Download - Caribbean Health Leadership Institute Cohort 5 Group 5 – Action Learning Project 06 th November 2012
Caribbean Health Leadership InstituteCohort 5
Group 5 – Action Learning Project06th November 2012
Acknowledgements
• Dr. Ellen Grizzle (Mentor)• Dr. Carnille Farquharson• Dr. Donna-Michelle Royer-Powe• Ms. Ferdinia Carbon• Ms. Joy Crawford• Mr. Fazad Mohammed
Thoughts from Group Members
• Good group work makes hard work easier• Good group dynamics, working with people
strengthens any weaknesses• Distance is not a limitation to communication• Use your resources wisely and effectively
Problem Statements
• How can ‘treatment as prevention’ improve the outcome of our HIV programmes?
• Are government and private practitioners able to pursue this option given current resources?
Literature Review
Concept and Definition• Treatment as prevention a relatively new concept• Describes ARVs being used by all HIV diagnosed
patients regardless of CD4 and viral load levels • Decreases the viral load of blood and sexual
secretions in treated persons to undetectable levels• Essentially prevents transmission of the virus and
infection to their sexual partner• Theoretically should significantly impact the disease
regionally [and worldwide] by initially zeroing the rate of new infections and possibly eradicate the disease
PROCESS
• Action Learning Group was set up• Group was named (CHLI5five) and logo
developed• Communication between group members was
established using Skype, Blackberry messenger and Google group.
• Weekly group meetings were held at a designated time and duration with a new moderator at each meeting
• Members’ strengths were highlighted
• Members were assigned roles for ALP• Target population was determined• Questionnaire was developed using PMTCT
Policy• Meetings were moved to monthly basis• Questionnaires were administered and
submitted for analysis• Data analysis was prepared and report
formulated. • Information brochure developed for target
Research - Methodology
• Self administered questionnaire• 40 questionnaires were distributed and a total
of 28 questionnaires were returned (70% response rate)
Research - Instrument
• Self administered questionnaire– Comprised of combination of dichotomous and
open ended questions. – No names or identifying marks were recorded– Questionnaires were delivered to eleven different
institutions across four countries
Research - Challenges
• Time frame– Time constraints allowed for a small sample size– Due to competing commitments group members were
strained to execute data collection• Geographic Spread of team members– Team members were present in 4 countries leading to
breakdown in communication• Lack of willingness of respondents– Many respondents did not see the project as a priority
and refused participation in the study
Research - Benefits
• Geographic Spread of team members– Team members were present in 4 countries
allowing for semi-regional review• Instrument used– A self administered questionnaire allowed for
respondents to respond on their own time in confidentiality reducing bias
– Cost effective
Findings
93%
7%
Do you think that Treatment as Prevention can help manage the HIV rates of infection?
yes
no
Findings
yes no response0
5
10
15
20
25
30 26
2
Do you think that Treatment as Prevention has decreased the number of infected infants
born to HIV positive mothers?Re
spon
dent
s
Recommendations
• Development of IEC materials for patients about their treatment options
• These materials can help facilitate further dialogue between doctor and patient regarding treatment options
• It can also be used as a conversation starter between couples regarding their unborn child
Lessons Learnt from action learning project• Flexibility and Compromise• Patience• Difference between assertive and aggressive• Effective use of limited resources• Innovation (overcoming barriers to
communication)• Sensitivity to cultural differences• Time management
Questions/FeedbackThank you