Quality improvement efforts in Nigerian public health facilities
|
|
- Denis Cobb
- 6 years ago
- Views:
Transcription
1 Quality improvement efforts in Nigerian public health facilities A presentation of FHI Nigeria at the maiden conference of the Society for Quality Healthcare in Nigeria 7 July, 2009 Dr Christoph Hamelmann Country Director
2 FHI Nigeria program development Sexual and reproductive health programs (SRH) HIV/AIDS and SRH Global Health Initiatives: HIV/AIDS TB SRH Malaria Health systems strengthening and integration of global health initiatives Single disease program Multiple disease programs Global Health Initiatives (GHI)s Health systems and integrated GHIs
3 What Quality Improvement is Concerted efforts to improve the quality of medical care the degree to which health services for individuals and population increases the likelihood of desired health outcomes and are consistent with current professional knowledge The Institute of Medicine
4 FHI Quality Assurance Quality Improvement guiding principles Identify quality gaps and performance issues Identify the improvement goal/objectives Measure performance against standards QA Address issues Test system changes QI Develop the improvement measurement system Implement standards Develop standards Develop ideas for changes
5 What aspect of quality improvement does FHI Nigeria target? QI Framework Structure Process Outcome FHI specific interventions at public health facilities Institute facility-led QI initiatives Entrench quality improvement culture Establish Electronic Medical Record (LAMIS) for longitudinal patients monitoring & management Establish system-wide leadership for development through Quality Improvement Project (QIP) team and Multicenter LAMIS Evaluation Group (MLEG) Improve systems for delivering quality healthcare services Enhancing the methods for quality assurance and quality controls in service delivery Performance measurements Improve quality of clinical outcomes and public health interventions using evidence-based practices
6 Generic service blueprint
7 Three good QI examples PMTCT TB/HIV ART Improvement of ARV prophylaxis uptake Improvement of case detection of TB/HIV co-infection Improvement of switching to 2nd line ARVs
8 PMTCT Fishbone diagram: root-causes for low ARV prophylaxis uptake Inadequate staffing Providers False address New tool - diaries Policy National Guidelines for commencement of ARV prophylaxis POS with same day result Posting, resignation High staff turn over Low hospital delivery rate Inadequate information to track patients Policy issues HW resistance to change Timing of ARV administration Transport costs Low ARV prophylaxis uptake Distance Late ordering of drugs Lack of CD4 machines in stand-alone sites Resources Cultural beliefs Expensive Low rate of return visits to facility Partner disclosure issues Domestic violence Stigma Patients
9 PMTCT Impact on HIV testing and ARV uptake 1200 Pre-QI Post-QI Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Pregnant women tested HIV positive Pregnant HIV positive woman completed ARV prophylaxis - total Total number of public health facilities involved in PMTCT QI intervention = 62
10 TB/HIV Root-cause analysis for low case detection of TB/HIV co-infection Poor understanding of the National guidelines on TB/HIV collaboration Policy Unavailability of National guidelines and policy documents at sites Broken-down/non-functional microscopes Poor infrastructure (non-conducive waiting room) Inconsistency in the content of counseling provided at different CT units Personnel Lack of HCT providers in the CT unit of Chest Clinic Poor documentation in TB lab register (patients HIV status not documented) Inappropriate information to clients referred to TB lab from main HCT center Difficulty in locating TB lab Lack of training for lab scientist on use of TB tools Poor documentation of HCT services at blood bank Inadequate number of trained staff at blood bank Wrong referral from blood bank Low detection of TB/HIV co-infection Incessant stock-outs of anti-tb drugs, lab reagents and RTKs Resources Occasional clients opt out of TB and HCT services Patients
11 TB/HIV Clinical TB screening profile at HIV service delivery points QI Intervention begins Mid Cycle Review & Correction 100% 80% 60% 40% 20% 0% Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Proportion of HIV negative clinically screened for TB Proportion of HIV positive clinically screened for TB
12 TB/HIV Impact on TB diagnosis amongst HIV positive individuals 100% QI Intervention begins Mid Cycle Review & Correction 80% 2 pt moving average 60% 40% 20% 0% Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Proportion of new HIV positive individuals with TB clincal screening score 1+ with 3 AFB sputum smear examinatio This chart presents results of TB/HIV QI intervention in 1 pilot site in Nigeria The key system changes/intervention that led to significant quality improvement is being tested in 42 sites in Nigeria
13 ART Root-cause analysis for failure to switch to 2nd line ARVs Recurring CD4 machine breakdown Lab. factors Envisaged 2nd line drugs toxicity Failure to review clients investigation Providers Inadequate information and training of HW on how/when to switch High staff attrition Work overload for physician Restricting sample collection due to manpower shortage Stock-out of 2nd line drugs Late ordering of 2nd line drugs Poor patient monitoring Resources Low rate of return visits Transport costs Distance from the public health facilities Patients not submitting samples for follow-up investigation Request for investigation not made Failure to switch to 2nd line drugs Missed appointments LTFU Patients
14 ART Antiretroviral treatment QI Enhanced QA/QI using FHI s EMR, LAMIS Automatically generated performance indicators Multicentre LAMIS Evaluation Group acts as the QA/QI team
15 ART
16 LAMIS: Performance indicator data dictionary
17 Proportion of current ART patients who had a clinical staging done at last clinical visit prior to the reporting date in Massey Street Children hospital, Lagos (N= 663) 100% 90% 80% 70% Percentages 60% 50% 40% 30% 20% 10% 0% May June July Aug Sept Oct Nov Dec Jan Feb Mar Apr
18 LAMIS: Scoring system
19 Comparative rankings for facility improvements on percentage of current ART patients who had a clinical staging done prior to the reporting date Percentages Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Mas Facility sey1 Maitama Facility 2 Mainland Facility 3
20 Conclusions Facility-led QI efforts for public health services supported by TA organization are feasible and successful in lifting quality of services at public health facilities in Nigeria
