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Thomas Wilfred Otim - THETA, Uganda

Thomas Wilfred Otim - THETA, Uganda



Enhancing Effectiveness of community PMTCT through Information Systems

Enhancing Effectiveness of community PMTCT through Information Systems



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  • 04/04/13

Thomas Wilfred Otim - THETA, Uganda Thomas Wilfred Otim - THETA, Uganda Presentation Transcript

  • Enhancing Effectiveness ofCommunity PMTCT through Information Systems Thomas Wilfred Otim, THETA- Uganda
  • Presentation Outline Background Descriptionof Context Key Interventions Challenges/Strategies Achievements Lessons Learnt Conclusion Details
  • Background  PMTCT is a global strategy to reduce new HIV infections.  Uptake of PMTCT services in Uganda is low.  ICTs can increase uptake of PMTCT services by providing community data for planning  ICTs used to support national PMTCT program in 10 districts of Uganda3 04/04/13
  • Description of Context  Community interventions are poorly reported  Lack harmonization and linkage to national systems.  No data at districts to manage Village Health Teams  THETA built capacity of health workers to use Community health information system4 04/04/13
  • Key Interventions  National community PMTCT indicator harmonization  Needs assessment for data utilization  Customization of the DHIS2  Nomination and training  Training and follow-up of village health teams using cascaded mentoring and coaching.5 04/04/13
  • Challenges/Counter Strategies  Low coverage by village health teams (40% ).  Weak supervision causing poor data submission rates  Motivation of the volunteers  Mitigation by training lead-CHWs and monthly meetings6 04/04/13
  • Achievements  Harmonized community PMTCT indicators  Improved documentation and data use by the VHTs and the districts  Increased referrals of pregnant and lactating mothers to health facilities by 19%  Follow-up of HIV exposed babies improved from 60% in 2009 to 95% by 2012.7 04/04/13
  • Lessons Learnt  Capacity building of CHWs on data management improves performance  Regular feedback and strengthening supervision improves performance  Community health information system provides data required for feedback  Pregnant and lactating mothers are identified and linked to services increasing uptake8 04/04/13
  • Conclusion Community health information system standardized community PMTCT Improved community level PMTCT outcomes and planning Built capacity of village health teams in PMTCT and data management Improved data use among the VHTs, facilities and districts
  • Details  chis.thetaug.org/dhis software customized from DHIS2  Harmonized community PMTCT tools and indicators.  Community PMTCT model  Data flow for collection of data from villages to facilities through district to national office10 04/04/13
  • Data Flow