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IAS 2013, 3 rd July 2013 Kuala Lumpur, Malaysia Presenter: Joseph Banda

Implementation of a Quality Improvement Process to Improve Provider Performance in Care and Treatment of People Living with HIV. IAS 2013, 3 rd July 2013 Kuala Lumpur, Malaysia Presenter: Joseph Banda. This work has been supported by the President’s Emergency Plan

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IAS 2013, 3 rd July 2013 Kuala Lumpur, Malaysia Presenter: Joseph Banda

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  1. Implementation of a Quality Improvement Process to Improve Provider Performance in Care and Treatment of People Living with HIV IAS 2013, 3rd July 2013 Kuala Lumpur, Malaysia Presenter: Joseph Banda This work has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the Department of Defense (DOD).

  2. Zambia population: 13.3 million • HIV prevalence: 14.3% • ART coverage: 82% of eligible people (2011 WB report) • Jhpiego supported 20 military units on ART quality improvement • 80% clients – civilians • Quasi-experimental design with 4 matched intervention and control sites • Observers assessed provider conformity to 9 ART standards

  3. The Intervention • Onsite trainings – in ART, STI, TB and PITC • Provision of equipment and supplies • Supportive supervision and mentorship • Task shifting – Military Medical Assistants • Facility action plans – performance gaps • Periodic performance assessments

  4. Results and Conclusion Results I Results II • 354 observations • 109 provider interviews • Two-thirds nurses, the rest non-doctor cadres • Significant improvement in scores in 8/9 standards in the intervention group compared to only 4/9 in comparison • Provider performance improves with quality improvement intervention

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