21 Thanks for listening!
STRENGTHENING THE COORDINATION, DELIVERY AND MONITORING OF HIV AND AIDS SERVICES IN MALAWI THROUGH FAITH-BASED INSTITUTIONS.
STRENGTHENING THE COORDINATION, DELIVERY AND MONITORING OF HIV AND AIDS SERVICES IN MALAWI THROUGH FAITH-BASED INSTITUTIONS. Acknowledgements This project was fully funded by Center For Disease Control
More informationThe CIDRZ Experience: use of data to understand patient outcomes and guide program implementation 07 January 2010
The CIDRZ Experience: use of data to understand patient outcomes and guide program implementation 07 January 2010 Dr C Bolton Moore Deputy Medical Director CIDRZ Ministry of Health Zambia University of
More informationApplying Improvement to Keep HIV+ Mothers and Exposed Infants in Care. Anisa Ismail Improvement Advisor University Research Co.
Applying Improvement to Keep HIV+ Mothers and Exposed Infants in Care Anisa Ismail Improvement Advisor University Research Co., LLC 1 What if you found out you were pregnant? What if you knew you were
More informationThe Global Partnership for HIV-Free Survival (PHFS): Quality Improvement and Breastfeeding / ART compliance
The Global Partnership for HIV-Free Survival (PHFS): Quality Improvement and Breastfeeding / ART compliance TOPS Breastfeeding Seminar Washington, DC May 10, 2017 Amy F. Stern, URC Improvement Director
More informationSouth Africa Country Report FY14
USAID ASSIST Project South Africa Country Report FY14 Cooperative Agreement Number: AID-OAA-A-12-00101 Performance Period: October 1, 2013 September 30, 2014 DECEMBER 2014 This annual country report was
More informationEarly Infant Diagnosis-Malawi Experience. P.N.Kazembe
Early Infant Diagnosis-Malawi Experience P.N.Kazembe MALAWI HIV/AIDS DATA Total population 12.8 million HIV prevalence 14% (15-49 yrs) Antenatal HIV prevalence 15%. 81,000 HIV infected women deliver/yr
More informationQuantitative OR methodologies I
Quantitative OR methodologies I Mark Micek, MD, MPH Operations Research Mini Course August 1, 2008 Broad methodologies of OR Modeling (classic) Develop mathematical model to mimic health care system Manipulate
More informationCASE STUDY Improving the quality of VMMC services at Mangochi, Mzimba North, and Nkhotakota District Hospitals in Malawi
CASE STUDY Improving the quality of VMMC services at Mangochi, Mzimba North, and Nkhotakota District Hospitals in Malawi With support from United States Agency for International Development (USAID), multi-sectoral
More informationIntegrated VL/EID& TB Data Review Meeting 23/3/2018 PIATO
Integrated VL/EID& TB Data Review Meeting 23/3/2018 PIATO OBJECTIVES 1.To review progress of national viral load monitoring, EID &TB 2. To share experiences and implementing challenges. 3. To forge a way
More informationQuality Improvement Methodology, Workflow Redesign and Outcomes Management
Quality Improvement Methodology, Workflow Redesign and Outcomes Management Jeffrey Hummel, MD, MPH Medical Director for Clinical Informatics, Qualis Health and UW Medicine Neighborhood Clinics July 28,
More informationStrengthening Health Systems for an AIDS-Free Generation 4th Annual IAS/IAC Pre-conference Meeting WASHINGTON, DC JULY 20-21, 2012
Strengthening Health Systems for an AIDS-Free Generation 4th Annual IAS/IAC Pre-conference Meeting WASHINGTON, DC JULY 20-21, 2012 Challenges for Further Decentralization of HIV Treatment in Tanzania David
More informationHIV Quality Improvement Initiatives in Mozambique
HIV Quality Improvement Initiatives in Mozambique HEALTHQUAL INTERNATIONAL: ACLN 2012 Kampala, Uganda Dr. Mussa Calu, MD Joseph Lara, MPH Dr. Isabel Pereira, MD MPH KEY HIV/AIDS INDICATORS 1. HIV Prevalence
