Job Posting: Research Associate, Harvard School of. The majority of tasks will be undertaken in collaboration with the Tanzania PEPFAR.
Quality Assessment and Improvement Harvard – PEPFAR Tanzania, Nigeria and Botswana. Quality Assessment and Improvement Harvard – PEPFAR Tanzania, Nigeria and Botswana 2. Overview Quality improvement framework Quality management infrastructure QI methodology –Supportive supervision and capacity building –Operations research activities Lessons learnt and future plans 3. Quality Improvement Framework Improved Quality of Services Monitoring services Setting QI objectives/ priorities Quality improvement strategies and programmes Integration of QI into care and treatment Evaluate impact, adopt, adapt or discard SOPs Establishing Accredited Service with standardized SOPs 4. QI Framework - infrastructure Quality management infrastructure Example: Tanzania Central team, district clinical monitors,site QI teams Quality Indicators agreed with clinical teams Data collection, analysis and reports by central team, clinical monitors Findings used to identify gaps in quality care by site teams and prioritize areas for QI QM team support site teams to develop quality improvement programs, Implementation of QI programs supervised by clinical monitors in each district 5. Objective of QM: Advocate for the best possible quality of services 1.
Harvard School of Public Health. Botswana’s PEPFAR program concentrated on monitoring and evaluating the national ART program. View Aveika Akum’s professional profile on LinkedIn. Harvard PEPFAR Program Tanzania. November 2007 – September 2012 (4 years 11 months) The Gambia British Medical Research Council-The Gambia. May 1997 – October 2007. Quality Assessment and Improvement Harvard – PEPFAR Tanzania, Nigeria and Botswana. Published byLouisa Payne Modified 12 months ago. Download presentation. Box 79810, Dar es Salaam, Tanzania. Tel: +255 buy cheapest tryptanol without prescription /1615. Harvard School of Public Health Behind in Administering PEPFAR Grant for HIV/AIDS. Tanzania and Botswana.
Continuous assessment of quality of care 2. Support and facilitate improvement of quality of care Quality improvement teams are important for implementation 6. Methods used for QI Capacity building and technical support Basic training Mentorship/Preceptor ship (daily) and focused Clinical meetings (CME) Analysis of monitoring data for QI indictors Pre- planned quarterly site feed back Supportive supervision Operations research programmes Patients chart reviews (semi- annually) Using monitoring data for analysis of selected quality indicators (quarterly) Patient time flow assessments (annually) Patient satisfaction exit interviews (annually) Providers competence assessment (annually) Assessment of quality of MDH technical support (quarterly) - 7. Semi- annual Chart Reviews E.
Review TB diagnosis Mbagala (N=1. Mbagala baseline: Adult TB screening - 6. N=2. 56); documentation of TB diagnosis only 3.
Government-funded program known as PEPFAR allowed School to scale up. The legacy of Harvard’s PEPFAR program is immense.
Intervention targets: Increase Tb screening from 6. Chart reviews provide details not available on the database 8. Quarterly Analysis: Selected Quality Indicators From Clinical Database E. Cotrimoxazole prophylaxis Interventions (Jan- March 0. Refresher training on new eligibility criteria 2.
Availed cotrimoxazole eligibility criteria memos at physician and nurses rooms 3. Strengthened last desk checks for cotrimoxazole prescription for eligible patients 4. Gave reminders to physicians and nurses at CMEs and site meetings 1. National and program standards 9. Semiannual Patient Satisfaction Surveys Exit interviews: measures of various components of quality E. Post test scores < 7.
Harvard PEPFAR Program Tanzania, British Medical Research Council-The Gambia; Utbildning: Sheffield Hallam University, UK, 292 kontakter. Se hela Aveikas profil. Dina kollegor, skolkamrater och 400 miljoner. Harvard-PEPFAR Tri-Country Conference Begins! Tanzania and the Harvard University teams based in Boston and Chicago. Therapy Program application to PEPFAR and in 2004 became the Principal Investigator for the USG funded Harvard PEPFAR program. The grant to the Harvard School of Public Health was the largest government.
Heath care worker survey (annually). Identifies health workers attitudes & obstacles to providing quality health care to patients 1. Providers Competence & Assessment (2) Botswana 2. Formal Training for Monitoring & Evaluation Unit and Lab Master Trainers Targets for training interventions –Clinical & Lab Master Trainers (CMTs & LMTs) –Monitoring & Evaluation Unit of Mo. H –District Health Teams and ARV Site Managers QAI Activities to standardize QAI efforts to improve quality of HIV/AIDS care and treatment at ARV sites Tools: assessments, questionnaires, checklists, logs, manuals, curricula 1. Providers Competence & Assessment (3) Botswana 2. Two training sessions for CMTs and LMTS –QAI training for ARV leadership for District Health Teams and ARV Site Master Trainers –QAI Sensitization Workshop for District Health Teams and Hospital ARV Site Managers –DEC trainings –2.
September 2. 00. 9 –PIMS II training – 4 trainings in 2. Qlik. View training – 2 trainings in 2. National Lab Training Manual training 2 trainings in 2.
Assessment of impact of technical support provided to private sites Technical support for cotrimoxazole prescribing in private facility sites Interventions –Eligibility criteria reinforced (reminded) –New National guidelines booklets made available –Strengthened Last desk checks 1. New findings with implications for quality improvement 1.
Gender influences on ART adherence and outcomes (1) Of 4. ART 6. 4% were women. Number of patients on treatment for .
Females more likely to have VL. Gender influences on ART adherence and outcomes (2) Multivariate modeling showed –Adherence of > 9.
Women were more adherent than men particularly in the first 1. How can existing services increase ART adherence in male patients? Case control study with 4. AIDS- related KS AIDS- KS more tuberculosis (p<.
Lower CD4+ cell counts (p<. Higher mortality (p<. Intl J. 2. 62 (1. HIV- HBV co- infected participants had: –Significantly lower CD4+ T- cell counts (1. Vs 1. 30 cells/m.
L; p< 0. 0. 01) and –Higher HIV viral loads (4. Vs 4. 7. 5 log copies/m.
L, p< 0. 0. 1) prior to the initiation of ART than the HIV mono- infected subjects. Idoko et al, in press –After 2. ART, HBe. Ag positive subjects were nearly half as likely to reach HIV viral suppression (< 4.
HIV mono- infected subjects but had similar CD4+ cell increases. At 4. 8 weeks, there was no significant effect of HBV on ART response. Should patients with HBV co- infection be considered eligible for ARVs?