Improving patient care through improved patient tracking Use and applications of the WHO HIV care and ART patient monitori...
The need <ul><li>Context: Universal Access; the Three Ones; chronic care,  ~ 7 million in need of ART, ~2 m have access (e...
The MEASURE Evaluation activities <ul><li>Support to WHO for HIV care/ART patient monitoring activities </li></ul><ul><li>...
Results <ul><li>The guidelines and training materials </li></ul><ul><li>Hundreds of program managers, M&E specialists and ...
Results (continued) <ul><li>In the process of adaptation/implementation: </li></ul><ul><li>Ghana </li></ul><ul><li>Haiti <...
Ethiopia- Patients accessing treatment (September 2006)  Source: Overview of ART PM, Eleni  Seyoum, M&E Officer, WHO/MOH  ...
Cote d’Ivoire- June 2007 Source: Rapport Semestriel VIH- Janvier-Juin 2007, Cote d’Ivoire
Cumulative number of patients ever started on ART Source:  Dr Abdoulaye S. WADE et collaborateurs, Division Sida/IST, repo...
India- August 2006 6 months (n=5,241) 12 months (n=2,248) 24 months (n=388) Treatment outcome of patients at 6, 12 and 24 ...
Challenges <ul><li>Simplification needed to decentralize to the primary health care level </li></ul><ul><li>Paper    Elec...
Challenges (continued) <ul><li>Linkages- PMTCT, TB, <5, community-based interventions </li></ul><ul><li>Supportive supervi...
Special thanks to the overwhelmed, understaffed but very motivated health workers providing care and  support to PLHAs   F...
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Improving patient care through improved patient tracking

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Use and applications of the WHO HIV care and ART patient monitoring system

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  • Improving patient care through improved patient tracking

    1. Improving patient care through improved patient tracking Use and applications of the WHO HIV care and ART patient monitoring system
    2. The need <ul><li>Context: Universal Access; the Three Ones; chronic care, ~ 7 million in need of ART, ~2 m have access (end 2006) 1 </li></ul><ul><li>Simple, scalable, harmonized patient monitoring systems that facilitate management of patients and monitoring of programs </li></ul><ul><li>Increased demand for accountability </li></ul><ul><li>Decision making based on evidence at all levels of the health system </li></ul>1 World Health Organization (WHO). Towards Universal Access: Scaling up priority HIV/AIDS interventions in the health sector. Progress Report. Geneva, WHO, April 2007.
    3. The MEASURE Evaluation activities <ul><li>Support to WHO for HIV care/ART patient monitoring activities </li></ul><ul><li>TA for HMIS strengthening in Cote d’Ivoire </li></ul><ul><li>TA to Nigeria’s National Reporting and Information System (NNRIMS) </li></ul><ul><li>Global Fund TA, Togo </li></ul><ul><li>Data Quality Assessments </li></ul>
    4. Results <ul><li>The guidelines and training materials </li></ul><ul><li>Hundreds of program managers, M&E specialists and clinicians trained </li></ul><ul><li>Countries supported </li></ul>http://www.who.int/3by5/publications/art/en/
    5. Results (continued) <ul><li>In the process of adaptation/implementation: </li></ul><ul><li>Ghana </li></ul><ul><li>Haiti </li></ul><ul><li>Nigeria </li></ul><ul><li>Moldova </li></ul><ul><li>Mozambique </li></ul><ul><li>Myanmar </li></ul><ul><li>Namibia </li></ul><ul><li>Nepal </li></ul><ul><li>Sri Lanka </li></ul><ul><li>Swaziland </li></ul><ul><li>Tanzania </li></ul><ul><li>Ukraine </li></ul><ul><li>Zimbabwe </li></ul><ul><li>Adapted and in use: </li></ul><ul><li>Côte d’Ivoire </li></ul><ul><li>Djibouti </li></ul><ul><li>Ethiopia </li></ul><ul><li>Guyana </li></ul><ul><li>India </li></ul><ul><li>Indonesia </li></ul><ul><li>Kenya </li></ul><ul><li>Lesotho </li></ul><ul><li>Senegal </li></ul><ul><li>Somalia </li></ul><ul><li>Sudan </li></ul><ul><li>Uganda </li></ul><ul><li>Viet Nam </li></ul><ul><li>Yemen </li></ul><ul><li>Zambia </li></ul>
    6. Ethiopia- Patients accessing treatment (September 2006) Source: Overview of ART PM, Eleni Seyoum, M&E Officer, WHO/MOH Ethiopia, presentation at the Harare AFRO anglophone patient monitoring training, September 2006
    7. Cote d’Ivoire- June 2007 Source: Rapport Semestriel VIH- Janvier-Juin 2007, Cote d’Ivoire
    8. Cumulative number of patients ever started on ART Source: Dr Abdoulaye S. WADE et collaborateurs, Division Sida/IST, report to the COMITE INTERNE DE LUTTE CONTRE LE SIDA, 04/01/2008
    9. India- August 2006 6 months (n=5,241) 12 months (n=2,248) 24 months (n=388) Treatment outcome of patients at 6, 12 and 24 months after start of treatment Alive on ART 81% Alive on ART 84% Alive on ART 73% Died 6% Died 8% Died 13 % Lost 8% Lost 13% Lost 9% Stopped 2% Stopped 1% Stopped 2% Source: Effectiveness of India’s Public Sector Antiretroviral Treatment Programme Khera A., Dharamshaktu N.S.,Rewari B.B., Tassie J, Chan P., Mahanty B., Garg R., August 2006, Contact: drbbrewari@yahoo.com 1 National AIDS Control Organization, New Delhi, India, 2 World Health Organization, Regional Office, New Delhi, India, 3 World Health Organization, India Office, New Delhi, India
    10. Challenges <ul><li>Simplification needed to decentralize to the primary health care level </li></ul><ul><li>Paper  Electronic continuum </li></ul><ul><li>Need to evaluate implementations of the system </li></ul>
    11. Challenges (continued) <ul><li>Linkages- PMTCT, TB, <5, community-based interventions </li></ul><ul><li>Supportive supervision </li></ul><ul><li>Data quality </li></ul>
    12. Special thanks to the overwhelmed, understaffed but very motivated health workers providing care and support to PLHAs From Frank Lule, MoH Uganda

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