and ophthalmologists, social
welfare services, and support groups)
d. Referral forms are available and used by HIV and AIDS Core Team
e. Service referral directory is always updated and available (including

economic and social support)
VI. Infection Control Practices
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a. The facility follows infection control guidelines for prevention of STI/HIV

transmission, TB and other communicable diseases in the health care setting
b. Procedure exist for the safe disposal of all wastes in the facility
VII. Attendance
a. Number of people living with HIV accessing in-patient services
b. Number of people living with HIV attending outpatient services (relative to

the estimated number of PLHIV in the region)
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VIII. Recording and Reporting
a. Standard client registration and filing system that maintains confidentiality is

in place and being maintained at all times
b. Files are kept in locked cabinet. Access to files is limited only to designated
staff
c. Personnel trained on the standardized monthly reporting forms submitted to

DOH-RO, EB and DPCB*
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IX. Logistics Management
a. A timely and efficient ordering and procurement mechanism is in place*
b. Conducts regular drug inventory
c. Willingness to utilize available resources for emergency procurement of ARV

drugs, as necessary
X. Good Storage Practice Checklist
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a. Only authorized personnel can enter the storage area.

b. Storage area has sufficient capacity for storing and sorting different products.
c. Storeroom is cleaned and disinfected regularly (free from rodents and
insects).
d. Products are stored in a dry, well-lit, well-ventilated condition out of direct
sunlight and in a manner easy to inspect.
e. Storeroom is secured from the risk of water penetration.
f. Fire safety equipment is available, easily accessible and personnel are trained
to use it.
g. Temperature is controlled and temperature monitoring chart is regularly
maintained in the storeroom.
h. Temperature is controlled and temperature monitoring chart is regularly
maintained in the storeroom.
i. Cartons are stacked at least 10 cm (4 in) off the floor, 30 cm (1 ft) away from
the walls and other stacks, and not more than 2.5 m (8 ft) high.
j. Medical supplies are stored away from insecticides, chemicals, old files,
office supplies, and other materials.
k. Cartons are arranged so that arrows point up and identification labels, expiry
dates, and manufacturing dates are clearly visible.
l. Products are stored in easily accessible manner for FEFO, counting, and
general management.
m. Damaged or expired products are separated from regular stock and properly
labelled.
n. There is a regular practice of physical inventory count and rotation of
supplies.
o. Staff in charge is clearly assigned and trained for storage, distribution, and
inventory management.
*minimum expectations for a treatment hub
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Note: Please submit this self-assessment to DOH-Center for Health Development through the Regional HIV Coordinator.
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Checklist for HIV Treatment Hub

Name of Facility: Date Accomplished:

Purpose of this document:

INDICATORS YES NO COMMENTS

1. Waiting area ensures confidential registration

2. Presence of room/area providing auditory and visual privacy for clients

3. Availability of bed/ward for admissible people living with HIV

4. Presence of drop-in-centers/clinic/area for organizing self-help groups (i.e.

learning group sessions)

5. Storage room is secure and drugs have proper storage

6. There are separate entrance and exit for patients

1. Clearly defined client destination through visible signage

2. Patient flow chart is posted properly in visible area(s)

3. Set schedule for regular clients are in place

II. Human Resources

d. Presence of medical technologist who has undergone HIV proficiency

e. Pharmacist have knowledge on drug storage/stocking and updated review of

III. Management and administration

a. A designated hub manager is identified to supervise overall operation of the

b. Presence of written policies and procedures through a hospital order of the

c. Policies and/or mechanism are in place to prevent breach in confidentiality.

d. Mechanism are in place to prevent stigma and discrimination related to HIV

a. Services include HIV counseling and testing, and counseling on partner

c. Family planning counselling including PMTCT services are offered*

d. Management of newly diagnosed PLHIV is based on the current ART

e. There is a capability of providing immunization , Isoniazid and Co-

f. HACT trained on providing HIV palliative care

g. HACT trained on continuing psychosocial counseling

h. Dispensing, storage and inventory of ARV drugs follow the standard

V. Mobilization and Coordination

a. Presence of inter-departmental/interdisciplinary coordination committee on

b. Facility is accredited by PhilHealth and utilizes PhilHealth package

c. Important referral relationships have been established. This include health

e. Service referral directory is always updated and available (including

VI. Infection Control Practices

a. The facility follows infection control guidelines for prevention of STI/HIV

a. Number of people living with HIV accessing in-patient services

b. Number of people living with HIV attending outpatient services (relative to

VIII. Recording and Reporting

a. Standard client registration and filing system that maintains confidentiality is

c. Personnel trained on the standardized monthly reporting forms submitted to

IX. Logistics Management

a. A timely and efficient ordering and procurement mechanism is in place*

b. Conducts regular drug inventory

c. Willingness to utilize available resources for emergency procurement of ARV

X. Good Storage Practice Checklist

a. Only authorized personnel can enter the storage area.

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