SlideShare a Scribd company logo

Using Routine Data to Improve ART Retention: Examples and Lessons Learned from the Literature and Experts in the Field

MEASURE Evaluation
MEASURE Evaluation
MEASURE EvaluationMEASURE Evaluation works to improve collection, analysis and presentation of data to promote better use of data in planning, policymaking, managing, monitoring and evaluating population, health and nutrition programs.

Webinar discussion led by Nena do Nascimento, Cathy Barker, and Michelle Li

Using Routine Data to Improve ART Retention: Examples and Lessons Learned from the Literature and Experts in the Field

1 of 21
Using Routine Data to Improve ART Retention:
Examples and Lessons Learned
from the Literature and Experts in the Field
Photo credits: Left: CDC, http://africaunchained.blogspot.com/2014/08/malawis-national-electronic-medical.html; Center: Riccardo Lennart Niels Mayer, iStock Photo, 2015; Right: Paul Jeffrey
March 30, 2017
MEASURE Evaluation
Webinar
Nena do Nascimento, MPP
Michelle Li, MS
Catherine Barker, MPH
Investigate how countries are
currently using routine health
facility records to improve adult
antiretroviral treatment(ART)*
retention in low- and middle-
income countries and recommend
how to strengthen data use for
higher ART retention.
* male and female, excluding PMTCT & pre-ART
Activity Purpose
 As countries work towards an AIDS-free generation, they must be able to
use their routine health data to retain patients in the continuum of HIV care
by effectively tracking clients and ensuring that they follow their treatment
regimen.
Retention:
 Proxy for adherence
or programming
effectiveness (Geng
et al., 2010)
 Access to support services
to ensure continuous
treatment and reduce risk
to others (Messeri et al.,
2002)
Retention and 90-90-90
UNAIDS’ ambitious treatment target to help end the AIDS epidemic
Facility
(pharmacy & clinic)
Use data to inform care
needs for patients & ensure
optimal treatment
Community
Trace patients, provide
support services, refer
patients to health facility
National and sub-
national level
Identify retention
performance and trends &
policies to improve
retention
Aggregate data
and send to
subnational and
national level
on retention
Send results of
patient tracing;
refer patients for
relevant services
Share reports on
retention at
subnational and
national level
Provide data on
defaulted patients
in need of follow-
up or patients in
need of additional
support services
Routine Health Data &
Retention
Systematic review
 Close to 5,000 publications reviewed, including national
guidance
 Peer reviewed, grey literature, relevant websites
 Question: “How have low- and middle-income countries
routinely collected patient-level data to retain adults on
Online survey
 Purpose: to fill gaps in the literature
 62 practitioners completed a 16-question survey
In-depth interviews
 Purpose: deepen understanding of practitioners’
 Seven interviews with monitoring and evaluation experts
one MOH official from a PEPFAR country
Methods
Survey Respondents

Recommended

Demystifying Disaggregated Data: Factors that Affect Collection and Use of Se...
Demystifying Disaggregated Data: Factors that Affect Collection and Use of Se...Demystifying Disaggregated Data: Factors that Affect Collection and Use of Se...
Demystifying Disaggregated Data: Factors that Affect Collection and Use of Se...MEASURE Evaluation
 
Developing Gender-Sensitive M&E Systems
Developing Gender-Sensitive M&E SystemsDeveloping Gender-Sensitive M&E Systems
Developing Gender-Sensitive M&E SystemsMEASURE Evaluation
 
Information Products to Drive Decision Making
Information Products to Drive Decision  MakingInformation Products to Drive Decision  Making
Information Products to Drive Decision MakingMEASURE Evaluation
 
Centralizing Evidence: Health Information Systems Strengthening Resource Center
Centralizing Evidence: Health Information Systems Strengthening Resource CenterCentralizing Evidence: Health Information Systems Strengthening Resource Center
Centralizing Evidence: Health Information Systems Strengthening Resource CenterMEASURE Evaluation
 
Adapting and enhancing malaria information systems in countries entering pre-...
Adapting and enhancing malaria information systems in countries entering pre-...Adapting and enhancing malaria information systems in countries entering pre-...
Adapting and enhancing malaria information systems in countries entering pre-...MEASURE Evaluation
 
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...MEASURE Evaluation
 
Implementing the Population Registration System: Progress Towards a Data Revo...
Implementing the Population Registration System: Progress Towards a Data Revo...Implementing the Population Registration System: Progress Towards a Data Revo...
Implementing the Population Registration System: Progress Towards a Data Revo...MEASURE Evaluation
 
MEASURE Evaluation’s Health Information System Strengthening Model
MEASURE Evaluation’s Health Information System Strengthening ModelMEASURE Evaluation’s Health Information System Strengthening Model
MEASURE Evaluation’s Health Information System Strengthening ModelMEASURE Evaluation
 

More Related Content

What's hot

Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...MEASURE Evaluation
 
MEASURE Evaluation: Results framework and resources
MEASURE Evaluation: Results framework and resourcesMEASURE Evaluation: Results framework and resources
MEASURE Evaluation: Results framework and resourcesMEASURE Evaluation
 
HIS Strategic Planning in Afghanistan 2009 and 2015
HIS Strategic Planning in Afghanistan 2009 and 2015HIS Strategic Planning in Afghanistan 2009 and 2015
HIS Strategic Planning in Afghanistan 2009 and 2015MEASURE Evaluation
 
Assessment of Data Use for Malaria Program Decision Making in the Democratic ...
Assessment of Data Use for Malaria Program Decision Making in the Democratic ...Assessment of Data Use for Malaria Program Decision Making in the Democratic ...
Assessment of Data Use for Malaria Program Decision Making in the Democratic ...MEASURE Evaluation
 