More informationSaskatchewan HIV Strategy: Social Network Approach
Saskatchewan HIV Strategy: Social Network Approach Dr. Johnmark Opondo MHO Provincial Leadership Team (PLT) CATIE Forum: New Science, New Directions in HIV and HCV September 18, 2013 Toronto, Canada A
More informationNational Xpert MTB/RIF Programme
National Xpert MTB/RIF Programme 1. Background to Project This project was initiated at the request of the Honorable Minister of Health, Dr Aaron Motsoaledi, in early 2011, following the World Health Organization
More informationImproving care of HIV-infected breastfeeding
Improving care of HIV-infected breastfeeding and their : Early results from the Partnership for HIV-free Survival Initiative in Uganda Tamara Nsubuga-Nyombi, URC IAS- Melbourne, Australia July 22nd, 2014
More informationGlobal Fund Approach to Health System Strengthening
Global Fund Approach to Health System Strengthening WHO Expert consultation on positive synergies between health systems and Global Health Initiatives Geneva, 29-30 May 2008 Dr Stefano Lazzari, Director
More informationQuality Improvement of HIV and AIDS programs: experiences from South Africa ( )
Quality Improvement of HIV and AIDS programs: experiences from South Africa (2007 2010) Dr D Jacobs Country Director: Health Care Improvement Project (South Africa) University Research Co.,LLC 1 Global
More informationHIV POSITIVE YOUTH: LINKAGE & RETENTION IN CARE
HIV POSITIVE YOUTH: LINKAGE & RETENTION IN CARE Site C Youth clinic HIV care pathway DAY 1 Test HIV + PIMA point of care CD4 count in in 3-5 days initiation + in session 3 session 4 1 month Youth Club
More informationReview of the Democratic Republic of the Congo (DRC) by the Committee on the Elimination of Discrimination Against Women (CEDAW)
Review of the Democratic Republic of the Congo (DRC) by the Committee on the Elimination of Discrimination Against Women (CEDAW) Submission: Elizabeth Glaser Pediatric AIDS Foundation June 2013 Introduction:
More informationAnnex A: Impact, Outcome and Coverage Indicators (including Glossary of Terms)
IMPACT INDICATORS (INDICATORS PER GOAL) HIV/AIDS TUBERCULOSIS MALARIA Reduced HIV prevalence among sexually active population Reduced HIV prevalence in specific groups (sex workers, clients of sex workers,
More informationNo. individuals current on treatment (ART) - PEPFAR Indicator Reference Sheets
No. individuals current on treatment (ART) - PEPFAR Indicator Reference Sheets 2004-2009 Indicator Reference Sheet Number of individuals receiving antiretroviral therapy at the end of the reporting period,
More informationMonitoring of HIV positive mothers and HIV exposed infants in context of Option B+ implementation
Monitoring of HIV positive mothers and HIV exposed infants in context of Option B+ implementation Kenya Outline of the presentation Background: Kenya in Context PMTCT Program progress 2012-2015 Option
More informationBotswana Advocacy paper on Resource Mobilisation for HIV and AIDS
Republic of Botswana Botswana Advocacy paper on Resource Mobilisation for HIV and AIDS Page 1 June 2012 1.0 Background HIV and AIDS remains one of the critical human development challenges in Botswana.
More informationContact investigation and prevention in Indonesia
Contact investigation and prevention in Indonesia Rina Triasih Department of Paediatric, Faculty of Medicine, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia Outline Child TB situation
More informationTo provide you with the basic concepts of HIV prevention using HIV rapid tests combined with counselling.
