use of routine feedback reports to site and district staff in cote d’ivoire
DESCRIPTION
Use of Routine Feedback Reports to Site and District Staff in Cote d’Ivoire. Hermann Brou Annual Meeting, M&E satellite meeting Johannesburg, July 28, 2010. Context. Our program started in October 2007 As of the end of June 2010 : 112 supported sites located in 13 health districts - PowerPoint PPT PresentationTRANSCRIPT
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Use of Routine Feedback Reports to Site and District
Staff in Cote d’Ivoire
Hermann BrouAnnual Meeting, M&E satellite meeting
Johannesburg, July 28, 2010
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Context
» Our program started in October 2007
» As of the end of June 2010:
• 112 supported sites located in 13 health districts
• 8,729 PLWHA enrolled in care
• 4,740 patients ever started ART
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ICAP-CI M&E TeamM&E Director
Abidjan
M&E AssistantAbidjan
Database ManagerAbidjan
Data officerDaloa
Data ClerksSites
- District Bouafle- District Sinfra- District Zuenoula- District Konahiri
Data OfficerDaloa
Data ClerksSites
-District Daloa- District Issia - District Vavoua- District Seguela- District Mankono
Data OfficerDaloa
Data ClerksSites
- District Gagnoa - District Oume - District Divo - District Lakota
M&E AssistantDaloa
4ICAP-CI Technical team
Site Multidisciplinary team
ICAP-CI Information System
HIV Care & Treatment service
Site Data Clerk
Health District DirectionCSE
ICAP-CI, M&E unitRegional office
Abidjan office
Other clinical services/clinics (Lab, ANC, etc)
Community activities
MOH(DIPE, PNPEC)
• PEPFAR – CI• ICAP - NY
→ Data report flow→ Feedback
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When Do We Make Feedback & For Whom?
»To ICAP-CI Technical team• Monthly feedback: report s on all programmatic areas
• Quarterly analysis: trend, achievement of targets
»To Health district / site• Monthly feedback: 20 keys indicators about Testing &
Counseling, PMTCT, Care & Treatment, TB/HIV
Ex: # of pregnant women tested HIV+ VS # of pregnant women received PMTCT prophylaxis
• Semi-annual meeting: to assess achievements, identify difficulties and develop or modify strategies
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Monthly Feedback to District / Site:How is It Provided?
» In paper or electronic format• An overall table for all 20 keys indicators and charts
• Specific analysis on a selected theme (sometime)
• Automatically generated by aggregate database (Daloa office)
• Printed copies transmitted to staff and pasted in site
» For more details, technical advisor or officer call providers
• Systematically for 2nd line ART regimen and TB patients tested HIV+
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Routine Feedback to Site:Care & Treatment
»Tracking of ART prescription: Ensure prescriptions are consistent with national guidelines, especially for second-line therapy
»CD4 count: Following-up and monitoring of CD4 counts at 6 months, 12 months
»Discontinuation of ART: Percent of patients lost-to-follow up
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Routine Feedback to Site:PMTCT
»For HIV-infected pregnant women:• Percent of those who received PMTCT prophylaxis
• Percent of those enrolled in care
»For HIV exposed children:• HIV test within 12 months
• If HIV-infected, initiation of ART
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Routine Feedback to Site:TB/HIV
» In care and treatment:• percent of patients enrolled in care who are screened for TB
• for patients suspected TB-infected, what is done?
»At TB clinics:• percent of TB patients who received counseling for HIV test
• tracking of patients co-infected with TB/HIV (Cotrimoxazole prophylaxis and enrollment in care)
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Routine Feedback to Site:PLWHA Enrolment in Care (all sites)
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Challenges
»Train site staff to analyze data
»Establish functional multidisciplinary team MDT) at all sites, especially ART sites
• ICAP staff attend to first meeting
• Monitoring MDT meeting (number of meetings, participants,…)
• Support MDT costs meeting
»Improve quality of data collected• Develop of SOPs for DQA
• Implement DQA in collaboration with district staff
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Thank You