Insights
Download
1 / 75

Caitlin Madevu-Matson (cm3315@columbia.edu) Charon Gwynn (crg2128@columbia.edu) SI-NY - PowerPoint PPT Presentation


  • 103 Views
  • Uploaded on
  • Presentation posted in: General

Insights into HIV Care Service Comprehensiveness and Laboratory Capacity at ICAP-supported Facilities: Findings from PFaCTS 2013. Caitlin Madevu-Matson (cm3315@columbia.edu) Charon Gwynn (crg2128@columbia.edu) SI-NY. PFaCTS.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha

Download Presentation

Caitlin Madevu-Matson (cm3315@columbia.edu) Charon Gwynn (crg2128@columbia.edu) SI-NY

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Insights into HIV Care Service Comprehensiveness and Laboratory Capacity at ICAP-supported Facilities: Findings from PFaCTS 2013

Caitlin Madevu-Matson (cm3315@columbia.edu)Charon Gwynn (crg2128@columbia.edu)SI-NY


PFaCTS

  • Structured repeated assessment of facilities to describe the scope, diversity, capacity and comprehensiveness of ICAP-supported programs

  • Captures information not available from routine indicators :

    • Context: Location, type

    • Facility characteristics: Related services, e.g. ANC, MC

    • Clinic and lab components: Staffing configuration and training, patient support services, laboratory quality essentials

  • Data used for program planning, monitoring and evaluation

    • Reports and webinars

    • URS

    • Analyses with other data sources


PFaCTS Implementation

  • Care and Treatment PFaCTS

    • 7 rounds, 2007 - 2013

    • 80 questions

  • Laboratory PFaCTS

    • 2 rounds, 2011 - 2013

    • 162 questions

  • Assessment tools

    • Core questions maintained from previous round, tool revised with clinical and programs units

  • Data collection

    • Assessments completed with health facility personnel

    • Questionnaires reviewed by in-country ICAP clinical and M&E units

  • Data validated through checks and results uploaded to URS


  • CARE & TREATMENT PFaCTS

Objectives

  • Present results from Care and treatment PFaCTS Round 7

  • Describe the comprehensiveness of ICAP-supported programs


PFaCTS implementation

Current characteristics

Context

Facility

Clinic

Comprehensiveness of HIV Care Service

Summary

Implications

Outline


Definitions

Facility

Clinic


Completeness of PFaCTS reportingover time


Completeness of PFaCTS reportingover time

96%

75%


PFaCTS implementation

Current characteristics

Context : country, location and type

Facility : services provided outside the CT clinic

Clinic : services provided in the CT clinic

Comprehensiveness of HIV Care Service

Summary

Implications

Outline


Countries contributing to PFaCTS Round 7

  • 96% (1017/1062) of facilities with ICAP-supported care and treatment services completed PFaCTS Round 7

  • In country completeness ranged from 79% to 100%


Facility location and Type


Availability of HIV related services (n=1017)


PMTCT Service Variation (n=991)


TB service Variation (n=1,017)


Availability of key patient support services (n=1017)


Type of ART adherence support available


Outreach activities by type of personnel


Secondary prevention service availability


PFaCTS implementation

Current characteristics

Context

Facility

Clinic

Comprehensiveness of HIV Care Service

Summary

Implications

Outline


HIV Care

Comprehensiveness

Components

Questions

  • Does ICAP support comprehensive HIV care programs?

  • Has comprehensiveness of HIV care programs changed over time?

  • Is there variability in the changes?


Comprehensive Services over time


Comprehensive Services over time, subset


Comprehensive Services over time, by facility type


PFaCTS implementation

Current characteristics

Context

Facility

Clinic

Comprehensiveness of HIV Care Service

Summary

Implications

Outline


CT Summary (1)

  • Overall, ICAP facilities maintained high survey completeness

  • High on-site availability of essential HIV care services

    • Counseling and testing

    • PMTCT

    • TB treatment

    • ART adherence counseling

    • Outreach

    • Nutritional counseling

    • Secondary prevention


CT Summary (2)

  • The comprehensiveness of essential HIV care services at all ICAP-supported facilities increased rapidly in 2009 and seems to have stabilized

