scholarly journals Enhancing and promoting data management and systematic monitoring for an improved HIV/AIDS programs in Addis Ababa, Ethiopia

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Dereje Habte ◽  
Samuel Zemenfeskudus ◽  
Mulugeta Endale ◽  
Mohammed Zeidan ◽  
Daniel Getachew ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Data Management ◽  
Health Facility ◽  
Treatment Initiation ◽  
Addis Ababa ◽  
Case Finding ◽  
Health Facilities ◽  
Data Driven ◽  
Systematic Monitoring ◽  
Hiv Aids

Abstract Background Ethiopia Population-based HIV Impact Assessment findings showed that in Addis Ababa, only 65.2% of people living with HIV (PLHIV) know their status. We present the enhanced HIV/AIDS data management and systematic monitoring experience in Addis Ababa City Administration Health Bureau (AACAHB). Methods AACAHB established a command-post with leadership and technical team members from the health bureau, 10 sub-city health offices, and non-governmental stakeholders. The command-post improved governance, standardized HIV program implementation, and established accountability mechanism. A web-based database was established at each health facility, sub-city, and AACAHB level. Performance was scored (green, ≥75%; yellow, 50–74%; red, < 50%). The command-post reviewed performance on weekly basis. A mentorship team provided a weekly site-level support at underperforming public and private health facilities. At facility level, quality of data on recording tools such as registers, and individual medical records were maintained through continued review, feedback mechanisms and regular consistency check of data. Percentage and 95% confidence interval were computed to compare the improvement in program performance over time. Results After 6 months of intervention period, the monthly New HIV case finding in 47 health facilities increased from 422 to 734 (1.7 times) and treatment initiation increased from 302 to 616 (2 times). After 6 months, the aggregate scoring for HIV testing at city level improved from yellow to green, HIV case finding improved from red to green, and treatment initiation improved from red to yellow. An increasing trend was noted in HIV positive case finding with statistically significant improvement from 43.4% [95% Confidence Interval: 40.23–46.59%] in May 2019 to 74.9% [95% Confidence Interval: 72.03–77.6%] in September 2019. Similarly, significant improvement was recorded for new HIV treatment from 30.9% [95% Confidence Interval: 28.01–33.94%] in May 2019 to 62.5% [95% Confidence Interval: 59.38–65.6%] in September 2019. Conclusions Regular data driven HIV program review was institutionalized at city, sub-city and health facility levels which further improved HIV program monitoring and performance. The performance of HIV case finding and treatment initiation improved significantly via using intensified monitoring, data driven performance review, targeted site-level support based on the gap, and standardized approaches.

scholarly journals Clients’ satisfaction with HIV care and treatment centres in Dar es Salaam, Tanzania: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247421
Author(s):  
Salome E. Buluba ◽  
Neema E. Mawi ◽  
Edith A. M. Tarimo
Keyword(s):  
Public Health ◽  
Health Facility ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Health Facilities ◽  
Hiv Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care And Treatment ◽  
Hiv Aids

Background HIV is a major global public health challenge, claiming the lives of over 32 million people so far. The satisfaction of HIV-affected clients with the quality of their HIV services at treatment centres is crucial for quality improvement. This article assesses clients’ satisfaction with different aspects of the overall care experience and seeks to determine if the type of health facility ownership is a predictor of satisfaction. Methods A cross-sectional study involving 430 respondents was conducted between September and October 2019. Purposeful and convenient sampling techniques were used to select health facilities and potential respondents, respectively. A pre-tested, interviewer-administered questionnaire was used to collect data. Binary logistic regression was used to assess the association between type of health facility and clients’ satisfaction based on the six assessed aspects of care, and p˂0.05 was considered statistically significant. Results The general clients’ satisfaction with HIV/AIDS services at care and treatment centres was 92.3%. Respondents from public health facilities were most satisfied with privacy and confidentiality (100%), physical environment (100%), counseling (99.5%) and drug availability (99.5%); respondents from private health facilities were most satisfied with the time spent in the facility (95.9%); while respondents from faith-based health facilities were most satisfied with staff-patient communication (99.2%). However, after adjusting for confounders, only one aspect of care, that of “time spent in the facility,” showed significant association with the type of health facility. Conclusion Generally, clients’ satisfaction with HIV/AIDS services at care and treatment centres in the Ubungo District, Dar es Salaam was high. This finding should encourage health care providers to maintain high-quality services to sustain clients’ satisfaction.

scholarly journals Strategies to Improve Facility-based Attendance of Skilled Birth Among Slum Residents, Addis Ababa, Ethiopia: a Qualitative Study.