Module 2 Integration of HIV Rapid Testing in HIV Prevention and Treatment Programs Purpose Pre-requisite Modules Learning Objectives To provide you with the basic concepts of HIV prevention using HIV rapid
More informationM&E of DSD with Electronic Medical Records
The CQUIN Learning Network Annual Meeting M&E of DSD with Electronic Medical Records Names: Munyaradzi Pasipamire, Steven Chambers Swaziland National AIDS Programme February 13-15 Maputo, Mozambique Swaziland
More informationInsulin Administration Errors in Adult Community Nursing. Hedy Lehman Assistant Director of Professional Standards, Adult Community Nursing
Insulin Administration Errors in Adult Community Nursing Hedy Lehman Assistant Director of Professional Standards, Adult Community Nursing Organisational Background, Changes and Context Prior to April
More informationCLINICAL SERVICES TECHNICAL SUPPORT SUPERVISION/MENTORSHIP SUPERVISION CHECKLIST (HEALTH FACILITY)
CLINICAL SERVICES TECHNICAL SUPPORT SUPERVISION/MENTORSHIP SUPERVISION CHECKLIST (HEALTH FACILITY) DISTRICT: IMPLEMENTING STAFF IN THE FACILITY NAME DESIGNATION Health Facility 1)... 2)... Type of Facility:
More informationUPTAKE OF THE PREVENTION OF MOTHER- TO-CHILD-TRANSMISSION PROGRAMME AT A PRIMARY CARE LEVEL IN SEDIBENG DISTRICT
UPTAKE OF THE PREVENTION OF MOTHER- TO-CHILD-TRANSMISSION PROGRAMME AT A PRIMARY CARE LEVEL IN SEDIBENG DISTRICT A Research Report Submitted to the Faculty of Health Sciences, University of the Witwatersrand
More informationScaling up priority HIV/AIDS interventions in the health sector
TOWARDS UNIVERSAL ACCESS? Scaling up priority HIV/AIDS interventions in the health sector Yves Souteyrand, WHO October 2011 Towards universal access targets UN General Assembly High level Meeting June
More informationQuality improvement of the viral load programme in Mopani District, Limpopo Province
Quality improvement of the viral load programme in Mopani District, Limpopo Province Maidi M Kekana, DPH, RN Susannah Cole-Hamilton MW Mongwe 2 Jean Railton, MB ChB, FCFP, MMed, DMH, Dip HIV Med R P H
More informationTECHNICAL ASSISTANCE TO EXPAND HIV PREVENTION, CARE, AND TREATMENT IN NAMPULA, MOZAMBIQUE
TECHNICAL ASSISTANCE TO EXPAND HIV PREVENTION, CARE, AND TREATMENT IN NAMPULA, MOZAMBIQUE 2011-2016 Project Background and Overview Nampula is Mozambique s most populous province, with a total population
More informationI-TECH Overview Clinical Quality Improvement
This image cannot currently be displayed. I-TECH Overview Clinical Quality Improvement Christopher Behrens, MD University of Washington July 2012 This image cannot currently be displayed. Increasing IPT
More informationSafe Generations Harnessing Implementation Science to Assess the Impact of Option B+ in Swaziland
Safe Generations Harnessing Implementation Science to Assess the Impact of Option B+ in Swaziland Background and Rationale In 2015, the World Health Organization (WHO) endorsed universal treatment for
More informationPediatric HIV/AIDS Care Sihanoukville Province
Pediatric HIV/AIDS Care Sihanoukville Province 1 st st National Conference on Pediatric AIDS Care in Cambodia February 5 th and 6 th, 2007 Geo-socio Demography in Sihanoukville 1-Distance: 224 Km from
More informationThe Global Fund s role as a strategic and responsible investor in HIV/AIDS: Paediatrics and PMTCT
The Global Fund s role as a strategic and responsible investor in HIV/AIDS: Paediatrics and PMTCT Peter McDermott Managing Director, CIFF 19 th Board meeting, Geneva 6 th May 2009 Investment Criteria Measurable...change
More informationth Medical Group Report Card
2015 366th Medical Group Report Card What is Quality Healthcare? Quality healthcare can be defined as the extent to which patients get the care they need in a manner that most effectively protects or restores
More informationDHHS-Malawi, MCH & HIV Activities
DHHS-Malawi, MCH & HIV Activities Austin Demby PhD, MPH, Director Beth Barr, DrPh, Prevention & Care Officer Tom Warne, MD, Treatment Officer Centers for Disease Control and Prevention - Malawi Department
More informationZimbabwe. Innovative Approaches. The use of point-of-care PIMA CD4 cell count machines for HIV-positive women and their families in Zimbabwe
Approaches PIMA CD4 cell count machines for HIV-positive women The use of point-of-care PIMA CD4 cell count machines for HIV-positive women and their families in Zimbabwe Zimbabwe Partners: Ministry of
More informationImplementation of Collaborative TB/HIV Activities by ICAP: Success and Challenges