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...MEASURE Evaluation
 
Centers of Excellence in Monitoring and Evaluation: An Approach to Improving ...
Centers of Excellence in Monitoring and Evaluation: An Approach to Improving ...Centers of Excellence in Monitoring and Evaluation: An Approach to Improving ...
Centers of Excellence in Monitoring and Evaluation: An Approach to Improving ...MEASURE Evaluation
 
Lessons Learned Collecting Most Significant Change Stories in an Impact Evalu...
Lessons Learned Collecting Most Significant Change Stories in an Impact Evalu...Lessons Learned Collecting Most Significant Change Stories in an Impact Evalu...
Lessons Learned Collecting Most Significant Change Stories in an Impact Evalu...MEASURE Evaluation
 
Health Information System: Interoperability and Integration to Maximize Effec...
Health Information System: Interoperability and Integration to Maximize Effec...Health Information System: Interoperability and Integration to Maximize Effec...
Health Information System: Interoperability and Integration to Maximize Effec...MEASURE Evaluation
 
Monitoring and Evaluating Male Engagement in Family Planning Programs
Monitoring and Evaluating Male Engagement in Family Planning ProgramsMonitoring and Evaluating Male Engagement in Family Planning Programs
Monitoring and Evaluating Male Engagement in Family Planning ProgramsMEASURE Evaluation
 
Building Information Systems for Community Programs
Building Information Systems for Community ProgramsBuilding Information Systems for Community Programs
Building Information Systems for Community ProgramsMEASURE Evaluation
 
Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...
Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...
Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...MEASURE Evaluation
 
Health Information Systems Strengthening (HISS) in Kenya
Health Information Systems Strengthening (HISS) in KenyaHealth Information Systems Strengthening (HISS) in Kenya
Health Information Systems Strengthening (HISS) in KenyaMEASURE Evaluation
 
Scaling Mobile Community-Based Information Systems
Scaling Mobile Community-Based Information SystemsScaling Mobile Community-Based Information Systems
Scaling Mobile Community-Based Information SystemsMEASURE Evaluation
 
Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...
Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...
Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...MEASURE Evaluation
 
Advances in Outcome Monitoring
Advances in Outcome MonitoringAdvances in Outcome Monitoring
Advances in Outcome MonitoringMEASURE Evaluation
 
Surfing a Great Wave: Data Science and Global Health
Surfing a Great Wave: Data Science and Global HealthSurfing a Great Wave: Data Science and Global Health
Surfing a Great Wave: Data Science and Global HealthMEASURE Evaluation
 
Standards and Best Practices for Confidentiality of Electronic Health Records
Standards and Best Practices for Confidentiality of Electronic Health RecordsStandards and Best Practices for Confidentiality of Electronic Health Records
Standards and Best Practices for Confidentiality of Electronic Health RecordsMEASURE Evaluation
 
Evaluating Impact: Lessons Learned from MEASURE Evaluation
Evaluating Impact: Lessons Learned from MEASURE EvaluationEvaluating Impact: Lessons Learned from MEASURE Evaluation
Evaluating Impact: Lessons Learned from MEASURE EvaluationMEASURE Evaluation
 
RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services?
RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services?RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services?
RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services? MEASURE Evaluation
 
Geospatial Analysis: Innovation in GIS for Better Decision Making
Geospatial Analysis: Innovation in GIS for Better Decision MakingGeospatial Analysis: Innovation in GIS for Better Decision Making
Geospatial Analysis: Innovation in GIS for Better Decision MakingMEASURE Evaluation
 

What's hot (20)

Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
Measuring National M&E System Strengthening in Nigeria: Application of the Mo...
 
MEASURE Evaluation: Results framework and resources
MEASURE Evaluation: Results framework and resourcesMEASURE Evaluation: Results framework and resources
MEASURE Evaluation: Results framework and resources
 
HIS Strategic Planning in Afghanistan 2009 and 2015
HIS Strategic Planning in Afghanistan 2009 and 2015HIS Strategic Planning in Afghanistan 2009 and 2015
HIS Strategic Planning in Afghanistan 2009 and 2015
 
Assessment of Data Use for Malaria Program Decision Making in the Democratic ...
Assessment of Data Use for Malaria Program Decision Making in the Democratic ...Assessment of Data Use for Malaria Program Decision Making in the Democratic ...
Assessment of Data Use for Malaria Program Decision Making in the Democratic ...
 
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...
 
Centers of Excellence in Monitoring and Evaluation: An Approach to Improving ...
Centers of Excellence in Monitoring and Evaluation: An Approach to Improving ...Centers of Excellence in Monitoring and Evaluation: An Approach to Improving ...
Centers of Excellence in Monitoring and Evaluation: An Approach to Improving ...
 
Lessons Learned Collecting Most Significant Change Stories in an Impact Evalu...
Lessons Learned Collecting Most Significant Change Stories in an Impact Evalu...Lessons Learned Collecting Most Significant Change Stories in an Impact Evalu...
Lessons Learned Collecting Most Significant Change Stories in an Impact Evalu...
 
Health Information System: Interoperability and Integration to Maximize Effec...
Health Information System: Interoperability and Integration to Maximize Effec...Health Information System: Interoperability and Integration to Maximize Effec...
Health Information System: Interoperability and Integration to Maximize Effec...
 
