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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

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Page 1: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

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

Page 2: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

PSI/Central Asia

PAGE 2

Page 3: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

USAID Dialogue on HIV and TB Project

PAGE 3

Page 4: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

USAID Dialogue on HIV and TB Project

PAGE 4

Page 5: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

USAID Dialogue on HIV and TB Project

PAGE 5

Page 6: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

PAGE 6

TB treatment adherence among people living with HIV (PLWH)

Page 7: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Management information system (MIS) database

Database

PAGE 7

Page 8: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Integration of HIV and TB prevention

Project

PAGE 8

HIV + TB

Page 9: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Innovative for Central Asian region

Project

PAGE 9

Page 10: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

State institutions desire to use the database as an M&E tool

Sustainability

PAGE 10

Page 11: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

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%

Page 12: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

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%

Page 13: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

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

Page 14: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Track referrals

Database…

PAGE 14

Contact is made

Page 15: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Track referrals

Database…

PAGE 15

Contact is made Communication

Page 16: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Track referrals

Database…

PAGE 16

Contact is made Communication Referral to services

voucher

Page 17: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Track referrals

Database…

PAGE 17

Contact is made Communication Referral to services

voucher

Page 18: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

page 18

Page 19: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Track case detection

Database…

PAGE 19

Page 20: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Track treatment process

Database…

PAGE 20

Page 21: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Client retention

Need for improvement…

PAGE 21

Page 22: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Why lose contact?

Need for improvement…

PAGE 22

Page 23: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Work load

Other challenges…

PAGE 23

Page 24: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Tracking results by social worker

Other challenges…

PAGE 24

Page 25: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

Room for improvement Adaptation by state institutions Need more research to understand “why’s?”

Conclusion

PAGE 25

Page 26: Using data stored in Management Information System to Improve Tuberculosis Treatment Adherence among People Living with HIV in Central Asia MAXIM KAN AEA

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]