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Monitoring and Evaluation in the Transition

Monitoring and Evaluation in the Transition. Toyin Jolayemi – APIN Ltd Seema Meloni - Harvard. Background. Harvard supporting sites since 2004 Since 2008, APIN has been funded by CDC Nigeria to transition sites from Harvard. Service Delivery.

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Monitoring and Evaluation in the Transition

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  1. Monitoring and Evaluation in the Transition Toyin Jolayemi – APIN Ltd Seema Meloni - Harvard

  2. Background • Harvard supporting sites since 2004 • Since 2008, APIN has been funded by CDC Nigeria to transition sites from Harvard

  3. Service Delivery • Based on National Guidelines and Harvard/APIN protocols

  4. Overall Enrollment

  5. QA/QI (1): Continuity of Care

  6. QA/QI (2): OIs including TB

  7. QA/QI (3): Patient Monitoring

  8. Cohort Analysis

  9. Clinical Outcomes

  10. Transition of QA Efforts Site • Site QA committee in place including focal person and data staff • QA framework/plans in place • QA activities ongoing • Sites starting to run data for QI • Training on QA/QI framework and processes APIN Central • Central QA committee in place • QA indicators harmonised with GON • QA/QI toolkit in place • Training on QA/QI framework and processes • Mentoring of Sites Technical Assistance from Harvard • QA /QI SOP and QUiC tool developed; • Analysis for QI • Support training and provide TA on QA/QI

  11. Summary • Development of tools to monitor the impact of transition on clinical outcomes is critical. • Methods of analysis and ultimate significance require empirical approach. • Increased communication with transitioned site personnel and patients will inform the process.

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