Monitoring and Evaluating Male Engagement in Family Planning Programs
Monitoring and Evaluating Male Engagement in Family Planning ProgramsMonitoring and Evaluating Male Engagement in Family Planning Programs
Monitoring and Evaluating Male Engagement in Family Planning Programs
 
Building Information Systems for Community Programs
Building Information Systems for Community ProgramsBuilding Information Systems for Community Programs
Building Information Systems for Community Programs
 
Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...
Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...
Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...
 
Health Information Systems Strengthening (HISS) in Kenya
Health Information Systems Strengthening (HISS) in KenyaHealth Information Systems Strengthening (HISS) in Kenya
Health Information Systems Strengthening (HISS) in Kenya
 
Scaling Mobile Community-Based Information Systems
Scaling Mobile Community-Based Information SystemsScaling Mobile Community-Based Information Systems
Scaling Mobile Community-Based Information Systems
 
Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...
Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...
Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...
 
Advances in Outcome Monitoring
Advances in Outcome MonitoringAdvances in Outcome Monitoring
Advances in Outcome Monitoring
 
Surfing a Great Wave: Data Science and Global Health
Surfing a Great Wave: Data Science and Global HealthSurfing a Great Wave: Data Science and Global Health
Surfing a Great Wave: Data Science and Global Health
 
Standards and Best Practices for Confidentiality of Electronic Health Records
Standards and Best Practices for Confidentiality of Electronic Health RecordsStandards and Best Practices for Confidentiality of Electronic Health Records
Standards and Best Practices for Confidentiality of Electronic Health Records
 
Evaluating Impact: Lessons Learned from MEASURE Evaluation
Evaluating Impact: Lessons Learned from MEASURE EvaluationEvaluating Impact: Lessons Learned from MEASURE Evaluation
Evaluating Impact: Lessons Learned from MEASURE Evaluation
 
RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services?
RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services?RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services?
RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services?
 
Geospatial Analysis: Innovation in GIS for Better Decision Making
Geospatial Analysis: Innovation in GIS for Better Decision MakingGeospatial Analysis: Innovation in GIS for Better Decision Making
Geospatial Analysis: Innovation in GIS for Better Decision Making
 

Similar to Using Routine Data to Improve ART Retention: Examples and Lessons Learned from the Literature and Experts in the Field

NURS 521 Nursing Informatics And Technology.docx
NURS 521 Nursing Informatics And Technology.docxNURS 521 Nursing Informatics And Technology.docx
NURS 521 Nursing Informatics And Technology.docxstirlingvwriters
 
Introduction Healthcare system is considered one of the busiest.pdf
Introduction Healthcare system is considered one of the busiest.pdfIntroduction Healthcare system is considered one of the busiest.pdf
Introduction Healthcare system is considered one of the busiest.pdfbkbk37
 
Andrew Roberts - Mobile Health Apps for Improved Patient Engagement and Educa...
Andrew Roberts - Mobile Health Apps for Improved Patient Engagement and Educa...Andrew Roberts - Mobile Health Apps for Improved Patient Engagement and Educa...
Andrew Roberts - Mobile Health Apps for Improved Patient Engagement and Educa...itnewsafrica
 
ICT4Health 2015 - J Watkins
ICT4Health 2015 - J WatkinsICT4Health 2015 - J Watkins
ICT4Health 2015 - J Watkinsfortuin2015
 
Informatics and nursing 2015 2016.odette richards
Informatics and nursing 2015 2016.odette richardsInformatics and nursing 2015 2016.odette richards
Informatics and nursing 2015 2016.odette richardsOdette Richards
 
Health informatics
Health informaticsHealth informatics
Health informaticsPinki Barman
 
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...MEASURE Evaluation
 
826 Unertl et al., Describing and Modeling WorkflowResearch .docx
826 Unertl et al., Describing and Modeling WorkflowResearch .docx826 Unertl et al., Describing and Modeling WorkflowResearch .docx
826 Unertl et al., Describing and Modeling WorkflowResearch .docxevonnehoggarth79783
 
Write a 2 Paragraph response (with 2-3 sources) to this post off.docx
Write a 2 Paragraph response (with 2-3 sources) to this post off.docxWrite a 2 Paragraph response (with 2-3 sources) to this post off.docx
Write a 2 Paragraph response (with 2-3 sources) to this post off.docxlindorffgarrik
 
EHR- 2016 Eeshika Mitra
EHR- 2016 Eeshika MitraEHR- 2016 Eeshika Mitra
EHR- 2016 Eeshika MitraEeshika Mitra
 
Patient-Generated Data for Cancer Treatment and Management
Patient-Generated Data for Cancer Treatment and ManagementPatient-Generated Data for Cancer Treatment and Management
Patient-Generated Data for Cancer Treatment and ManagementTommy Snitz
 
Please respond to each of the 3 posts with 3 APA sources no older th
Please respond to each of the 3 posts with 3 APA sources no older thPlease respond to each of the 3 posts with 3 APA sources no older th
Please respond to each of the 3 posts with 3 APA sources no older thmaple8qvlisbey
 
Implementation Science in HIV Related Work: Case Study of Injection Drug User...
Implementation Science in HIV Related Work: Case Study of Injection Drug User...Implementation Science in HIV Related Work: Case Study of Injection Drug User...
Implementation Science in HIV Related Work: Case Study of Injection Drug User...HopkinsCFAR
 
Alerta Informática y Adherencia al TARGA
Alerta Informática y Adherencia al TARGA Alerta Informática y Adherencia al TARGA
Alerta Informática y Adherencia al TARGA Gustavo Kasparas
 
Please respond to each of the 3 posts with 3.docx
Please respond to each of the 3 posts with 3.docxPlease respond to each of the 3 posts with 3.docx
Please respond to each of the 3 posts with 3.docxbkbk37
 
