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Catchment area meeting HIV report.pptx

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Catchment area meeting HIV report.pptx

  1. 1. CAM Report Akesta General Hospital By Awol Kassa May 10/2022 kombolcha
  2. 2. List of acronyms CAM Catchment area meeting CEE Core essential element DQA Data quality assurance DTG Dolutegravir FSW Female sex worker HRST High risk screening tool KP Key population MARP Most at risk population OVC Orphans and vulnerable children PIP Performance improvement plan PPSS Pediatric psychosocial support ASM Appointment spacing model QI Quality improvement SIMS Site improvement through monitoring system ICT Index Case Testing TPT TB preventive Therapy (INH prophylaxis) MDT Multidisciplinary team
  3. 3. List of acronyms… HF Health facility EAS Enhanced adherence support NACS Nutrition assessment, counseling and support HEI HIV Exposed infant DBS Dried blood spot PLHIV People living with HIV PMT Performance monitoring team PrEP Pre-exposure prophylaxis RHB Regional Health Bureau STI Sexually transmitted infection SNS Social network strategy TAT Turn around time TLD Combination of Tenofovir , Lamivudine & Dolutegravir TLE Combination of Tenofovir, Lamivudine & Efavirenz VL Viral load ZHD/THD Zonal Health Department/Town Health Department
  4. 4. Previous CAM action points No Action points from the last six month Actions taken Remarks 1 Low HIV testing performance Discusion on MDT meeting . Monitor it through Internal mentorship on progress 2 ICT register was not updated(elicited contacts was not tested) work with ACMs Phone calling. 3 QI project was not designed. NOT done ART focal and providers were not trained
  5. 5. Major Transition Activities S. N Activity #/Yes/No 1 # of HIV related QI project/s implemented in the last quarter/six months 0 2 If yes, briefly discuss the QI project outcome/s 3 # of DQA conducted by zone at the facility in the last quarter/ six months 0 4 Is SIMS visit conducted at your facility in the last quarter/six months NO 5 If yes, have you developed performance improvement plan (PIP) /rescored? ----- 6 Briefly discuss the challenges associated with infection prevention and control (IPC) activities in the last quarter/six months including the 4 IPC project sites (FHCSH, GUH, WCSH & DCSH)
  6. 6. Major Transition Activities… No Activity six months plan Perfo rman ce %/# 9 # of external mentorship conducted in the last quarter/ six months (For mentoring HFs only) 23 10 Mentoring was not conducted in the 1st Quar 10 # of report submitted to cluster hospital/ZHD/RHB in the last quarter/six months (For mentoring HF only) 1 1 11 # of internal mentorship conducted in the last quarter/six months 3 3 12 # of MDT meeting conducted and minute archived in the last quarter/six months 3 3 13 # of PMT meeting conducted and minute archived in the last quarter/six months 3 3 14 # of supervision received from Woreda health offices or ZHD/THD /RHB (Specify) 2 3 100%
  7. 7. HIV prevention
  8. 8. HIV prevention… No. Activities Quarter/ 6 months plan Performance in # (%) in 3/6 months 1 # of condoms distributed for MARPs 0 0 2 # of condoms distributed for the general population 2514 1850 3 #of PLHIV addressed with positive living education 1665 984 4 # of FSW reached with HIV test and other package of services at KP friendly clinic (For KP friendly sites only) 0 0 5 # of high risk FSW reached with HIV test and other package of services through SNS (For SNS sites only) 0 0
  9. 9. HIV prevention… No. Activities Quarter/s ix months plan Performance in # (%) in 3/6 months 6 # of PLHIV received at least 1 type of care and support from 3C’s* 0 0 7 # of OVCs received at least 1 type care and support from 3C’s 0 0 8 # of clients put on PrEP 05 02 9 # of clients lost from PrEP 0 0 10 # of clients currently on PrEP 05 02