Implementation of Collaborative TB/HIV Activities by ICAP: Success and Challenges Andrea Howard, M.D., M.S. 14 th Core Group Meeting of TB/HIV Working Group November 11-12 2008 Integration of TB-HIV Services
More informationHIV Testing. Susan Tusher, LMSW Program Coordinator The Kansas AIDS Education and Training Center
HIV Testing Susan Tusher, LMSW Program Coordinator The Kansas AIDS Education and Training Center The Number of Persons in the US Living with HIV Continues to Increase Over 1 Million people are estimated
More informationKAPC 10 th Conference;Safari Park Hotel 1 st to 3rd Sept.2009
Home based HIV testing ti and counseling Towards Universal Access to HTC; The Aphia II Western experience By Beth Barasa KAPC 10 th Conference;Safari Park Hotel 1 st to 3rd Sept.2009 Introduction Counselling
More informationPROGRESS ON IMPLEMENTATION OF THE 3Is IN SOUTH AFRICA. Yogan Pillay Deputy Director General Strategic Health Programmes South Africa
PROGRESS ON IMPLEMENTATION OF THE 3Is IN SOUTH AFRICA Yogan Pillay Deputy Director General Strategic Health Programmes South Africa South Africa Population: 49 320 500 Mil Province Population 2009 mid
More informationFrom HIV Rapid Scale up to a Sustainable HIV Program: Strengthening Health Care Delivery Systems and Human Resources for Health in Ethiopia
From HIV Rapid Scale up to a Sustainable HIV Program: Strengthening Health Care Delivery Systems and Human Resources for Health in Ethiopia Project Summary From 2011 2015, with PEPFAR funding obtained
More informationKENT BISHOP M.D. ProMedica Chief Experience Officer President Women s Service Line
KENT BISHOP M.D. ProMedica Chief Experience Officer President Women s Service Line 1 WHEN A VISION TAKES SHAPE. 2 3 4 Modern Facilities Clinical Service Lines Quality/ Safety Mental Health Clinical Research
More informationESSENTIAL PACKAGE FOR HIV CARE AND TREATMENT. Essential Package for HIV Care and Treatment
ESSENTIAL PACKAGE FOR HIV CARE AND TREATMENT Essential Care & Treatment Package for Adult PLHIV 1. All patients should have a confirmed and documented HIV diagnosis in their file 2. All HIV infected adults
More informationMinistry of Health. National Tuberculosis Control Program INTEGRATED TB HIV PROGRAM REPORT (JANUARY JUNE 2015)
Ministry of Health National Tuberculosis Control Program INTEGRATED TB HIV PROGRAM REPORT (JANUARY JUNE 2015) Contents Executive summary... 2 Background... 3 National Tuberculosis Program Overview... 3
More informationUtilizing CQI to Improve the Health of Supportive Housing Residents The North American Housing and HIV/AIDS Research Summit VII September 25-27, 2013
Utilizing CQI to Improve the Health of Supportive Housing Residents The North American Housing and HIV/AIDS Research Summit VII September 25-27, 2013 Montréal, Canada MISSION To provide 100% access to
More informationUSG Update on Family Planning/HIV Integration
USG Update on Family Planning/HIV Integration Nithya Mani, USAID/Office of HIV/AIDS Jennifer Mason, USAID/Office of Population and Reproductive Health IAWG SRH and HIV Linkages Meeting March 9-10, 2015
More informationSummary of PEPFAR State of Program Area (SOPA): Care & Support
Summary of PEPFAR State of Program Area (SOPA): Care & Support Prepared by E. Michael Reyes, MD, MPH (Original SOPA is a 45 page document) Introduction: Care and Support refers to the broad array of non-art
More informationEvidence made the difference: From quasi-legal to safe and available abortion in Zambia. Dr. Patrick Djemo, Acting Country Director, Ipas Zambia
Evidence made the difference: From quasi-legal to safe and available abortion in Zambia Dr. Patrick Djemo, Acting Country Director, Ipas Zambia Unsafe abortion in Zambia High maternal mortality estimated
More informationConcept note. 1. Background and rationale
Concept note Inter-Country Workshops for Strengthening Regional and National Human Capacity to Accelerate Scaling up of National PMTCT and Paediatric Care, Support and Treatment Programmes TOWARDS UNIVERSAL
More informationIMPACT AND OUTCOME INDICATORS IN THE NATIONAL HIV MONITORING AND EVALUATION FRAMEWORK
IMPACT AND OUTCOME S IN THE NATIONAL HIV MONITORING AND EVALUATION FRAMEWORK 2008-2012 1. HIV Prevention IMPACT S 1. Percentage of young women and men aged 15 24 who are HIV infected (UNGASS (22), MKUKUTA)
More informationKidzAlive Model: Best practice in providing holistic HIV testing, disclosure, care and support for children and their families.
