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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…

PAGE 14

Contact is made

Track referrals

Database…

PAGE 15

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: maxim.kan@psi.kz

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