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Addressing PMTCT Gaps through a Systematic Process Improvement (PI) Approach

Addressing PMTCT Gaps through a Systematic Process Improvement (PI) Approach. Authors: Shallo Dhaba, Oromia RHB; Brian Robie, CDC Atlanta; Tekeste Kebede, CDC Ethiopia; Solomon Wolde, Jhpiego Ethiopia Yassir Abduljewad, Jhpiego Ethiopia. Background and Description.

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Addressing PMTCT Gaps through a Systematic Process Improvement (PI) Approach

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  1. Addressing PMTCT Gaps through a Systematic Process Improvement (PI) Approach Authors: Shallo Dhaba, Oromia RHB; Brian Robie, CDC Atlanta; Tekeste Kebede, CDC Ethiopia; Solomon Wolde, Jhpiego Ethiopia Yassir Abduljewad, Jhpiego Ethiopia

  2. Background and Description • Ethiopia’s PMTCT program serves only 5.6% of HIV-infected pregnant women • Process Improvement (PI) pilot project was designed and implemented in five zones of Oromia Region • 25 participants attended a five-day PI course and developed eight projects The Seven Steps of PI Define Process Measure Process Performance Analyze Causes of Variation

  3. Summary of Results • Within three months, six of the seven teams reported improvements, including increasing: 1) hospital deliveries of HIV-positive women from 59% to 85%; 2) the percentage of HIV-positive women having their CD4 counts tested from 42% to 90%; and 3) the percentage of pregnant women's partners tested for HIV from 13% to 51%.

  4. Lessons Learned • Well-designed and systematically mentored PI projects can have significant outcomes in improving quality of services. • Close follow-up will be required to sustain the changes at the worksites and to see that successful new processes are cross-fertilized to other sites.

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