Patient Centered Care | Unit 2c Lecture
Patient Centered Care | Unit 2c LecturePatient Centered Care | Unit 2c Lecture
Patient Centered Care | Unit 2c LectureCMDLMS
 
Running head INFECTION PREVENTION1INFECTION PREVENTION.docx
Running head INFECTION PREVENTION1INFECTION PREVENTION.docxRunning head INFECTION PREVENTION1INFECTION PREVENTION.docx
Running head INFECTION PREVENTION1INFECTION PREVENTION.docxjeanettehully
 

Similar to Using Routine Data to Improve ART Retention: Examples and Lessons Learned from the Literature and Experts in the Field (20)

NURS 521 Nursing Informatics And Technology.docx
NURS 521 Nursing Informatics And Technology.docxNURS 521 Nursing Informatics And Technology.docx
NURS 521 Nursing Informatics And Technology.docx
 
Introduction Healthcare system is considered one of the busiest.pdf
Introduction Healthcare system is considered one of the busiest.pdfIntroduction Healthcare system is considered one of the busiest.pdf
Introduction Healthcare system is considered one of the busiest.pdf
 
Andrew Roberts - Mobile Health Apps for Improved Patient Engagement and Educa...
Andrew Roberts - Mobile Health Apps for Improved Patient Engagement and Educa...Andrew Roberts - Mobile Health Apps for Improved Patient Engagement and Educa...
Andrew Roberts - Mobile Health Apps for Improved Patient Engagement and Educa...
 
ICT4Health 2015 - J Watkins
ICT4Health 2015 - J WatkinsICT4Health 2015 - J Watkins
ICT4Health 2015 - J Watkins
 
Trends PPT
Trends PPTTrends PPT
Trends PPT
 
Informatics and nursing 2015 2016.odette richards
Informatics and nursing 2015 2016.odette richardsInformatics and nursing 2015 2016.odette richards
Informatics and nursing 2015 2016.odette richards
 
Health informatics
Health informaticsHealth informatics
Health informatics
 
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
Malaria Data Quality and Use in Selected Centers of Excellence in Madagascar:...
 
826 Unertl et al., Describing and Modeling WorkflowResearch .docx
826 Unertl et al., Describing and Modeling WorkflowResearch .docx826 Unertl et al., Describing and Modeling WorkflowResearch .docx
826 Unertl et al., Describing and Modeling WorkflowResearch .docx
 
Write a 2 Paragraph response (with 2-3 sources) to this post off.docx
Write a 2 Paragraph response (with 2-3 sources) to this post off.docxWrite a 2 Paragraph response (with 2-3 sources) to this post off.docx
Write a 2 Paragraph response (with 2-3 sources) to this post off.docx
 
EHR- 2016 Eeshika Mitra
EHR- 2016 Eeshika MitraEHR- 2016 Eeshika Mitra
EHR- 2016 Eeshika Mitra
 
Patient-Generated Data for Cancer Treatment and Management
Patient-Generated Data for Cancer Treatment and ManagementPatient-Generated Data for Cancer Treatment and Management
Patient-Generated Data for Cancer Treatment and Management
 
Please respond to each of the 3 posts with 3 APA sources no older th
Please respond to each of the 3 posts with 3 APA sources no older thPlease respond to each of the 3 posts with 3 APA sources no older th
Please respond to each of the 3 posts with 3 APA sources no older th
 
Symposium Agenda Final
Symposium Agenda FinalSymposium Agenda Final
Symposium Agenda Final
 
Implementation Science in HIV Related Work: Case Study of Injection Drug User...
Implementation Science in HIV Related Work: Case Study of Injection Drug User...Implementation Science in HIV Related Work: Case Study of Injection Drug User...
Implementation Science in HIV Related Work: Case Study of Injection Drug User...
 
Alerta Informática y Adherencia al TARGA
Alerta Informática y Adherencia al TARGA Alerta Informática y Adherencia al TARGA
Alerta Informática y Adherencia al TARGA
 
csbond-resume
csbond-resumecsbond-resume
csbond-resume
 
Please respond to each of the 3 posts with 3.docx
Please respond to each of the 3 posts with 3.docxPlease respond to each of the 3 posts with 3.docx
Please respond to each of the 3 posts with 3.docx
 
Patient Centered Care | Unit 2c Lecture
Patient Centered Care | Unit 2c LecturePatient Centered Care | Unit 2c Lecture
Patient Centered Care | Unit 2c Lecture
 
Running head INFECTION PREVENTION1INFECTION PREVENTION.docx
Running head INFECTION PREVENTION1INFECTION PREVENTION.docxRunning head INFECTION PREVENTION1INFECTION PREVENTION.docx
Running head INFECTION PREVENTION1INFECTION PREVENTION.docx
 

More from MEASURE Evaluation

Managing missing values in routinely reported data: One approach from the Dem...
Managing missing values in routinely reported data: One approach from the Dem...Managing missing values in routinely reported data: One approach from the Dem...
Managing missing values in routinely reported data: One approach from the Dem...MEASURE Evaluation
 
Use of Routine Data for Economic Evaluations
Use of Routine Data for Economic EvaluationsUse of Routine Data for Economic Evaluations
Use of Routine Data for Economic EvaluationsMEASURE Evaluation
 
Routine data use in evaluation: practical guidance
Routine data use in evaluation: practical guidanceRoutine data use in evaluation: practical guidance
Routine data use in evaluation: practical guidanceMEASURE Evaluation
 
