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Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia
MAXIM KAN
AEA conference 2013
October 19, 2013
PSI/Central Asia
PAGE 2
USAID Dialogue on HIV and TB Project
PAGE 3
USAID Dialogue on HIV and TB Project
PAGE 4
USAID Dialogue on HIV and TB Project
PAGE 5
PAGE 6
TB treatment adherence among people living with HIV (PLWH)
Management information system (MIS) database
Database
PAGE 7
Integration of HIV and TB prevention
Project
PAGE 8
HIV + TB
Innovative for Central Asian region
Project
PAGE 9
State institutions desire to use the database as an M&E tool
Sustainability
PAGE 10
After one year (as of September 2012), database shows (N=311)…
page 11
succ
essf
ully com
plet
ed tre
atm
ent
still rec
eiving
the
tre
atm
ent
left the
pro
ject
bef
ore
com
plet
ion
32.5%
51.1%
15.4%
After one year, database shows (N=48)…
page 12
Lost contact in the last month
Died Migrated or went to prison
Due to personal reasons
43.8%
33.3%
16.7%
6.2%
Use of unique identifier codes (UIC)
PAGE 13
___ ___ ___ ___ ___ ___ ___
First 2 letters of mother’s
name
First 2 letters of father’s
name
Gender1- M2- F
Last 2 numbers of birth year
Track referrals
Database…
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Contact is made
Track referrals
Database…
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Contact is made Communication
Track referrals
Database…
PAGE 16
Contact is made Communication Referral to services
voucher
Track referrals
Database…
PAGE 17
Contact is made Communication Referral to services
voucher
page 18
Track case detection
Database…
PAGE 19
Track treatment process
Database…
PAGE 20
Client retention
Need for improvement…
PAGE 21
Why lose contact?
Need for improvement…
PAGE 22
Work load
Other challenges…
PAGE 23
Tracking results by social worker
Other challenges…
PAGE 24
Room for improvement Adaptation by state institutions Need more research to understand “why’s?”
Conclusion
PAGE 25
Questions?
1 1 2 0 1 9 T H S T R E E T , N W | S U I T E 6 0 0
W A S H I N G T O N , D C 2 0 0 3 6
P S I . O R G | T W I T T E R : @ P S I H E A LT H Y L I V E S | B L O G : P S I H E A LT H Y L I V E S . C O M
PSI
Contact:Maxim KanPSI Central Asian RepublicsAlmaty, KazakhstanE-mail: [email protected]