2021 ◽  
Author(s):  
Endalew Gemechu Sendo ◽  
Motshedisi E. Chauke ◽  
M Ganga-Limando
Keyword(s):  
Focus Group ◽  
Health Facility ◽  
Qualitative Data ◽  
Addis Ababa ◽  
Health Facilities ◽  
The Body ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Study Results ◽  
Delivery Services

Abstract Background: Global strategies to target high maternal mortality ratios are focused on providing skilled attendance at delivery along with access to emergency obstetric care. Research that examines strategies to increase facility-based skilled birth attendance among slum residents in Addis Ababa, Ethiopia, is limited.Objective: The objective of the study was to explore women’s views on measures needed to enhance the utilization of health facility-based delivery services. Methods: A qualitative exploratory and descriptive research design was used. The design was contextual. Participants in the study were women in the reproductive age group (18-49 years of age) living in the slum areas of Addis Ababa, Ethiopia. A purposive sampling strategy was used to select study participants. Four audio-recorded Focus Group Discussions [FGDs] were conducted with 32 participants from the three public health centers chosen and one district hospital. The number of participants in FGDs was between 6 to 10 women. Data were analyzed simultaneously with data collection. Thematic analysis was done for the study. The qualitative data were analyzed in three phases: exploring and creating initial codes; searching for themes by collecting coded data addressing particular themes, and identifying and naming themes found. To explain the study results, verbatim excerpts from participants were given. The researcher used Techs' eight steps of qualitative data analysis method for analysing the data. The analysis involved the use of both a priori codes (from the question guide) and emergent inductive codes. A multi-level life-course framework of facility-based delivery in low- and middle-income countries (LMICs) developed by Bohren, et al was used to frame the current study and link the findings of the study to the body of knowledge. Results: The Focus Group Discussions included a total of 32 participants. The mean age of the overall sample was 32.6 years (±SD = 5.2). Participants' educational characteristics indicate that the majority (24 out of 32) was found to have no formal education, and two-thirds of participants were found to have one to five children. Three-fourths of them attended the ANC twice and they all gave birth to their last child at home. Two themes emerged from the analysis of focus group interviews data, namely provision of quality, respectful and dignified midwifery care, and increased awareness of FANC. These themes were described as a rich and comprehensive account of the views and suggestions made by FANC participants on measures required to improve the use of delivery services based on health facilities. The findings of the study raise concerns about the effectiveness of FANC in encouraging facility-based deliveries since FANC participants had not used health facilities for their last childbirth. According to the findings of the focus groups, women who took part in this study identified measures required to increase the use of health facility-based delivery services among FANC participants in Addis Ababa's slum residents. It is to be expected that diligent counseling during antenatal care about birth plans would facilitate prompt arrival at facilities consistent with the desires of women.

scholarly journals A protocol for a smoke-free mental health facility

2013 ◽  
Vol 8 (1) ◽  
pp. 57-59 ◽  
Author(s):  
Renee Bittoun ◽  
Stefan Nynycz ◽  
Debbie Ross ◽  
Kerry Foley ◽  
Louise Ross
Keyword(s):  
Mental Health ◽  
Health Facility ◽  
Patient Compliance ◽  
Tobacco Use ◽  
Significant Proportion ◽  
Health Facilities ◽  
Aids Patients ◽  
Mental Health Facility ◽  
Mental Health Facilities ◽  
Hiv Aids

