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Enhancing Effectiveness of
Community PMTCT through
    Information Systems

            Thomas Wilfred
            Otim, THETA-
            Uganda
Presentation Outline
 Background
 Descriptionof Context
 Key Interventions
 Challenges/Strategies
 Achievements
 Lessons Learnt
 Conclusion
 Details
Background
     PMTCT    is a global strategy to reduce new HIV
      infections.
     Uptake of PMTCT services in Uganda is low.
     ICTs can increase uptake of PMTCT services
      by providing community data for planning
     ICTs used to support national PMTCT program
      in 10 districts of Uganda

3                                                04/04/13
Description of Context
     Community   interventions are poorly reported
     Lack harmonization and linkage to national
      systems.
     No data at districts to manage Village Health
      Teams
     THETA built capacity of health workers to use
      Community health information system

4                                              04/04/13
Key Interventions
     National community PMTCT indicator
      harmonization
     Needs assessment for data utilization
     Customization of the DHIS2
     Nomination and training
     Training and follow-up of village health teams
      using cascaded mentoring and coaching.

5                                                04/04/13
Challenges/Counter Strategies
     Low  coverage by village health teams (40% ).
     Weak supervision causing poor data
      submission rates
     Motivation of the volunteers
     Mitigation by training lead-CHWs and monthly
      meetings



6                                               04/04/13
Achievements
     Harmonized   community PMTCT indicators
     Improved documentation and data use by the
      VHTs and the districts
     Increased referrals of pregnant and lactating
      mothers to health facilities by 19%
     Follow-up of HIV exposed babies improved
      from 60% in 2009 to 95% by 2012.

7                                               04/04/13
Lessons Learnt
     Capacity building of CHWs on data
      management improves performance
     Regular feedback and strengthening
      supervision improves performance
     Community health information system provides
      data required for feedback
     Pregnant and lactating mothers are identified
      and linked to services increasing uptake
8                                              04/04/13
Conclusion
 Community     health information system
  standardized community PMTCT
 Improved community level PMTCT outcomes
  and planning
 Built capacity of village health teams in PMTCT
  and data management
 Improved data use among the VHTs, facilities
  and districts
Details
      chis.thetaug.org/dhis   software customized from
       DHIS2
      Harmonized community PMTCT tools and
       indicators.
      Community PMTCT model
      Data flow for collection of data from villages to
       facilities through district to national office

10                                                  04/04/13
Data Flow

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Thomas Wilfred Otim - THETA, Uganda

  • 1. Enhancing Effectiveness of Community PMTCT through Information Systems Thomas Wilfred Otim, THETA- Uganda
  • 2. Presentation Outline  Background  Descriptionof Context  Key Interventions  Challenges/Strategies  Achievements  Lessons Learnt  Conclusion  Details
  • 3. Background  PMTCT is a global strategy to reduce new HIV infections.  Uptake of PMTCT services in Uganda is low.  ICTs can increase uptake of PMTCT services by providing community data for planning  ICTs used to support national PMTCT program in 10 districts of Uganda 3 04/04/13
  • 4. Description of Context  Community interventions are poorly reported  Lack harmonization and linkage to national systems.  No data at districts to manage Village Health Teams  THETA built capacity of health workers to use Community health information system 4 04/04/13
  • 5. Key Interventions  National community PMTCT indicator harmonization  Needs assessment for data utilization  Customization of the DHIS2  Nomination and training  Training and follow-up of village health teams using cascaded mentoring and coaching. 5 04/04/13
  • 6. Challenges/Counter Strategies  Low coverage by village health teams (40% ).  Weak supervision causing poor data submission rates  Motivation of the volunteers  Mitigation by training lead-CHWs and monthly meetings 6 04/04/13
  • 7. Achievements  Harmonized community PMTCT indicators  Improved documentation and data use by the VHTs and the districts  Increased referrals of pregnant and lactating mothers to health facilities by 19%  Follow-up of HIV exposed babies improved from 60% in 2009 to 95% by 2012. 7 04/04/13
  • 8. Lessons Learnt  Capacity building of CHWs on data management improves performance  Regular feedback and strengthening supervision improves performance  Community health information system provides data required for feedback  Pregnant and lactating mothers are identified and linked to services increasing uptake 8 04/04/13
  • 9. Conclusion  Community health information system standardized community PMTCT  Improved community level PMTCT outcomes and planning  Built capacity of village health teams in PMTCT and data management  Improved data use among the VHTs, facilities and districts
  • 10. Details  chis.thetaug.org/dhis software customized from DHIS2  Harmonized community PMTCT tools and indicators.  Community PMTCT model  Data flow for collection of data from villages to facilities through district to national office 10 04/04/13

Notes de l'éditeur

  1. 04/04/13