  10. 10. First 95 performance
  11. 11. Status of HIV risk screening tool (HRST) utilization at HFRisk Screening Tool (HRST) No. Activities Quarter /six months plan Performanc e in # (%) in the 3/6 months/Y/N 1 Is there HRST available ? YES 2 If yes, 2.1 # patients visited HFs in the last quarter/six months 22455 25959 2.2 # Patients screened in the last quarter/six months 22455 8211 2.3 # Eligible for HIV testing in the last quarter/six months 2100 1780 2.4 # Tested for HIV in the last quarter/six months 2100 1009 kit shortage
  12. 12. HIV testing services No. Activities Quarte r/six months plan Achive ment Performa nce in # (%) in 3/6 months 1 Total # of individuals tested for HIV in the last quarter/six months 1.1 adult 1.2 children 2570 1570 61.1% 2226 1501 67.4% 344 69 20.% 2 Total # of HIV positive clients identified 2.1 adults 2.2 children 30 18 60% 25 17 68% 5 1 20% 3 # of HIV +ve clients received from other facility/community based organizations (CBOs) 03 01 33.3% 4 # of HIV +ve clients linked at HIV positive tracking register 43 19
  13. 13. Index case testing status at ART and PMTCT clinic No. Activities Quarter/si x months plan Performanc e in # ( %) in 3/6 months 1 # of clients newly started ART in the last quarter/six months 30 16 2 # of spouse/non-spouse ,children and parent of newly started ART clients registered at index case register 30 16 3 # of spouse/non-spouse ,children and parent of newly started ART clients registered at index case register with unknown status 10 9 4 # of spouse/non-spouse ,children and parent of newly started ART clients tested for HIV 4.1 # tested positive 4.2 # linked and started ART 10 7 05 02 05 02
  14. 14. Index case testing for high viral load (VL) clients No. Activities Quarter/ 6 ms plan Performance in # (%) in 3/6 ms 1 # of PLHIV on ART with high VL results in the last quarter/six months 0 0 2 # of spouse/non-spouse and children of high VL clients registered at index case register 0 0 3 # of spouse/non-spouse and children of PLHIV with high VL tested for HIV 3.1 # tested positive 3.2 # linked and started ART 0 0 0 0 0 0 0 0 0 0
  15. 15. HIV Exposed Infants HIV testing No . Activities Quarte r/6 months plan Performance in # (%) in 3/6 months 1 # of HEIs identified in the last quarter/six months 13 2 # of HEIs who received ARV prophylaxis 13 3 # of DBS samples sent to testing site in the last quarter/six months 8 4 # of HEIs tested HIV positive with DNA PCR in the last quarter/six months 0 5 # of HEIs tested positive, tracked and started within with in 7 days 0 6 Average DBS TAT in the last quarter/six months 3hr
  16. 16. CBS implementation No. Activities Quarter/6 months plan Performance in # (%) in 3/6 months 1 Total # of newly identified HIV positive individuals with completed CRF (Case Reporting Format) 30 18 2 Total # of HIV positive clients tested for recency testing 25 12 3 Total # of individuals with recent infection 01
  17. 17. Sexual transmitted infection (STI) and HIV testing No. Activities Quarte r/six months plan Performance in # (%) 1 # of STI cases diagnosed in the facility in the last quarter/six months 45 43 2 # of clients treated with syndromic approach in the last quarter/six months 45 43 3 # of partners of STI cases notified , diagnosed and managed for STI in the last quarter/six months 35 29 4 # STI clients tested for HIV in the last quarter/six months 45 43 5 # STI clients tested HIV positive in the last quarter/six months 03 01 6 # of clients tested HIV +ve linked to ART clinic in the last quarter/six months 03 01
  18. 18. Post GBV/sexual violence (SV) service No. Activities Quarter /6 months plan Performanc e in # (%) in 3/6 months 1 # of GBV/SV survivors who visited facility in the quarter 5 27 2 # of GBV/SV Survivors who got Post GBV/SV clinical care 5 27 3 # GBV/SV survivors provided with PEP 5 0
