TABLE 2.

Grantee Achievements in ARC Year 4

Country Team	Regulatory Function	Key Achievements
Botswana	Scope of Practice	Conducted and disseminated results from a task sharing survey report, including HIV related tasks, to support the development of a national task sharing policy. Developed a revised scope of practice, which was endorsed by the Permanent Secretary.
Ethiopia	Continuing Professional Development	Developed eight modules on national guidelines for nursing and midwifery CPD in Ethiopia, as well as a corresponding training manual with participant and facilitator guides and slide sets.
Kenya	Continuing Professional Development	Developed nursing and midwifery pediatric HIV management competency framework and instruction manual for facilitation of related CPDs. Validated the Pediatric HIV CPD module with national stakeholders.
Lesotho	Continuing Professional Development	Implemented national training for CPD focal persons on HIV guidelines and policies related to antenatal care, followed by regional meetings and facility-based training workshops. Established standards to support operationalization of logbooks to meet CPD licensure renewal requirements.
Mozambique	Licensure	Completed assessment of the preservice nursing training and examination process; used assessment finding to recommend improvements to preservice educational system. Developed and piloted the Observed Structural Clinical Examination for the PMTCT Option B+ component for the national examination of general and maternal child health nurses. Received a legal mandate to establish a Council for Nurses in Mozambique through parliamentary approval of a law to establish a nursing and midwifery regulatory body.
Rwanda	Continuing Professional Development	Developed a NIMART module for nurses and midwives in HIV and AIDS care for pre- and in-service training, including validation with stakeholders, field testing, and final revisions.
Seychelles	Continuing Professional Development	Developed a national nursing and midwifery CPD framework, designating mandatory content and featuring monitoring and evaluation and implementation plans. Incorporated HIV and AIDS certification into the national CPD framework.
	Scope of Practice	Finalized the development of a national scope of practice for nurses and midwives (e.g., generalists, specialists) in HIV and AIDS care.
South Africa	Accreditation	HIV/TB professional, ethical, and legal competencies were developed for inclusion into the national nursing council competency framework.
Tanzania	Licensure	Updated the national entry-to-practice licensing examination with questions on NIMART, PMTCT Option B+, and pediatric HIV aligned with the national guidelines.
	Continuing Professional Development	Developed modules for the national CPD program on HIV testing and counselling, stigma and discrimination, comprehensive clinical management, PMTCT Option B+ and pediatric HIV.
	Scope of Practice	Incorporated NIMART responsibilities into the national HIV task sharing policy.
Zambia	Continuing Professional Development	Developed national CPD accreditation guidelines, logbooks, and frameworks, including HIV and AIDS courses. Piloted a CPD tracking system for nurses and midwives, including training of coordinators.
Zimbabwe	Continuing Professional Development	Implemented training across three districts in order to increase the number of nurses and midwives trained in the initiation of ART, HIV management, and care of clients, with a particular focus on pediatric HIV.

Note. ARC = African Health Profession Regulatory Collaborative; ART = antiretroviral therapy; CPD = continuing professional development; NIMART = nurse-initiated and -managed ART; PMTCT = prevention of mother-to-child transmission; TB = tuberculosis.