Tuberculosis/HIV Mobility Study: Objectives and Background
Tuberculosis/HIV Mobility Study: Objectives and BackgroundTuberculosis/HIV Mobility Study: Objectives and Background
Tuberculosis/HIV Mobility Study: Objectives and BackgroundMEASURE Evaluation
 
How to improve the capabilities of health information systems to address emer...
How to improve the capabilities of health information systems to address emer...How to improve the capabilities of health information systems to address emer...
How to improve the capabilities of health information systems to address emer...MEASURE Evaluation
 
LCI Evaluation Uganda Organizational Network Analysis
LCI Evaluation Uganda Organizational Network AnalysisLCI Evaluation Uganda Organizational Network Analysis
LCI Evaluation Uganda Organizational Network AnalysisMEASURE Evaluation
 
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...MEASURE Evaluation
 
Understanding Referral Networks for Adolescent Girls and Young Women
Understanding Referral Networks for Adolescent Girls and Young WomenUnderstanding Referral Networks for Adolescent Girls and Young Women
Understanding Referral Networks for Adolescent Girls and Young WomenMEASURE Evaluation
 
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping MethodData for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping MethodMEASURE Evaluation
 
Local Capacity Initiative (LCI) Evaluation
Local Capacity Initiative (LCI) EvaluationLocal Capacity Initiative (LCI) Evaluation
Local Capacity Initiative (LCI) EvaluationMEASURE Evaluation
 
Development and Validation of a Reproductive Empowerment Scale
Development and Validation of a Reproductive Empowerment ScaleDevelopment and Validation of a Reproductive Empowerment Scale
Development and Validation of a Reproductive Empowerment ScaleMEASURE Evaluation
 
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...MEASURE Evaluation
 
Using Most Significant Change in a Mixed-Methods Evaluation in Uganda
Using Most Significant Change in a Mixed-Methods Evaluation in UgandaUsing Most Significant Change in a Mixed-Methods Evaluation in Uganda
Using Most Significant Change in a Mixed-Methods Evaluation in UgandaMEASURE Evaluation
 
Lessons Learned In Using the Most Significant Change Technique in Evaluation
Lessons Learned In Using the Most Significant Change Technique in EvaluationLessons Learned In Using the Most Significant Change Technique in Evaluation
Lessons Learned In Using the Most Significant Change Technique in EvaluationMEASURE Evaluation
 
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...MEASURE Evaluation
 
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...MEASURE Evaluation
 
Lessons learned in using process tracing for evaluation
Lessons learned in using process tracing for evaluationLessons learned in using process tracing for evaluation
Lessons learned in using process tracing for evaluationMEASURE Evaluation
 
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...MEASURE Evaluation
 
Sustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
Sustaining the Impact: MEASURE Evaluation Conversation on Health InformaticsSustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
Sustaining the Impact: MEASURE Evaluation Conversation on Health InformaticsMEASURE Evaluation
 
7 Steps to EnGendering Evaluations of HIV programs with Adolescent Girls and ...
7 Steps to EnGendering Evaluations of HIV programs with Adolescent Girls and ...7 Steps to EnGendering Evaluations of HIV programs with Adolescent Girls and ...
7 Steps to EnGendering Evaluations of HIV programs with Adolescent Girls and ...MEASURE Evaluation
 

More from MEASURE Evaluation (20)

Managing missing values in routinely reported data: One approach from the Dem...
Managing missing values in routinely reported data: One approach from the Dem...Managing missing values in routinely reported data: One approach from the Dem...
Managing missing values in routinely reported data: One approach from the Dem...
 
Use of Routine Data for Economic Evaluations
Use of Routine Data for Economic EvaluationsUse of Routine Data for Economic Evaluations
Use of Routine Data for Economic Evaluations
 
Routine data use in evaluation: practical guidance
Routine data use in evaluation: practical guidanceRoutine data use in evaluation: practical guidance
Routine data use in evaluation: practical guidance
 
Tuberculosis/HIV Mobility Study: Objectives and Background
Tuberculosis/HIV Mobility Study: Objectives and BackgroundTuberculosis/HIV Mobility Study: Objectives and Background
Tuberculosis/HIV Mobility Study: Objectives and Background
 
How to improve the capabilities of health information systems to address emer...
How to improve the capabilities of health information systems to address emer...How to improve the capabilities of health information systems to address emer...
How to improve the capabilities of health information systems to address emer...
 
LCI Evaluation Uganda Organizational Network Analysis
LCI Evaluation Uganda Organizational Network AnalysisLCI Evaluation Uganda Organizational Network Analysis
LCI Evaluation Uganda Organizational Network Analysis
 
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
Using Organizational Network Analysis to Plan and Evaluate Global Health Prog...
 
Understanding Referral Networks for Adolescent Girls and Young Women
Understanding Referral Networks for Adolescent Girls and Young WomenUnderstanding Referral Networks for Adolescent Girls and Young Women
Understanding Referral Networks for Adolescent Girls and Young Women
 
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping MethodData for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping Method
 
Local Capacity Initiative (LCI) Evaluation
Local Capacity Initiative (LCI) EvaluationLocal Capacity Initiative (LCI) Evaluation
Local Capacity Initiative (LCI) Evaluation
 
Development and Validation of a Reproductive Empowerment Scale
Development and Validation of a Reproductive Empowerment ScaleDevelopment and Validation of a Reproductive Empowerment Scale
Development and Validation of a Reproductive Empowerment Scale
 
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...
 