  19. 19. Second 95 performance
  20. 20. ART initiation performance Activities Quarter/six months plan Performance in # ( %) in 3/six months 1 # of clients linked to care (# of clients registered on HIV positive tracking register) 30 19 2 # of clients initiated ART with in a week including same (rapid initiation) day in last quarter/6 months 2.1 adults 2.2 children 30 16 25 16 05 0 3 # of clients initiated ART after a week 3.1 adults 3.2 children 0 0 0 0 4 # of clients referred to other HFs 0 03 5 # client with confirmed referral 0 03
  21. 21. Not yet started clients status Activities Quarter/six months plan Performance in # (%) in the 3/6 months/Y/N 1 # of total clients not yet started ART 0 2 Reasons for not yet started clients 3 Does the facility monitor and follow not yet started clients with not yet started checklist yes
  22. 22. ASM and NACS performance No Activities Quarter/6m months plan Performance in # (%) in 3/6 months 1 Currently on ART 4.1 adult 4.2 Children 1057 1028 29 2 # of stable ART clients 967 3 # of stable clients ever enrolled in to appointment spacing model (ASM) 606 4 # of stable clients ever enrolled in to Fast Track ART Refill (FTAR) 96 5 # of stable clients refused to be enrolled in to differentiated service delivery model (DSD) 207 6 Total # of PLHIV assessed and diagnosed as undernourished 34 7 Total # of PLHIV who received therapeutic/supplementary 0
  23. 23. ART optimization No. Activities Quarter/s ix months plan Performance in # (%) in 3/6 months (Y/N) 1 Does the facility have any clients who are on NVP based regimen (if yes specify the reason )? NO 2 # of existing pediatric clients aged < 10yrs & > 20kg ) shifted to ABC/3TC/DTG 0 3 # of existing pediatrics clients aged< 10yrs & <20kg shifted to ABC/3TC/LPV/r 0 4 # of existing pediatrics clients aged > 10yrs & >30kg shifted to TLD/TLE 3
  24. 24. ART client retention No. Activities Quarter/six months plan Performance in # (%) in 3/6 months 1 TI in the last quarter/six months 4 2 TO in the last quarter/six months 8 3 Lost to follow up/Drop/ in the last quarter/six months 5 4 # of clients traced back in the last quarter/6months 4 5 # of total deaths in the last quarter/ six months 6 6 # of deaths for which death audit is done in the last quarter/six month? 6 7 Net treatment current increment (treatment current in last quarter/6 months - treatment current in the previous quarter/6 months) -6
  25. 25. TB/HIV collaboration No . Activities Quarter 6 months plan Performance in #(%) in 3/6 months 1 # of patients diagnosed for TB in the last quarter/6 months 8 10 2 # of patients diagnosed for TB and tested for HIV in the last quarter/6 months 8 10 3 # of patients diagnosed TB and tested HIV positive for HIV in the last quarter/6 months tested HIV positive 3 0 4 # of TB patients diagnosed in the last quarter/6 months tested HIV positive and started CPT 3 0 5 # of TB patients diagnosed in the last quarter/6 months tested HIV positive and started ART 3 0
  26. 26. TB/HIV collaboration… No. Activities Quarter/ 6 ms plan Performance in # (%) in 3/6 months 6 Proportion of ever started TPT (TPT started/TX- CURR) 100% 98% 7 Proportion of clients completed TPT(completed TPT/started TPT) 95% 92% 8 Existing ART clients who were screened for TB at the end of the quarter/six months 1057 1057 9 Screen negative existing clients who started TPT in the quarter 0 18 10 Proportion of newly enrolled in HIV care who started TPT during the last quarter/six months 30 11
  27. 27. Pediatric psychosocial support (PPSS) No . Activities Quarter/ six months plan Performanc e in # (%) in 3/6 months 1 # of children on ART disclosed their HIV status in the last quarter/six months 05 2 2 # of children disclosed their HIV status and enrolled to the PPSS in the last quarter/six months 05 2 3 # of children currently participating in the PPSS program 53 57
