Shift has been designed specifically for programmes rather than projects. We use the word ‘program’ for combinations of interventions that work together to achieve a change in health status such as reducing new HIV infections. Programmes are often on-going, as compared to projects that have an end date. Examples of programs are national or regional HIV prevention action plans or comprehensive services incorporating testing, counselling, outreach, needle exchange and condom distribution.
Shift is based on already existing tools such as the Global AIDS Response Progress Reporting (GARPR) set including the National Commitments and Policies Instrument (NCPI), used worldwide by UNAIDS and adapted for Europe by ECDC to collect relevant data on HIV programmes at the national level, and elements of the other already existing, validated quality improvement tools such as Succeed.
Shift and its supporting materials have been developed, tested and evaluated within the context of Quality Action.