KidzAlive Model: Best practice in providing holistic HIV testing, disclosure, care and support for children and their families. 15 June 2017 Lynnette Murimba - Programme Manager Chipo Mutambo - M & E Manager
More informationFinding the missing children: Proven Strategies for Increasing Identification of HIV+ Children. October 2017
Finding the missing children: Proven Strategies for Increasing Identification of HIV+ Children October 2017 Agenda Background Results to date Lessons learned and reaching the 1 st 90 2 Source: CHAI analysis
More informationImplementation Status & Results Burkina Faso Health Sector Support & Multisectoral AIDS Project (P093987)
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Burkina Faso Health Sector Support & Multisectoral AIDS Project (P093987) Operation Name: Health
More informationThe CQUIN Learning Network
The CQUIN Learning Network Innovations to reach the first 90 for children and adolescents: Lessons from Swaziland Dr. Lydia Mpango AIDSFree, Swaziland October 24-27, 2017 Johannesburg, South Africa Introduction
More informationAlso, we were unable to answer all of your questions and are in the process of finding answers to those remaining.
Dear Diagnostics Team (Team1): Below you will find answers to your questions on diagnostic tests in Lusaka and in particular on the current situation surrounding CD4 counts. We would like to make an early
More informationSleep Market Panel. Results for June 2015
Sleep Market Panel Results for June 2015 Notes: o This is a monthly trending report of panel member data along with additional analysis by: Sleep labs affiliated with Hospitals vs. Independent Labs o Hospital
More informationMonitoring, Evaluation, and Reporting (MER) Guidance (v2.3): PMTCT. Presenter: Jenny Albertini, S/GAC Date: October 2018
Monitoring, Evaluation, and Reporting (MER) Guidance (v2.3): PMTCT Presenter: Jenny Albertini, S/GAC Date: October 2018 Video Outline Section 1: Overview of the technical area and related indicators Section
More informationPLANNING INTEGRATED HIV SERVICES AT THE HEALTH CENTRE
CHAPTER 2 PLANNING INTEGRATED HIV SERVICES AT THE HEALTH CENTRE 2.1 INTRODUCTION Achieving quality integrated HIV services at your health centre is dependant on good planning and management. This chapter
More informationOperational Research on PMTCT Lessons Learned and Gaps
Operational Research on PMTCT Lessons Learned and Gaps Dr. Laura Guay Vice President for Research Elizabeth Glaser Pediatric AIDS Foundation Research Professor, George Washington University School of Public
More informationUsing Routine Health Information to Improve Voluntary Counseling and Testing in Cote d Ivoire
Using Routine Health Information to Improve Voluntary Counseling and Testing in Cote d Ivoire Data Demand and Information Use Case Study Series MEASURE Evaluation www.cpc.unc.edu/measure Data Demand and
More informationMcLean ebasis plus TM
McLean ebasis plus TM Sample Hospital (0000) Report For Qtr HBIPS Core Measures McLean Hospital 115 Mill Street Belmont, MA 02478 1 2012 Department of Mental Health Services Evaluation Tel: 617-855-3797
More informationAnnex 13. Indicators for HIV testing services reference sheet
Annex 13. Indicators for HIV testing services reference sheet Table 13.1A Programme indicators for HIV testing services WHO/HIV/2015.32 Indicator National indicators Numerator (N)/ denominator (D) Disaggregation
More informationManaging for the World M&E: Tool for Internal Management
Managing for the World M&E: Tool for Internal Management MIT Sloan School of Management Global Health Delivery Lab Team: Yuko Amizaki, Terry Hu, Shirley Li, Jeongyeon Shim April, 2011 [MODULE OVERVIEW]
More informationPROJECT ŚVETANA (Dawn) Elimination of new HIV infections among children by Scaling up PPTCT services in private health sector
PROJECT ŚVETANA (Dawn) Elimination of new HIV infections among children by Scaling up PPTCT services in private health sector Supported by Global Fund for AIDS, TB and Malaria (GFATM) Oct 2015 Dec 2017
More informationRapid Assessment of Sexual and Reproductive Health
BOTSWANA Rapid Assessment of Sexual and Reproductive Health and HIV Linkages This summary highlights the experiences, results and actions from the implementation of the Rapid Assessment Tool for Sexual
More informationVirtual pediatric HIV elimination in Cambodia: Dr Mean Chhi Vun, Director, National Center for HIV/AIDS Dermatology and STD
Virtual pediatric HIV elimination in Cambodia: Dr Mean Chhi Vun, Director, National Center for HIV/AIDS Dermatology and STD The 3 rd Phnom Penh Symposium on HIV/AIDS, Prevention Care and Treatment 14 15
More informationTowards universal access
Key messages Towards universal access Scaling up priority HIV/AIDS interventions in the health sector September 2009 Progress report Towards universal access provides a comprehensive global update on progress
