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Use of Routine Feedback Reports to Site and District Staff in Cote d’Ivoire

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

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Use of Routine Feedback Reports to Site and District Staff in Cote d’Ivoire

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  1. Use of Routine Feedback Reports to Site and District Staff in Cote d’Ivoire • Hermann BrouAnnual Meeting, M&E satellite meetingJohannesburg, July 28, 2010

  2. 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

  3. ICAP-CI M&E Team

  4. ICAP-CI Information System Site Multidisciplinary team HIV Care & Treatment service Site Data Clerk Other clinical services/clinics (Lab, ANC, etc) Community activities Health District Direction CSE →Data report flow →Feedback MOH (DIPE, PNPEC) ICAP-CI Technical team ICAP-CI, M&E unit Regional office  Abidjan office • PEPFAR – CI • ICAP - NY

  5. 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

  6. 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+

  7. 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

  8. 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

  9. 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)

  10. Routine Feedback to Site:PLWHA Enrolment in Care (all sites)

  11. 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

  12. Thank You

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