Date:
Thursday, April 24, 2014
Topics:
Hospital:
Context: What was the issue or process affected? What was the root cause of the challenge?:
Key barrier to effective PMTCT in Uganda is loss of follow-up in ANC after HIV testing. In 2010; USAID/ SUSTAIN project data showed that 35%of mothers returned for follow-up visits. With option B plus, there is need to address this challenge
What Happened: How was the challenge or gap addressed or improved?:
Adopted and introduced appointment book in ANC to document and monitor appointments for the HIV positive mother
Nugget: What is the lesson for others?:
Routine documenting of return date in ANC appointment book on a date the mother visits enables easy tracking of missed appointments and allows timely follow-up
Impact: What are the results of applying the nugget?:
Between November 2012-June 2013, 80% of mothers kept their appointments
Implementation: What steps are needed to apply the lesson?:
- Work with midwives to identify the gap
- Agree to adopt use of the ART appointment book
- Procure the appointment books
- Orient health workers on correct use of the book, and how to generate weekly list for those who missed their visits
- Draw a mentorship plan to ensure correct use of the appointment book
Action: Who is this for? Where does this nugget to go next?:
Healthcare workers involved in Option B plus implementation
Contact:
Dr, Cordelia Katureebe ([email protected]), Maureen Kwikiriza ([email protected])