Using Most Significant Change in a Mixed-Methods Evaluation in Uganda
Using Most Significant Change in a Mixed-Methods Evaluation in UgandaUsing Most Significant Change in a Mixed-Methods Evaluation in Uganda
Using Most Significant Change in a Mixed-Methods Evaluation in Uganda
 
Lessons Learned In Using the Most Significant Change Technique in Evaluation
Lessons Learned In Using the Most Significant Change Technique in EvaluationLessons Learned In Using the Most Significant Change Technique in Evaluation
Lessons Learned In Using the Most Significant Change Technique in Evaluation
 
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
 
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
Improved Performance of the Malaria Surveillance, Monitoring, and Evaluation ...
 
Lessons learned in using process tracing for evaluation
Lessons learned in using process tracing for evaluationLessons learned in using process tracing for evaluation
Lessons learned in using process tracing for evaluation
 
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
Use of Qualitative Comparative Analysis in the Assessment of the Actionable D...
 
Sustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
Sustaining the Impact: MEASURE Evaluation Conversation on Health InformaticsSustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
Sustaining the Impact: MEASURE Evaluation Conversation on Health Informatics
 
7 Steps to EnGendering Evaluations of HIV programs with Adolescent Girls and ...
7 Steps to EnGendering Evaluations of HIV programs with Adolescent Girls and ...7 Steps to EnGendering Evaluations of HIV programs with Adolescent Girls and ...
7 Steps to EnGendering Evaluations of HIV programs with Adolescent Girls and ...
 

Recently uploaded

Target pain receptors with essential oils
Target pain receptors with essential oilsTarget pain receptors with essential oils
Target pain receptors with essential oilsKevin KF Ng
 
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...Dr. Madduru Muni Haritha
 
TRANSPORT PROCESS ACROSS CELL MEMBRANE.pptx
TRANSPORT PROCESS ACROSS CELL MEMBRANE.pptxTRANSPORT PROCESS ACROSS CELL MEMBRANE.pptx
TRANSPORT PROCESS ACROSS CELL MEMBRANE.pptxPoojaDahale3
 
Cell locomotion (Ameboid/ciliary/flagellar movement)
Cell locomotion (Ameboid/ciliary/flagellar movement)Cell locomotion (Ameboid/ciliary/flagellar movement)
Cell locomotion (Ameboid/ciliary/flagellar movement)MedicoseAcademics
 
Optics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptxOptics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptxDr. Prabhat Devkota, MD
 
Dental Hygiene Library session Searching - 2nd class
Dental Hygiene Library session Searching - 2nd classDental Hygiene Library session Searching - 2nd class
Dental Hygiene Library session Searching - 2nd classHVCClibrary
 
Renal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and PhosphorusRenal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and PhosphorusMedicoseAcademics
 
Scanning electron microscope - SEM , Its applicability in rasashastra
Scanning electron microscope - SEM , Its applicability in rasashastraScanning electron microscope - SEM , Its applicability in rasashastra
Scanning electron microscope - SEM , Its applicability in rasashastraDr. Madduru Muni Haritha
 
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptxAnatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptxDr. Prabhat Devkota, MD
 
Tolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blinkTolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blinkClinicians
 
Epidemiological Study Design, Research Design, Clinical Research
Epidemiological Study Design, Research Design, Clinical ResearchEpidemiological Study Design, Research Design, Clinical Research
Epidemiological Study Design, Research Design, Clinical ResearchDr KHALID B.M
 
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptxGLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptxWINCY THIRUMURUGAN
 
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...Subrata Roy
 
Feel and Look Years Younger With Nutra IGF 1 Supplement
Feel and Look Years Younger With Nutra IGF 1 SupplementFeel and Look Years Younger With Nutra IGF 1 Supplement
Feel and Look Years Younger With Nutra IGF 1 SupplementWintersBiotechnology
 
Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.JULIANA BENAVIDES GUERRERO
 
Presentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic managementPresentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic managementeshasmalik27
 

Recently uploaded (20)

Target pain receptors with essential oils
Target pain receptors with essential oilsTarget pain receptors with essential oils
Target pain receptors with essential oils
 
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
SCIENTIFIC APPROACH OF DIET IN MASANUMASIKA GARBINI PARICHARYA – FOR A HEALTH...
 
TRANSPORT PROCESS ACROSS CELL MEMBRANE.pptx
TRANSPORT PROCESS ACROSS CELL MEMBRANE.pptxTRANSPORT PROCESS ACROSS CELL MEMBRANE.pptx
TRANSPORT PROCESS ACROSS CELL MEMBRANE.pptx
 
Cell locomotion (Ameboid/ciliary/flagellar movement)
Cell locomotion (Ameboid/ciliary/flagellar movement)Cell locomotion (Ameboid/ciliary/flagellar movement)
Cell locomotion (Ameboid/ciliary/flagellar movement)
 
Optics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptxOptics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptx
 
Dental Hygiene Library session Searching - 2nd class
Dental Hygiene Library session Searching - 2nd classDental Hygiene Library session Searching - 2nd class
Dental Hygiene Library session Searching - 2nd class
 
Renal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and PhosphorusRenal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and Phosphorus
 
Digestants and Carminatives.pdf
Digestants and Carminatives.pdfDigestants and Carminatives.pdf
Digestants and Carminatives.pdf
 
Scanning electron microscope - SEM , Its applicability in rasashastra
Scanning electron microscope - SEM , Its applicability in rasashastraScanning electron microscope - SEM , Its applicability in rasashastra
Scanning electron microscope - SEM , Its applicability in rasashastra
 
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptxAnatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
 
Tolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blinkTolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blink
 
Introduction Endocrine -1.pptx
Introduction Endocrine -1.pptxIntroduction Endocrine -1.pptx
Introduction Endocrine -1.pptx
 
Epidemiological Study Design, Research Design, Clinical Research
Epidemiological Study Design, Research Design, Clinical ResearchEpidemiological Study Design, Research Design, Clinical Research
Epidemiological Study Design, Research Design, Clinical Research
 
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptxGLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
 
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
Work-role of Radiation Therapists in the Consequences of Adaptive Radiotherap...
 