It is not uncommon for staff of mental health facilities to have diverging opinions regarding the tobacco use of their patients. Surveys have shown that a significant proportion of staff believe that the smoke free policies are harsh and difficult to implement in health facilities where patient compliance is a matter of serious concern (Lawn, 2004, Wye et al., 2010). Intra-staff disputes and arguments with patients as to how to implement these policies, if at all, occur frequently. This protocol was developed at the request of staff at a mental health facility for HIV AIDS patients afflicted with dementia. Staff were concerned about imminent smoke-free regulations that would impact on their unit.

scholarly journals Assessment of Health Facilities Delivering HIV Services among Patients in Bonny, South-South Nigeria

2019 ◽  
pp. 1-11
Author(s):  
A. J. Onoja ◽  
O. N. Akoma
Keyword(s):  
Quality Of Care ◽  
Health Facility ◽  
Health Centre ◽  
Health Facilities ◽  
Hiv And Aids ◽  
Health Concern ◽  
Facility Assessment ◽  
The Impact ◽  
Hiv Aids

Background: The growing spread of HIV and AIDS among the people of Bonny Kingdom and capacity of medical facilities and service providers to respond to the dire situation have long posed public health concern of immeasurable proportion right from the inception of the Ibani-Se HIV/AIDS Baseline Survey Initiative in 2006 to the implementation of a three-year (2008-2011) intervention programme and thereafter. The impact of the provision of ART and other medical services related to HIV on the quality of care and satisfaction of all, HIV and non-HIV patients is unknown, and any available evidence is limited and arguable. The survey sought to know the number of health facility in the locality, the services they offer and most importantly the number of qualified personnel in such health facilities. Methods: A standardized questionnaire was designed for facility assessment to measure the capacity of health facilities to undertake VCT and ART services. The survey was conducted in sixteen (16) health facilities; fourteen (14) public and two (2) private health facilities located within Bonny town and in the creeks. In each facility, the manager and health providers were surveyed, with at least one provider selected from the HIV/AIDS department; 10 randomly selected persons in the Outpatients Department/Unit including 5 from the HIV/AIDS services were interviewed. A standard health facility assessment checklist was developed to measure the quality of care, capacity of providers, developmental and training needs. Others included conformity to standard of practice and quality of medical equipment. Data was entered with Census and Survey Processing System (CSPro) and exported to SPSS or Stata for analysis. Results: Of the sixteen health facilities, only seven provided both VCT and PMTCT services (Abalamabia health centre, Comprehensive health centre, NLNG RA Hospital, General Hospital, Finima health centre, Good shepherd Health medical lab and Chanel clinic) while one (Island Medical lab) provided VCT services; the others provided neither of the two services. Although, there are fairly adequate number and distribution of health facilities in the LGA, utilization of the general health services was found to have improved when compared to the previous survey. However, lack of structured unit for the provision of VCT and PMTCT services, specifically trained and designated counselors; and poorly motivated public healthcare providers have given rise to concerns about poor access of rural dwellers and inequitable distribution of the few available services, particularly to people most in need. Conclusion: Implications of this survey were highlighted for a more effective HIV prevention and control programme for wide coverage. 

Feasibility of Using Electronic Health Records (EHR) for cascade monitoring and cost estimates in implementation science studies in the Adolescent Trials Network for HIV/AIDS Interventions (ATN) (Preprint)

2020 ◽  
Author(s):  
Tyra Dark ◽  
Kit N. Simpson ◽  
Sitaji Gurung ◽  
Amy L Pennar ◽  
Marshall Chew ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Data Management ◽  
Implementation Science ◽  
Science Studies ◽  
Selection Process ◽  
Health Records ◽  
Electronic Health ◽  
Access To Data ◽  
Youth Living With Hiv ◽  
Hiv Aids