More informationIntensified TB Case Finding using a TB screening tool integrated into an HIV clinical record: Experiences from the Eastern Cape Province
Intensified TB Case Finding using a TB screening tool integrated into an HIV clinical record: Experiences from the Eastern Cape Province Dr. Sabine Verkuijl Technical Advisor: TB/HIV Integration, ICAP-SA
More informationtargets for HIV-positive children
Accessing antiretroviral therapy (ART) is a matter of life and death for HIV-infected children. Without ART, half of children born with HIV die by the age of two years, and 80 percent die by the age of
More informationProgress Report March 2016
Progress Report March 2016 Table of Contents Background to project 3 Assays performed to date 3 Correctional Services 5 Peri-Mining 6 Rif Concordance 7 Training: Laboratory and Clinical 7 Challenges identified
More informationGetting to Zero in California: Integration of HIV Prevention and Surveillance
Getting to Zero in California: Integration of HIV Prevention and Surveillance Steve Gibson, MSW and Deanna Sykes, PhD CDPH, Office of AIDS November 27, 2017 Learning Objectives Understand reasons for integrated
More informationDr Mean Chhi Vun NCHADS Director
Dr Mean Chhi Vun NCHADS Director First Phnom Penh Symposium on HIV Medicine, 14-15 15 September 2006 HIV/AIDS situation in Cambodia First HIV detected in 1991 First AIDS case diagnosed in 1993 Main route
More informationSexual Health Content Report June Produced By The NHS Choices Reporting Team
Sexual Health Content Report June 2013 Produced By The NHS Choices Reporting Team CH.NHSChoices-Reporting@nhs.net Sexual health Dashboard Page 1 35.0M 30.0M 25.0M 20.0M 15.0M 10.0M 5.0M 0.0 15.6M Overall
More informationHolistic Programming Leads to Sustained Increases in IUD Use in Kenya
Holistic Programming Leads to Sustained Increases in IUD Use in Kenya Roy Jacobstein, MD, MPH, Clinical Director, Respond Project, EngenderHealth Women Deliver Conference Washington D.C., June 8, 2010
More informationMODULE SIX. Global TB Institutions and Policy Framework. Treatment Action Group TB/HIV Advocacy Toolkit
MODULE SIX Global TB Institutions and Policy Framework Treatment Action Group TB/HIV Advocacy Toolkit 1 Topics to be Covered Global TB policy and coordinating structures The Stop TB Strategy TB/HIV collaborative
More informationDelivering a world where every pregnancy is wanted, every birth is safe, and every young person's potential is fulfilled
This report intends to highlight the key challenges that remain one year after the 2014 Gaza war as they relate to UNFPA s programme priorities. The report focuses on Reproductive Health and Family Planning,
More informationJefferson County School Based Health Centers Participation Report
Jefferson County School Based Health Centers 212-213 Participation Report Background: School Based Health Centers (SBHCs) were established during the 28-29 school year to address a need for adolescent
More informationXVII INTERNATIONAL AIDS CONFERENCE MEXICO CITY, 3-8 August 2008 SCALING-UP NATIONAL PMTCT PROGRAM
XVII INTERNATIONAL AIDS CONFERENCE MEXICO CITY, 3-8 August 2008 SCALING-UP NATIONAL PMTCT PROGRAM Phasing more efficacious ARV regimen for PMTCT in resource limited setting Lessons Learned from RWANDA
More informationPoster Session HRT1317 Innovation Awards November 2013 Brisbane
Poster Session HRT17 Innovation Awards November 20 Brisbane Presenter: Keren Harvey, Clinical Director Rehabilitation and Geriatric Medicine, TPCH Visibility enhancing the Geriatric & Rehabilitation Liaison
More informationOkinawa, Toyako, and Beyond: Progress on Health and Development
Okinawa, Toyako, and Beyond: Progress on Health and Development Prof. Michel D. Kazatchkine Executive Director The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations University, Tokyo,
More informationCote d Ivoire Country Report FY15
USAID ASSIST Project Cote d Ivoire Country Report FY15 Cooperative Agreement Number: AID-OAA-A-12-00101 Performance Period: October 1, 2014 September 30, 2015 DECEMBER 2015 This annual country report was
More informationPERFORMANCE INDICATOR REFERENCE SHEETS FOR KEY POPULATIONS
Linkages Across the Continuum of HIV Services for Key Populations Affected by HIV (LINKAGES) Project PERFORMANCE INDICATOR REFERENCE SHEETS FOR KEY POPULATIONS OCTOBER 2017 Introduction LINKAGES Across
More informationImplementation Status & Results Mali Mali - Multi-sectoral HIV/AIDS Project (P082957)
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Mali Mali - Multi-sectoral HIV/AIDS Project (P082957) Operation Name: Mali - Multi-sectoral HIV/AIDS
More informationRTT Exception Report
Appendix 3 RTT Exception Report 1. Purpose To provide a summary of factors impacting on 18 week RTT performance and a revised forecast of red rated performance for Quarter 2 2015/16 for the admitted pathway.
