Enhancing Effectiveness of community PMTCT through Information Systems

1. Enhancing Effectiveness of
Community PMTCT through
Information Systems
Thomas Wilfred
Otim, THETA-
Uganda

2. Presentation Outline
 Background
 Descriptionof Context
 Key Interventions
 Challenges/Strategies
 Achievements
 Lessons Learnt
 Conclusion
 Details

3. Background
 PMTCT is a global strategy to reduce new HIV
infections.
 Uptake of PMTCT services in Uganda is low.
 ICTs can increase uptake of PMTCT services
by providing community data for planning
 ICTs used to support national PMTCT program
in 10 districts of Uganda
3 04/04/13

4. Description of Context
 Community interventions are poorly reported
 Lack harmonization and linkage to national
systems.
 No data at districts to manage Village Health
Teams
 THETA built capacity of health workers to use
Community health information system
4 04/04/13

5. Key Interventions
 National community PMTCT indicator
harmonization
 Needs assessment for data utilization
 Customization of the DHIS2
 Nomination and training
 Training and follow-up of village health teams
using cascaded mentoring and coaching.
5 04/04/13

6. Challenges/Counter Strategies
 Low coverage by village health teams (40% ).
 Weak supervision causing poor data
submission rates
 Motivation of the volunteers
 Mitigation by training lead-CHWs and monthly
meetings
6 04/04/13

7. Achievements
 Harmonized community PMTCT indicators
 Improved documentation and data use by the
VHTs and the districts
 Increased referrals of pregnant and lactating
mothers to health facilities by 19%
 Follow-up of HIV exposed babies improved
from 60% in 2009 to 95% by 2012.
7 04/04/13

8. Lessons Learnt
 Capacity building of CHWs on data
management improves performance
 Regular feedback and strengthening
supervision improves performance
 Community health information system provides
data required for feedback
 Pregnant and lactating mothers are identified
and linked to services increasing uptake
8 04/04/13

9. Conclusion
 Community health information system
standardized community PMTCT
 Improved community level PMTCT outcomes
and planning
 Built capacity of village health teams in PMTCT
and data management
 Improved data use among the VHTs, facilities
and districts

10. Details
 chis.thetaug.org/dhis software customized from
DHIS2
 Harmonized community PMTCT tools and
indicators.
 Community PMTCT model
 Data flow for collection of data from villages to
facilities through district to national office
10 04/04/13

11. Data Flow