00:00

Enhancing Early Infant Diagnosis Rates in PMTCT Programs

This module focuses on factors contributing to low early infant diagnosis (EID) rates in PMTCT programs. Participants engage in a fishbone diagram activity to identify reasons for the challenges. Additionally, a multidisciplinary discussion explores the unique needs of mothers and newborns affected by HIV, addressing challenges and community resources. The importance of early infant diagnosis and the role of healthcare professionals in improving outcomes are emphasized.

soltani
Download Presentation

Enhancing Early Infant Diagnosis Rates in PMTCT Programs

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. PMTCT & Care for the Pregnant Woman with HIV Module 4 Zoom Activities

  2. #1: Fishbone activity Objective: Illustrate factors leading to low EID rates using a fishbone diagram (QI)

  3. Review Preventing mother to child transmission (PMTCT) is an integrated approach to service delivery to: Prevent pregnant women who are HIV- from acquiring HIV during pregnancy or breastfeeding Ensure pregnant women with HIV are maintained on effective ART from pregnancy through delivery and breastfeeding Minimize the risk of transmission at delivery through various obstetric approaches Ensure HIV-exposed newborns receive appropriate prophylactic ART Early infant diagnosis (EID) is critical to early initiation of lifesaving treatment and all healthcare providers can play a role in encouraging mothers to have their babies tested. WHO recommends infants born to mothers with HIV should be tested for HIV-1 DNA between 4 and 6 weeks of age. Children should have a repeat HIV DNA test at 18 months and/or when breastfeeding ends, whichever one is later, to provide the final infant diagnosis. • • • • • • • •

  4. Fishbone Diagram practice • A Fishbone Diagram “graphically displays the relationship of the causes to the effect and to each other, helping teams identify areas for improvement”1 • In your group, you will fill out a fishbone diagram to ascertain reasons why EID rates in your clinical setting are low or nonexistent. 1. Institute for Healthcare Improvement Patient Safety Essentials Toolkit

  5. Example of a Fishbone Diagram

  6. Fishbone Diagram People Environment/Workplace Low or non- existent EID rates Materials/Supplies Equipment Methods

  7. Breakout rooms 15 minutes

  8. What causes did you discuss? People Environment/Workplace Low or non- existent EID rates Materials/Supplies Equipment Methods  What might the solutions be?

  9. Possible causes People • Parent/caregiver lack of information/not aware of EID • Parent/caregiver avoiding EID due to concerns about stigma • Inability to reach parent post-partum • Provider lack of knowledge of EID • Provider not offering/recommending EID • Health professional, phlebotomist or lab technician may not be present to either obtain sample or run the test Material/supplies • Point-of-care (POC) EID not available or not on site • Reagents not available or expired • Blood draw supplies not available or expired • DBS cards not available Methods • High costs • Providers may not be aware of protocol • Information system slow for return of results or lengthy turnaround time • Protocol for EID has not been standardized at your institution • Protocol for indeterminate results does not exist Environment/workplace • HIV stigma/discrimination in communities • Transportation network is disrupted • Difficult for parent/caregiver to come for EID • Difficult for laboratory to send sample or obtain materials/supplies • Laboratory is closed Equipment • Lab machine to test this is not operational • Lab machine to run this test is not available at clinical setting • No Gene Xpert at this facility • HIV DNA PCR technology outdated

  10. #2: Multidisciplinary discussion Objective: Discuss the unique needs of mothers and newborns related to HIV

  11. Multidisciplinary discussion questions 1.Describing the challenges that women with a new infant and new diagnosis may face 2.Explaining possible challenges that you can contribute from the standpoint of your own health profession 3.Identifying community resources that may also help address these challenges solutions to these

  12. Breakout rooms 10 minutes

  13. Reflection

More Related