I think the idea captures the essence of systems improvement which is so important when it comes to improving the impact of services that are already in place,
good luck for the entry, I believe it deserves recognition
Hellen,
Your idea of monitoring more closely the cases of HIV+ mothers is a great idea and I believe deserves attention. I just have a few questions. One, who will be processing and analyzing the information received and once that is received, what will they do to not only monitor but reduce the spread of HIV? How will the project be sustainable and what sources of funding are planned for the project? Remember that any answers to my questions should be added also to the main idea to ensure that the judges are able to see your expansion and improvements. Thank you so much!
1) who will be processing and analyzing the information received?
Flow of Data: registers will be completed by counselors and professional nurses. One person per facility will be responcible to collect and either enter or depending size of facility send to central datacollector –
Data capturer enters data on database and oversees the process of sending data to places where patients are to be seen
Datacapturers also check database for follow-up, e.g. check infant visits and correlate with mothers and births
Follow-up of mothers is checked against adult treatment sites
As this network requires collaboration between a bigger and bigger net as it expands, there will initially be focus on each region in a province – and the establishment of a network in that region by finding out which clinics and services need to be linked.
The focus is maternal and child health – i.e. ensuring that HIV-positive mothers are adequately accessing care as well as their infants. Using the mother child unit as a starting point, the family can be accessed and encouraged to attend care.
2) what will they do to not only monitor but reduce the spread of HIV?
The problem of loss to followup is not always linked to patients not returning but a lack of awareness amongst facilities that the patient they are treating accessed care elsewhere and therefore is still in the system. As facilities are not linked enough, the dynamics of patient movement translate into loss to followup.
By offering more wholistic and continuous care, it will assist with reducing disease by the following: a woman treated in an HIV treatment centre is also a mother who has not yet brought her infant for testing – simply by knowing that the woman is a mother, the healthcare worker can at least encourage care of the infant if not do it him/herself by calling the baby with the mother. A new mother with a low CD4 count can access ART which can prevent further morbidity or even mortality.
The issue of feedback of statistics is a crucial one. A lot of staff despondency and attrition relates to lack of encouragement and praise. If a clinic provides antenatal care but never has the chance to hear what the transmission rate of mother to child for its clients is later because the same midwives do not test the babies. By sharing the statistics and interpreting them as well as using them to improve services and encourage good practice a lot can be done for staff morale and therefore better service which will then result in reduction of disease.
3) How will the project be sustainable and how will it be funded
The project will require its own funding which we will need to motivate for in the form of grants and possibly collaboration with established NGOs, but its main success will depend on the follwing two points:
• Engagement with doh services and support – as these services are under tremendous pressure and require assistance, the nature of the project to assist with data flow will
• Support from communities – this project needs to both get support from community structures (for example provision of facility/office, access to community and home visits, opportunity to present to community the activity and progress
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I think the idea captures the essence of systems improvement which is so important when it comes to improving the impact of services that are already in place,
good luck for the entry, I believe it deserves recognition
Hellen,
Your idea of monitoring more closely the cases of HIV+ mothers is a great idea and I believe deserves attention. I just have a few questions. One, who will be processing and analyzing the information received and once that is received, what will they do to not only monitor but reduce the spread of HIV? How will the project be sustainable and what sources of funding are planned for the project? Remember that any answers to my questions should be added also to the main idea to ensure that the judges are able to see your expansion and improvements. Thank you so much!
Dear Amy, thank you for your question
I have tried to split up the answers slightly:
1) who will be processing and analyzing the information received?
Flow of Data: registers will be completed by counselors and professional nurses. One person per facility will be responcible to collect and either enter or depending size of facility send to central datacollector –
Data capturer enters data on database and oversees the process of sending data to places where patients are to be seen
Datacapturers also check database for follow-up, e.g. check infant visits and correlate with mothers and births
Follow-up of mothers is checked against adult treatment sites
As this network requires collaboration between a bigger and bigger net as it expands, there will initially be focus on each region in a province – and the establishment of a network in that region by finding out which clinics and services need to be linked.
The focus is maternal and child health – i.e. ensuring that HIV-positive mothers are adequately accessing care as well as their infants. Using the mother child unit as a starting point, the family can be accessed and encouraged to attend care.
2) what will they do to not only monitor but reduce the spread of HIV?
The problem of loss to followup is not always linked to patients not returning but a lack of awareness amongst facilities that the patient they are treating accessed care elsewhere and therefore is still in the system. As facilities are not linked enough, the dynamics of patient movement translate into loss to followup.
By offering more wholistic and continuous care, it will assist with reducing disease by the following: a woman treated in an HIV treatment centre is also a mother who has not yet brought her infant for testing – simply by knowing that the woman is a mother, the healthcare worker can at least encourage care of the infant if not do it him/herself by calling the baby with the mother. A new mother with a low CD4 count can access ART which can prevent further morbidity or even mortality.
The issue of feedback of statistics is a crucial one. A lot of staff despondency and attrition relates to lack of encouragement and praise. If a clinic provides antenatal care but never has the chance to hear what the transmission rate of mother to child for its clients is later because the same midwives do not test the babies. By sharing the statistics and interpreting them as well as using them to improve services and encourage good practice a lot can be done for staff morale and therefore better service which will then result in reduction of disease.
3) How will the project be sustainable and how will it be funded
The project will require its own funding which we will need to motivate for in the form of grants and possibly collaboration with established NGOs, but its main success will depend on the follwing two points:
• Engagement with doh services and support – as these services are under tremendous pressure and require assistance, the nature of the project to assist with data flow will
• Support from communities – this project needs to both get support from community structures (for example provision of facility/office, access to community and home visits, opportunity to present to community the activity and progress
Kind regards
Hellen
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