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CEM – maximising the reporting rate

This program aims to improve the reporting rate in Dar es Salaam through effective planning, implementation, and communication. It involves collaboration with the Ministry of Health, professional organizations, PHP officials, and health professionals, including doctors, pharmacists, nurses, and other healthcare workers.

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CEM – maximising the reporting rate

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  1. CEM –maximising the reporting rate Dar es Salaam

  2. Planning & implementationCommunication • Ministry of Health • Professional organisations • PHP officials • Health professionals • doctors • pharmacists • nurses • Other health workers Dar es Salaam

  3. Completion of questionnairesOptions • In the NZ IMMP & UK PEM • Doctors from their patient records • In NZ IMMP • Nurses by telephone • patients

  4. Completion of questionnairesOptions for ART • Clinicians –Not likely!! • in real time • from records • Pharmacist at dispensing • CEM data recorder • from records • in real time (with clinician) • patient diary • patient interview • [telephone] Dar es Salaam

  5. PlanningDiscuss • MEET all the key players • Programme / health service directors • Staff at clinics • give them the choice • Create a feeling of collaboration • working together to improve patient outcomes • working together to learn more about the medicines • working together for a successful PHP • Company Dar es Salaam

  6. Be friendly collegial Dar es Salaam

  7. Remove barriers • Questionnaires available • Understand the reason • Understand the methodology • Minimise disruption to workflow • Ask for essentials only • Make answering easy • Check boxes • Avoid difficult recall or access Dar es Salaam

  8. Remove barriers • Patients attending other health facilities • CEM ID card –to have & to hold • Inform neighbouring clinics / hospitals • Reassure about privacy • Patient • Health worker Dar es Salaam

  9. ID card –front side • Patient Card • Monitoring of HIV medicines • Country organisation / logo • Name of clinic................................ • Name of patient............................... • Unique # ................................... • Please bring this card during every • visit to any hospital or clinic Dar es Salaam

  10. ID card –reverse side • Cohort Event Monitoring (CEM) programme • This patient’s medicines are being specially monitored to help decide the safest use and ensure the greatest benefits. • If he or she has any new health problems, please inform his or her regular clinic and identify the patient with the unique number • Clinic phone no. .......................................... Dar es Salaam

  11. Encouragement / incentives • Good, regular feedback • Interesting • Helpful • CME credits • Certificate of participation • Best practice requirement • Acknowledge in publications Dar es Salaam

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