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Abstract no.WEAD0604. Bottlenecks analysis – a critical step to evidence based- planning for eMTCT: Cameroon experience. 1 Dr Ebogo M. Mesmey, 2 Dr Bissek Anne Cécile, 3 Dr Souleymane Kanon 1: National AIDS Control Committee 2: Ministry of Health 3: UNICEF Cameroon.
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1 Dr Ebogo M. Mesmey, 2 Dr Bissek Anne Cécile, 3 Dr Souleymane Kanon
1: National AIDS Control Committee
2: Ministry of Health
3: UNICEF Cameroon
Cameroon is among the 22 countries with the highest burden of PMTCT unmet needs worldwide
HIV geographic disparities in Cameroon
HIV, a critical public health problem in Cameroon
About 537 623 people infected with 62 098 being children ( UNGASS report 2011)
High prevalence among pregnant women ( 7.6%)
Many babies continue to be infected during pregnancy, delivery or breastfeeding.
Best practices and lessons from other countries
Government has committed to eliminate MTCT by 2015
A comprehensive analysis using an innovative tool adapted from the Tanahashi* model to assess PMTCT demand and offer bottlenecks in order to orient evidence and result based planning ofr e-MTCT
The tool uses an Exelapplication to critically analyze the determinant of MNCH/PMTCT service offer and demand in order to highlight in a given country, region or district the bottleneck to performance.
This consequently provides clear suggestion for appropriate actions to be taken to address bottlenecks and thus have more chances to significantly improve performance and impact
PS: * Tanahashi, 1978: A model to assess health systems bottlenecks by looking at 5 determinants in relation to service demand and offer.
National consensus on tracer indicators
Criteria used to select indicators
Example of Center Region
Most critical zones include:
Capacity building and meaningful engagement of communities including civil society and leaders to boost service utilization and PMTCT Uptake
Strengthening procurement and supply management system
Set up Quality assurance mechanisms and build system capacity for quality service delivery
Health system strengthening with emphasis on Strengthening monitoring and evaluation to meet PMTCT needs