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Enhancing HIV Care Quality Through Data-Driven Strategies in Africa and Beyond

This document outlines the essential role of data management in enhancing quality care programs within the ICAP initiative, led by Dr. Andrea A. Howard. It highlights the capabilities of the Unified Reporting System (URS) that supports over 757 clinics across multiple African nations and beyond, serving over a million individuals receiving care. With a focus on standardized performance measurements, web-based reporting, and efficient data utilization, the approach aims to improve the quality of HIV care and treatment by providing real-time insights and actionable feedback across various program areas.

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Enhancing HIV Care Quality Through Data-Driven Strategies in Africa and Beyond

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  1. Data for Action: Supporting Quality Programs Andrea A. Howard, MD, MS Director, Clinical & Training Unit Associate Professor of Clinical Epidemiology

  2. Where ICAP Works MOROCCO Track 1.0 Program ALGERIA LIBYA EGYPT MAURITANIA MALI NIGER SENEGAL CHAD SUDAN BURKINA GUINEA BENIN NIGERIA ETHIOPIA COTE CENTRAL DTVOIRE GHANA AFRICAN REPUBLIC CAMEROON DEMOCRATIC KENYA REP. OF REPUBLIC THE OF THE CONGO GABON CONGO RWANDA TANZANIA MALAWI ANGOLA Kazakhstan ZAMBIA MOZAMBIQUE Uzbekistan ZIMBABWE Uzbekistan NAMIBIA BOTSWANA Kyrgyzstan Turkmenistan SWAZILAND LESOTHO Tajikistan SOUTH AFRICA

  3. Cumulative enrollment in HIV care and treatment 757 clinics 1,018,204 in care 499,194 on ART Number of patients Number of clinics Source: ICAP URS February 2012. Notes: Data are only from clinics supported and reporting.

  4. Use of data for quality:ICAP approaches • Web-based reporting and data management • Small scale manual measurement of ICAP Standards of Care • Standardized performance measurement of ICAP Priority Indicators using aggregate data

  5. Web-based reporting and data management • Unified Reporting System (URS): central facility-centered, aggregate-based system to capture and disseminate real-time relevant program data on multiple ICAP-supported activities and programs • Aims to streamline, standardize, and increase the efficiency and utilization of routinely collected data by any ICAP staff member at all levels of the organization

  6. URS core components • Site census enumerates supported facilities and activities, and links data from multiple program areas at the facility level • Capacity to accept data via manual entry or XML import • Dashboards and user-defined reports provide data summaries by various geographic levels and program areas • Drill down capability for multi-country, country, district, facility-level data • Integrated Google Maps for real-time map display of ICAP- supported facilities • Export of reports or raw data into Excel or statistical software

  7. Dashboard by country Country Program area module

  8. Filter by district

  9. Filter by site

  10. Automated feedback reports-country

  11. Automated feedback reports - country

  12. Automated feedback reports - site

  13. Automated feedback reports - site

  14. Standards of Care

  15. SOC data collection tool

  16. Job Aid to evaluate SOC

  17. Facility Feedback Form

  18. Priority indicators • Performance measurement using aggregate data • Very minimum set of indicators • Across domains • Standardized across organization • Linked to targets • Trends over time

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