pmtct programme monitoring n.
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  2. OBJECTIVES • Describe the program cycle • Describe the key components of a PPTCT program • Discuss the purposes of global and national PPTCT indicators • Understand the role of the healthcare provider inmonitoring a PPTCT program DR. SK. CHATURVEDI

  3. HIV testing and counselling centres Family planning programs Antenatal clinics STI programs Labour and delivery care Postpartum and infant care clinics HIV/AIDS care and treatment Community services for persons living with HIV/AIDS The PPTCT Program Network DR. SK. CHATURVEDI

  4. Voluntary testing and counselling • Safe obstetric practices • ARV prophylaxis for HIV-infected women and theirinfants • Safer infant-feeding counselling • Links to care and support • Careful infection prevention practices Review of PPTCT Intervention DR. SK. CHATURVEDI

  5. Ethically sound • Technically up-to-date • Relevant to the setting • Accepted or endorsed by the communit Choosing PPTCT Interventions DR. SK. CHATURVEDI

  6. Points to Remember Involve the community • Strive for a full range of services • Develop interventions that causes minimal burden to clients and families • Remain flexible DR. SK. CHATURVEDI

  7. Importance of PPTCT Program Indicators • Determine if the PPTCT programs are implemented as planned •Assess the effects of programs on preventing MTCT • Decide how programs can be more effective DR. SK. CHATURVEDI

  8. Indicators for PPTCT Programs • National indicators • Reflect goals, objectives and activities of nationwide plan • Health facility indicators • Help set targets and track progress towards PPTCT goals • Global indicators • Reflect current worldwide situation in one health area DR. SK. CHATURVEDI

  9. Example of Global PPTCT Indicators • Number of pregnant women who tested positive for HIV • Number of HIV-positive pregnant women who received ARV prophylaxis • Number of newborn babies who received ARV prophylaxis DR. SK. CHATURVEDI

  10. Examples of National PPTCT Indicators How will we know if we are reducing MTCT? • Proportion of pregnant women who agreed for HIV testing • Proportion of HIV positive pregnant women attending ANC who undergo institutional delivery • Proportion of HIV positive pregnant women who receive ARV prophylaxis DR. SK. CHATURVEDI

  11. Health Facility Indicators Should Answer These Questions • Are our programs running the way we planned? • Are we reaching the right people? • Are clients satisfied with our services? • Are our clients becoming healthier? • How can we improve our program? • What program information is needed at the national level? DR. SK. CHATURVEDI

  12. Health Facility Indicators Should Answer These Questions • Are our programs • Running the way we planned • Reaching the right people • Requiring improvement • Are our patients • Satisfied with our services • Becoming healthier DR. SK. CHATURVEDI

  13. Monitoring Tracks indicators Data gathering Analysis and regular reporting Determines if programs are carried out as planned Usually is conducted at health facility Evaluation Measures changes in a situation resulting from an intervention (e.g., a PPTCT service) Usually is conducted at the national level Is costly and complex Monitoring and Evaluation in PPTCT DR. SK. CHATURVEDI

  14. Flow of Record Keeping Data Individual Record Form Daily Summary Reports Monthly Reports Quarterly Reports Annual Global PMTCT Reports district/ national department/ facility department/ facility Facility district national DR. SK. CHATURVEDI

  15. Characteristics of Good Monitoring Systems • Clear definitions of indicators • Standard tools, data sources and collection methods • Clear roles and responsibilities • Clear guidelines and protocols DR. SK. CHATURVEDI

  16. Tips for Good Data Collection Understand the data • Record the data every time • Record all the data • Record the data in the same way every time The healthcare worker should know who is responsible for the monitoring system, be able to record data accurately and reliably, and understand how and when to report service and client health-related information. DR. SK. CHATURVEDI

  17. Key Points • The program cycle describes the process required to conduct a program. Program cycle steps include situation analysis, planning and design, implementation, monitoring, and evaluation. • Use global, national and facility-level indicators to measure progress toward program and health goals. • Health facility data should reflect national indicators for PPTCT so the program data can contribute to the national-level monitoring and evaluation. DR. SK. CHATURVEDI

  18. Key Points (continued) Monitoring is the routine tracking of program information • Reliable and accurate health facility record keeping provides essential information for providing quality health care and monitoring PPTCT programs. DR. SK. CHATURVEDI