More informationAchieving the first 90 and doing it right
Achieving the first 90 and doing it right INTEREST Meeting, Cameroon, May 2016 Elizabeth Marum, PhD US Centers for Disease Control and Prevention, Center for Global Health Division of Global HIV and TB
More informationThe CQUIN Learning Network Annual Meeting
The CQUIN Learning Network Annual Meeting Kenya s Differentiated Care Scale up plan Dr. Bartilol Kigen NASCOP February 13-15 Maputo, Mozambique Outline HIV epidemic in Kenya Treatment guidelines and operational
More informationBotswana Private Sector Health Assessment Scope of Work
Example of a Scope of Work (Botswana) Botswana Private Sector Health Assessment Scope of Work I. BACKGROUND The Republic of Botswana is a stable, democratic country in Southern Africa with an estimated
More information11/2/2015. Increasing Access to Epidural Analgesia for Labor through Education: A Collaborative Endeavor. Aim Statement.
Increasing Access to Epidural Analgesia for Labor through Education: A Collaborative Endeavor Clinical Safety & Effectiveness Session 14 DATE Aim Statement The primary purpose of this quality improvement
More informationEVERY WOMAN EVERY CHILD 2018 EVENTS CALENDAR
EVERY WOMAN EVERY CHILD 2018 EVENTS CALENDAR JANUARY 17-20 Jan TBA Jan World Economic Forum Annual Meeting Davos, Switzerland AU Summit Addis Ababa, Ethiopia 22-27 Jan WHO Executive Board Meeting Geneva
More informationSTI in young people, the Swedish experience. Sexual Health Forum Brussels, 13 January Monica Ideström Senior Programme Officer, PhD
STI in young people, the Swedish experience Sexual Health Forum Brussels, 13 January 2010 Monica Ideström Senior Programme Officer, PhD Chlamydia in Sweden 1990-2008 Chlamydia in Sweden Sweden has an ongoing
More informationScaling Up Treatment in Zimbabwe: The path to high coverage
Scaling Up Treatment in Zimbabwe: The path to high coverage IAS Conference Dr. Tsitsi Mutasa-Apollo ART Programme Coordinator, Zimbabwe 30 th June, 2013 Kuala Lumpur, Malaysia Outline Introduction Background
More informationEssential minimum package ALHIV service provision: Community level
Essential minimum package service provision: Community level Partner or Actor COMMUNITY HEALTH WORKERS (CHWs) Minimum components Key Activities Key Accountable Provide communitybased HCT Support treatment
More informationObjectives of the Helpline Helpline System overview Helpline performance to date SMS Activity report and progress
Objectives of the Helpline Helpline System overview Helpline performance to date SMS Activity report and progress By providing on going TREATMENT COUNSELING services, the helpline and SMS creates an enabling
More informationThe President s Emergency Plan for AIDS Relief: Indicators, Reporting Requirements, and Guidelines for Focus Countries. Revised for FY2006 Reporting
The President s Emergency Plan for AIDS Relief: Indicators, Reporting Requirements, and Guidelines for Focus Countries Revised for FY2006 Reporting July 29, 2005 Contents INTRODUCTION...3 Emergency Plan
More informationin collaboration with NTP & PTP Saira Khowaja Indus Hospital ldr TB Control lprogram
Social Support Program at Indus Hospital PMDT in collaboration with NTP & PTP Saira Khowaja Indus Hospital ldr TB Control lprogram Social Support Providing support to create an environment that is conducive
More informationGHAIN LABORATORY END OF PROJECT MONOGRAPH
GHAIN LABORATORY END OF PROJECT MONOGRAPH GHAIN LABORATORY END OF PROJECT MONOGRAPH TABLE OF CONTENTS 1. Introduction and program rationale 1 2. Description of Service delivery strategy 2 3. Program achievements/results
More informationQuit Rates of New York State Smokers
Quit Rates of New York State Smokers Sara M. Abrams, MPH Data Manager NYS Smokers Quitline Sara.Abrams@roswellpark.org September 6, 20 Presentation Outline Basic Quitline Service How Quit Rates are defined
More information