DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... •...
Transcript of DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... •...
![Page 1: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/1.jpg)
DSD Scale-up in Tanzania
Dr Mastidia Rutaihwa National AIDS Control Program
Ministry of Health, Community Development, Gender, Elderly and Children 7 November, 2018
Addis Ababa Ethiopia
![Page 2: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/2.jpg)
Outline
• CQUINDashboardresults• Successesandchallenges• Targetsandmonitoring• Nextsteps
![Page 3: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/3.jpg)
Tanzania Dashboard Results – 1
PreliminaryDashboardResults,October2018
![Page 4: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/4.jpg)
Tanzania Dashboard Results – 2
![Page 5: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/5.jpg)
Tanzania Dashboard Results – 3
![Page 6: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/6.jpg)
Outline
• CQUINDashboardresults• Successesandchallenges• Targetsandmonitoring• Nextsteps
![Page 7: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/7.jpg)
DSD Scale-up Success
PresenceofpolicyguidelinesacrosstheHIVcarecascade(HTS,ART,LINKAGE&HVLsuppression),SOP’s,sensiAzaAonandorientaAonpackagessupporAngeasyimplementaAonandreachingdiversityofPLHIV• DSDincorporatedintoNaEonalHIVguidelinesinclude:
– mulE-monthprescripEonextendedto3months– Blockappointment– DecentralizaEontothelowfacilitylevelatthecommunity– IntegraEonofservices– ARTRefill:Fasttrackrefill/Familyandtreatmentsupporterrefill/CommunitybasedindividualARTdeliverythroughmobileoutreachbyHCW/FacilitybasedHCWmanagedgroupse.g.teenclubs,Youthclubsandadultgroups
![Page 8: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/8.jpg)
DSD Scale-up Success
(conAnuaAon)– DSDOperaEonalManualandJobAids(EnglishandSwahiliversion)– RevisedCTC2CardwithsomeDSDvariables– Standardtrainingpackagedeveloped
• SensiEzaEon:targeEngregional,districtandfacilityleaders• OrientaEon:targeEnghealthcareworkers(HCWs)• Regional,DistrictandfacilitylevelAcEonPlans:on-sitefollow-upandTAtosupportimplementaEonofplans
– Dra]NaEonalImplementaEonplandeveloped
![Page 9: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/9.jpg)
DSD Scale-up Challenge
VerylowhealthfacilityandpaAentcoveragewithnodatabase/toolstocaptureinformaAononDSDimplementaAon
– Trainingcoverage:reachingHCWsinallfaciliEesforrapidscale-upofDSDmodelsandtrackingofthosetrained
– UnavailabilityofallDSDvariablesinM&ErecordingandreporEngtools– LackoftargetsandrouEnemonitoringofDSDindicators
![Page 10: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/10.jpg)
Outline
• CQUINDashboardresults• Successesandchallenges• Targetsandmonitoring• Nextsteps
![Page 11: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/11.jpg)
DSD Targets and Monitoring
• WhatarethenaEonalDSDtargets,withregardstoDSDcoverageforstablepaEents?– DSDtargetsforcoverageofstableclientsnotdetermined
• Howisperformancemonitored?– Whatdataarecollected?
• ClientcategoryonART,ARTtypeofvisit,NumberofdaysdispensedARVs(mulEmonthprescripEon)usingCTC2cardanddatabase
– Howo]enaretheyanalyzed?• AllHIVdata(apartfromDSD)inCTC2Databaseanalyzed:monthlyatfacilitylevel;quarterlyatnaEonallevel
• NoreporEngtooltocaptureDSDImplementaEon
![Page 12: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/12.jpg)
Outline
• CQUINDashboardresults• Successesandchallenges• Targetsandmonitoring• NextSteps
![Page 13: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/13.jpg)
Next Steps
WhataretheprioriAesfor2019relatedtoDSDscale-up?• FinalizerevisionofM&EtoolsandElectronicDataBasetocaptureallinformaEonrelaEngtoDSD
• Setupthecountrytargets&finalizeindicatorsforDSD• FinalizeNaEonalDSDImplementaEonPlantoincludetargets,indicatorsandM&Eplan
• IntegrateDSDinConEnuousQualityImprovement(CQI)iniEaEves• ConEnuerolloutandscaleupofDSDimplementaEon
![Page 14: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/14.jpg)
Next Steps
WhataretheprioriAesfor2019relatedtoDSDscale-up?• StrengthentrackingofHCWstrainedonDSDatalllevelsusingTranSMARTDatabase
• StrengthenuseofdatafordecisionmakingatR/CHMTandFacilitylevels• StrengthendemandcreaEonandARTliteracyatcommunitylevel• StrengthensupporEvesupervisionandmentoringonDSDatfacilitylevel
![Page 15: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/15.jpg)
Acknowledgement
ASANTESANA አመሰግናለሁ
![Page 16: DSD Scale-up in Tanzania · 11/1/2018 · – mulE-month prescripEon extended to 3 months ... • Integrate DSD in ConEnuous Quality Improvement (CQI) iniEaves ... TranSMART Database](https://reader034.fdocuments.in/reader034/viewer/2022050410/5f86e9ddb060885a0b16b838/html5/thumbnails/16.jpg)