  28. 28. Cervical cancer screening and management N o. Activities Quarter / six months plan Performance in # (%) in 3/6 months 1 # WLHIV aged 15-49 screened for cervical cancer with VIA for first time in the reporting period 335 21 (only on october) 2 # found positive with VIA for dysplasia 0 3 # of clients treated with cryotherapy 0 4 # of clients who received follow up after treatment in the reporting period 0
  29. 29. Mental health integration (MHI) No . Activities Quarter/ six months plan Performance in # (%) in 3/6 months 1 # of eligible clients screened for mental health problem 1063 1057 2 # of clients who have symptoms of MH illness 0 02 3 # of clients referred to clinician for mental health evaluation 0 02
  30. 30. Third 95 performance
  31. 31. Viral load test performance No. Activities Quarter /six months plan Performanc e in # (%) in 3 / 6 months 1 Total viral load specimen sent in the last quarter/six months 520 305 2 Total viral load result received in the last quarter/six months 149 67-Reject 3 # of viral load results > 1000 copies/ml in the quarter quarter/6 months 0 4 Average VL turnaround time (TAT) in the quarter/6 months 29 days
  32. 32. Viral load test performance … No. Activities Quarter /six months plan Performanc e in # (%) in 3/6 months 5 # of high VL clients enrolled in EAS in the last quarter/six months 0 0 6 # of high VL clients completed EAS in the last quarter/six months 0 02 7 # of high VL clients completed EAS and 2nd VL test done in the last quarter/six months 02 8 # of clients with 2nd VL viral load results > 1000 copies/ml in the last quarter/6 months 0 9 # of clients switched to the second/3rd line ART in the last quarter/six months 0
  33. 33. Rapid test kit supply S.| N Activity Stat pack Abon SD Bio line 1 Total # of rapid HIV test kits at the beginning of the last quarter/6 months 0 1 box 0 2 Total # of rapid HIV test kits received last quarter/6 months 96box 1box 2box 3 Total # of rapid HIV test kits expired / damaged last quarter/6 months 3box 0 0 4 Total # of rapid HIV test kits utilized last quarter/6 months 80box 2box 1box 5 Total # of rapid HIV test kit currently stock on hand last quarter/6 months 13box 0 1box 6 Total tests reactive /positive in the last quarter/6 months 60 34 34
  34. 34. Pediatrics ARV drug stock status Activity ABC + 3TC (120+60) AZT +3TC (60+30) Lop/r pellet Lop/r 125mg 1 Total # of packs at the beginning of the last quarter/6 months 70 20 0 100 2 Total # of packs received last quarter/6 months 200 16 50 0 3 Total # of packs expired / damaged last quarter/6 months 0 0 0 0 4 Total # of packs utilized last quarter/6 months 270 0 50 68 5 Total # of packs currently stock on hand last quarter/6 months 0 36 0 32
  35. 35. ARV drugs & rapid test kit supply… S. N Activity Yes (List) No If yes, for how long? 1 Was there rapid test kit interruptions in last quarter/6 months?  . 2 month 2 Was there DBS kit interruption in the last quarter/6months?  . 3month 3 Was there Pediatrics 1st,2nd & 3rd ARV drugs interruptions in last quarter/6 months?  DTG 50mg. 1month 4 Was there Adult 1st,2nd & 3rd line ARV drugs interruptions in last quarter/6 months?  . 5 Was there INH/ CPT interruption in the last quarter/6 months?  . 6 Was there interruption of VL test tube in the last quarter/six months? Yes ppt/EDTA test tube 3month
  36. 36. Challenges No Challenges Actions undertaken 1 Stock out of Nutirtional supplement Counseling on nutrrition 2 Stock out of ABC/3TC, RTKs and EDTA/PPT tubes communicate with EPSA 3 Stockout of CD4 cartilage communicate with EPSA
  37. 37. Promising/Best practices
  38. 38. Thank You!!!

Notas del editor

  • *Community coalition and care

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