Feel and Look Years Younger With Nutra IGF 1 Supplement
Feel and Look Years Younger With Nutra IGF 1 SupplementFeel and Look Years Younger With Nutra IGF 1 Supplement
Feel and Look Years Younger With Nutra IGF 1 Supplement
 
Anti-interferon-gamma autoantibody associated immunodeficiency
Anti-interferon-gamma autoantibody associated immunodeficiencyAnti-interferon-gamma autoantibody associated immunodeficiency
Anti-interferon-gamma autoantibody associated immunodeficiency
 
Introduction Endocrinology class -2.pptx
Introduction Endocrinology class -2.pptxIntroduction Endocrinology class -2.pptx
Introduction Endocrinology class -2.pptx
 
Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.Seminario biologia molecular-Universidad Pontificia Bolivariana.
Seminario biologia molecular-Universidad Pontificia Bolivariana.
 
Presentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic managementPresentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic management
 

Using Routine Data to Improve ART Retention: Examples and Lessons Learned from the Literature and Experts in the Field

  • 1. Using Routine Data to Improve ART Retention: Examples and Lessons Learned from the Literature and Experts in the Field Photo credits: Left: CDC, http://africaunchained.blogspot.com/2014/08/malawis-national-electronic-medical.html; Center: Riccardo Lennart Niels Mayer, iStock Photo, 2015; Right: Paul Jeffrey March 30, 2017 MEASURE Evaluation Webinar Nena do Nascimento, MPP Michelle Li, MS Catherine Barker, MPH
  • 2. Investigate how countries are currently using routine health facility records to improve adult antiretroviral treatment(ART)* retention in low- and middle- income countries and recommend how to strengthen data use for higher ART retention. * male and female, excluding PMTCT & pre-ART Activity Purpose
  • 3.  As countries work towards an AIDS-free generation, they must be able to use their routine health data to retain patients in the continuum of HIV care by effectively tracking clients and ensuring that they follow their treatment regimen. Retention:  Proxy for adherence or programming effectiveness (Geng et al., 2010)  Access to support services to ensure continuous treatment and reduce risk to others (Messeri et al., 2002) Retention and 90-90-90 UNAIDS’ ambitious treatment target to help end the AIDS epidemic
  • 4. Facility (pharmacy & clinic) Use data to inform care needs for patients & ensure optimal treatment Community Trace patients, provide support services, refer patients to health facility National and sub- national level Identify retention performance and trends & policies to improve retention Aggregate data and send to subnational and national level on retention Send results of patient tracing; refer patients for relevant services Share reports on retention at subnational and national level Provide data on defaulted patients in need of follow- up or patients in need of additional support services Routine Health Data & Retention
  • 5. Systematic review  Close to 5,000 publications reviewed, including national guidance  Peer reviewed, grey literature, relevant websites  Question: “How have low- and middle-income countries routinely collected patient-level data to retain adults on Online survey  Purpose: to fill gaps in the literature  62 practitioners completed a 16-question survey In-depth interviews  Purpose: deepen understanding of practitioners’  Seven interviews with monitoring and evaluation experts one MOH official from a PEPFAR country Methods
  • 7. Interventions that Support Use of Data for ART Retention
  • 11. Interventions that Support Use of Data for ART Retention  Interventions determined by:  Patient load  Type of the epidemic  Health information system design  Available technology and connectivity  Human resource capacity
  • 12. Smart Care – Zambia Tickler File – Ethiopia Photo credits: Lefthttp://ghcorps.org/uncategorized/cultivating-a-bias-towards-action-in-global-health/ Right: Tariq Azam Interventions that Support Use of Data for ART Retention
  • 13. Opinions on Interventions “The use of the data have increased retention of patients on ART as they guide the program to make informed decisions. [Interventions include] early tracking of missed appointments, and set time blocks for patients to reduce the long waiting hours at counseling and testing clinics.” - Survey respondent with experience in Tanzania “The cohort reports specifically has enabled facilities to analyze attrition rates and the reasons contributing to that. This has enabled the facilities to focus their efforts on the gaps as part of their continuous quality improvement.” - Survey respondent with experience in Haiti, Kenya, Nigeria, Rwanda, Uganda, and Zambia Only1survey respondent of 57 indicated that use of routine health facility records did not lead to increased retention
  • 14.  Data quality  Data use culture  Human resources  Parallel systems  Linking community and facility data  Sustainability Challenges
  • 15. 1. Patient tracing to improve ART retention most commonly cited — less emphasis on data review meetings and improving data capture systems 2. Approaches should be fit-for-purpose 3. Human resources are a key to improved ART retention 4. Community programming is integral Conclusions
  • 16. 1. More emphasis should be placed on data use as part of retention interventions at the community and facility level. 2. Supportive supervision, mentoring, and training of health facility workers on data collection and data use would strengthen data quality and use of data to improve retention. 3. Strengthen and invest in community programming and community information systems — and strengthen their linkages to facility systems. The use of unique patient identifiers and mobile technology could improve linkages and enable more accurate measurement. 4. Reduce multiple vertical reporting mechanisms to reduce workload of health facility workers and better use data Recommendations