  • Higher proportion of facilities have comprehensive services in

    • Facilities supported by ICAP for longer time

    • Public primary and secondary/tertiary compared to private/other


Implications for HIV care and treatment

  • ICAP-supported facilities provide comprehensive services even though most facilities are rural and public primary facilities

  • Scale up and expansion of ICAP support to new areas may mean not all facilities will be equipped to offer comprehensive services

  • Combine PFaCTS results with routinely collected program and clinical data

    • Confirm if availability of comprehensive services is beneficial for program and patient outcomes

    • Advocate for wider implementation of comprehensive service delivery models


Laboratory PFaCTS


Outline

  • Rationale & Objectives

  • General findings

  • Capacity score

  • Summary& Implications


Laboratory PFaCTS

  • Captures information on the scope, diversity, and capacity of ICAP-supported laboratories

  • Provides information on laboratory quality essentials (QEs)

    • Infrastructure and equipment

    • Human resources

    • Quality assurance activities

    • Facility safety

    • Supply chain management

  • Two rounds of PFaCTS conducted to date (2011 & 2013)


Rationale for Laboratory PFaCTS

  • At the facility level:

    • Measure capacity and progress toward accreditation

    • Gap analysis and development of laboratory specific improvement plan

  • At the program level:

    • Identify gaps in implementing QEs across supported labs

    • Prioritization and strategy development


ICAP’s Laboratory Capacity Building Framework


Objectives

  • To summarize findings from Lab PFaCTS 2013

  • To compare laboratory capacity between years and by key characteristics


Outline

  • Rationale & Objectives

  • General findings

  • Capacity score

  • Summary& Implications


PEPFAR Definition of Clinical Laboratory


Laboratories completing PFaCTS 2013


ICAP SUPPORTED LABORATORIES BY FACILITY TYPE AND COUNTRY


TYPE OF SUPPORT PROVIDED BY ICAP


TYPE OF HIV-RELATED TESTS PERFORMED ONSITE


TYPE OF BIOSAFETY EQUIPMENT


STAFF TRAINED IN KEY TESTS AND LABORATORY MANGEMENT SKILLS


QUALITY ASSURANCE/QUALITY CONTROL FOR HIV RELATED TESTS


Outline

  • Rationale & Objectives

  • General findings

  • Capacity score

  • Summary& Implications


ICAP’s Laboratory Capacity Building Framework


Laboratory Capacity Score

Total Points = 100


CAPACITY SCORES BY FACILITY TYPE AND LOCATION


CAPACITY SCORES BY COUNTRY AND YEAR

*Restricted to laboratories completing both 2011 and 2013 Pfacts rounds.


CAPACITY SCORES BY FACILITY AND LOCATION

*Restricted to laboratories completing both 2011 and 2013 PFaCTs rounds.


Outline

  • Rationale & Objectives

  • General findings

  • Capacity score

  • Summary& Implications


Summary

  • ICAP supports a wide range of capacity building activities in the countries where we work

  • Technical support areas identified include QA/QC, human resources and infrastructure

  • Capacity at ICAP laboratories

    • highest at secondary and tertiary and urban facilities

    • increased between 2011 and 2013


Implications

  • Laboratory PFaCTS can be used to identify and address technical support area needs

  • Use of capacity scoring allows for a comprehensive approach to monitoring capacity from routinely collected PFaCTS data


PFaCTSData Use

  • Analysis of key PFaCTS variables can identify areas for targeted technical assistance as well as achievement of program successes

  • Innovative approaches in the use of PFaCTS data help us better understand the programs we support


Where’s the Data?


URS


Wiki


Wiki


Acknowledgements

  • Country M&E, Laboratory and Clinical Teams

  • Bereket Alemayehu, Yingfeng Wu, Suzue Saito, SI Specialists


Thank You


For more information

  • PFaCTS resources

  • To view the questionnaires and reports for all rounds, visit the ICAP Data Dissemination page and select PFaCTS.

    • http://icapdatadissemination.wikischolars.columbia.edu/Welcome

  • To access more PFaCTS results, log into the URS

    • https://urs2.icap.columbia.edu/


ad
  • Login