UNSTRUCTURED Objective. The proportion of youth living with HIV/AIDS (YLH) on ART and virally undetectable is low, highlighting significant challenges for reaching the Joint United Nations Program on HIV targets. Increased attention to measurement and monitoring of care engagement highlights a needed framework for assessing progress across the care continuum. To this end, the Cascade Monitoring (CM) study was designed to assess the feasibility of using electronic health records (EHR) for cascade related implementation science outcomes. Methods. EHR data was systematically obtained from multiple clinical sites and utilized to capture the CDC’s four continuum of care measures. Results. The use of EHR data works well for assessing patterns of completed visits. Sites with access to data management resources work more efficiently for CM study purposes. Conclusions. Site data management resources should be a part of the selection process when identifying site partners for clinical studies that plan to use EHR data.

scholarly journals Safer primary healthcare facilities are needed to protect healthcare workers and maintain essential services: lessons learned from a multicountry COVID-19 emergency response initiative

2021 ◽  
Vol 6 (6) ◽  
pp. e005833
Author(s):  
Leena N Patel ◽  
Samantha Kozikott ◽  
Rodrigue Ilboudo ◽  
Moreen Kamateeka ◽  
Mohammed Lamorde ◽  
...  
Keyword(s):  
Health Facility ◽  
Healthcare Workers ◽  
National Level ◽  
Lessons Learned ◽  
Health Facilities ◽  
Infection Prevention And Control ◽  
Health Facility Level ◽  
Ensure Patient Safety ◽  
Increased Risk ◽  
Facility Level

Healthcare workers (HCWs) are at increased risk of infection from SARS-CoV-2 and other disease pathogens, which take a disproportionate toll on HCWs, with substantial cost to health systems. Improved infection prevention and control (IPC) programmes can protect HCWs, especially in resource-limited settings where the health workforce is scarcest, and ensure patient safety and continuity of essential health services. In response to the COVID-19 pandemic, we collaborated with ministries of health and development partners to implement an emergency initiative for HCWs at the primary health facility level in 22 African countries. Between April 2020 and January 2021, the initiative trained 42 058 front-line HCWs from 8444 health facilities, supported longitudinal supervision and monitoring visits guided by a standardised monitoring tool, and provided resources including personal protective equipment (PPE). We documented significant short-term improvements in IPC performance, but gaps remain. Suspected HCW infections peaked at 41.5% among HCWs screened at monitored facilities in July 2020 during the first wave of the pandemic in Africa. Disease-specific emergency responses are not the optimal approach. Comprehensive, sustainable IPC programmes are needed. IPC needs to be incorporated into all HCW training programmes and combined with supportive supervision and mentorship. Strengthened data systems on IPC are needed to guide improvements at the health facility level and to inform policy development at the national level, along with investments in infrastructure and sustainable supplies of PPE. Multimodal strategies to improve IPC are critical to make health facilities safer and to protect HCWs and the communities they serve.

scholarly journals DaLiF: a data lifecycle framework for data-driven governments

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Syed Iftikhar Hussain Shah ◽  
Vassilios Peristeras ◽  
Ioannis Magnisalis
Keyword(s):  
Big Data ◽  
Data Management ◽  
Good Governance ◽  
Business Community ◽  
Data Driven ◽  
Governmental Organizations ◽  
Data Lifecycle ◽  
The Government ◽  
Data Ecosystem ◽  
Governance Transparency

AbstractThe public sector, private firms, business community, and civil society are generating data that is high in volume, veracity, velocity and comes from a diversity of sources. This kind of data is known as big data. Public Administrations (PAs) pursue big data as “new oil” and implement data-centric policies to transform data into knowledge, to promote good governance, transparency, innovative digital services, and citizens’ engagement in public policy. From the above, the Government Big Data Ecosystem (GBDE) emerges. Managing big data throughout its lifecycle becomes a challenging task for governmental organizations. Despite the vast interest in this ecosystem, appropriate big data management is still a challenge. This study intends to fill the above-mentioned gap by proposing a data lifecycle framework for data-driven governments. Through a Systematic Literature Review, we identified and analysed 76 data lifecycles models to propose a data lifecycle framework for data-driven governments (DaliF). In this way, we contribute to the ongoing discussion around big data management, which attracts researchers’ and practitioners’ interest.

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