  • 17.  Retention within the context of multi- month scripts, differentiated care  Role of the community in tracking retention and adherence through community adherence groups and other structures What’s Next?
  • 20. 20 References 1. Fox MP, Rosen S. Patient retention in antiretroviral therapy programs up to three years on treatment in sub‐Saharan Africa, 2007–2009: systematic review. Tropical Medicine & International Health. 2010;15(s1):1-15. 2. WHO. Retention in HIV Programmes: Defining the challenges and identifying solutions. Meeting report, 13-15 September 2011, Geneva. 3. PEPFAR. FY 2015 Results - Tanzania. Available at: https://data.pepfar.net/global. 4. Hotchkiss DR, Diana ML, Foreit KG. How can routine health information systems improve health systems functioning in low-and middle-income countries? Assessing the evidence base. Adv Health Care Manag. 2012;12:25-58. 5. Mugavero MJ, Westfall AO, Zinski A, Davila K, Drainoni, ML, Gardner, L et al. Measuring retention in HIV care: the elusive gold standard. Journal of acquired immune deficiency syndromes (1999). 2012;61(5):574. 6. Massaquoi M, Zachariah R, Manzi M, et al. Patient retention and attrition on antiretroviral treatment at district level in rural Malawi. Trans R Soc Trop Med Hyg. 2009;103:594–600. 7. https://aidsinfo.nih.gov/education-materials/fact-sheets/21/54/hiv-medication-adherence 8. Tierney, William M., et al. "Assessing the impact of a primary care electronic medical record system in three Kenyan rural health centers." Journal of the American Medical Informatics Association (2015): ocv074. 9. DHIS 2.20 Overview. Available at: https://www.dhis2.org/220. 10. REDCap Project lead by Project Hope in Namibia. 11. do Nascimento N, de Jesus Joao F. Formative Assessment of a Future mHealth Site in Nhamatanda, Mozambique. MEASURE Evaluation: Working Paper Series. 2013. 12. Wandina D, Odhiambo F, Ojoo S, Mongare J, Ogillo G, Muriuki J, et al. Strategies for reducing lost to follow-up rates in adult patients receiving antiretroviral treatment in rural services in Kenya [Poster Presentation]. The 6th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention, Rome, Italy, July 2011. 13. South African National Department of Health (SANDOH). Models for the scale up of HIV prevention, treatment and care from South Africa and beyond. 2010. 14. Rosen, S and Ketlhapile, M. Cost of using a patient tracer to reduce loss to follow-up and ascertain patient status in a large antiretroviral therapy program in Johannesburg, South Africa. Tropical Medicine and International Health. 2010; 15 (I); 98-104. 15. Geng EH, Nash D, Kambugu A, et al. Retention in Care Among HIV-Infected Patients in Resource-Limited Settings: Emerging Insights and New Directions. Curr HIV/AIDS Rep. 2010; Nov; 7(4): 234–244. 16. McMahon JH, Moore R, Eu B, et al. Clinic Network Collaboration and Patient Tracing to Maximize Retention in HIV Care. PloS one. 2015;10(5):e0127726. 17. Dalal, R.P., MacPhail, C., Mqhayi, M., Wing, J., Feldman, C., Chersich, M.F., Venter, W.D..(2008). Characteristics and outcomes of adult patients lost to follow-up at an antiretroviral treatment clinic in Johannesburg, South Africa. JAIDS Journal of Acquired Immune Deficiency Syndromes, 47(1), 101-107. 18. Forster, M., Bailey, C., BrinkhofI, M.W.G., Graber, C., Boulle, A., Spohr, M., Balestre, E… Egger, M. (2008). Electronic medical record systems, data quality and loss to follow-up: survey of antiretroviral therapy programmes in resource-limited settings. Bulletin of the World Health Organization, 86 (12). 19. Scheibe, F.J., Waiswa, P., Kadobera, D., Miller, O., Ekström, A.M., Sarker, M., Neuhann, H.W.F.. (2013). Effective Coverage for Antiretroviral Therapy in a Ugandan District with a Decentralized Model of Care. PloS one, 8(7), e69433. 20. Ministry of Health and Ministry of Community Development, Mother and Child Health. Zambia Consolidated Guidelines for Treatment and Prevention of HIV Infection. (2014, Feb). http://www.hivpolicywatch.org/duremaps/data/guidelines/ZambiaARTguidelines2013.pdf. 21. National AIDS & STI Control Program. Guidelines on Use of Antiretroviral Drugs for Treating and Preventing HIV Infection in Kenya (2016 ed.). 22. Republica de Mocambique, Ministerio da Saude, Direccao National de Assistencia Medica. (2014). Guia de Tratamento antiretroviral e infeccoes oportunistas no adulto, adolescente, gravida e crianca 2014. http://www.who.int/hiv/pub/guidelines/mozambique_art.pdf. 23. South African National AIDS Council (SANAC). National Strategic Plan for HIV, STIs, and TB. (2012-2016). 2011. http://www.gov.za/sites/www.gov.za/files/national%20strategic%20plan%20on%20hiv%20stis%20and%20tb_0.pdf. 24. The United Republic of Tanzania, Ministry of Health and Social Welfare, National AIDS Control Programme. National Guidelines for the Management of HIV and AIDS (5th ed.). (2015, May).
  • 21. This presentation was produced with the support of the United States Agency for International Development (USAID) under the terms of MEASURE Evaluation cooperative agreement AID-OAA-L- 14-00004. MEASURE Evaluation is implemented by the Carolina Population Center, University of North Carolina at Chapel Hill in partnership with ICF International; John Snow, Inc.; Management Sciences for Health; Palladium; and Tulane University. Views expressed are not necessarily those of USAID or the United States government. www.measureevaluation.org