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Enhancing Effectiveness of Community PMTCT through Information Systems

Enhancing Effectiveness of Community PMTCT through Information Systems. Thomas Wilfred Otim , THETA- Uganda. Background Description of Context Key Interventions Challenges/Strategies Achievements Lessons Learnt Conclusion Details. Presentation Outline. Background.

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Enhancing Effectiveness of Community PMTCT through Information Systems

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  1. Enhancing Effectiveness of Community PMTCT through Information Systems Thomas Wilfred Otim, THETA- Uganda

  2. Background Description of Context Key Interventions Challenges/Strategies Achievements Lessons Learnt Conclusion Details Presentation Outline

  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

  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

  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.

  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

  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.

  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

  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

  11. Data Flow

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