Post on 19-Jan-2016
Monitoring Paediatric Trends in a High
Prevalence Setting within KwaZulu Natal
Ravikanthi Rapiti
OVC IN AFRICA01 Nov 2010
Introduction
MatCH provides support to the eThekwini District
District population statistics: Total Population = 3 183 936 Paediatric population = 854 523 (0-14 yrs) HIV infected = +/-93 000
Processes
Monitoring and Evaluation
Paper Based
Paediatric Indicators
DHIS
Methods
Paediatric patients: initiated on ARVs No longer on the programme after 90 days
January 2007 – June 2010
10 public health facilities
Clinical registers & routine monthly statistics
Results Initiations
108
11 025 7
119 104
21 0 0
637
4066
101
32
235
311
250
112
50
517
6534
406
114
253
143
229247 273
0
100
200
300
400
500
600
700
PMM
H
CATO M
ANOR
CLAIR
WOO
D
CHARLES JA
MES
WENTW
ORTH
RK KHANS
ADDING
TON
KWAM
ASHU
KWADABEKA
DON M
CKENZIE
Total <1 Total 1-5 Total 5-15
No Longer on the Programme
1 1 0 0 0 0 0 0 0 00 4 4 0
21
0
197 4
207
30 27
46
113
44
17 1206
10
25
50
75
100
125
150
175
200
225
PMMH CATOMANOR
CLAIRWOOD CHARLESJAMES
WENTWORTH RK KHANS ADDINGTON KWAMASHU KWADABEKA DONMCKENZIE
0-1 yr 1-5 yrs 5- 15 yrs
Current
10710 0 25 7 0
10421 0 0
637
36 62 10132
214311
231105
46
310
64 28
376
87201 217
1054
90
502415
555481
126
140
229 263
126110231
0
200
400
600
800
1000
1200
Current 0-1 Current 1-5 Current 5-15 Current Total
Trends
1262
100
532
153
544279
1054
502555
481
263601
255
668
11690110 126
231
415
0
500
1000
1500
2000
2500
PMM
H
CA
TOM
AN
OR
CLA
IRW
OO
D
CH
AR
LES
JAM
ES
WEN
TWO
RTH
RK
KH
AN
S
AD
DIN
GTO
N
KW
AM
ASH
U
KW
AD
AB
EKA
DO
NM
CK
ENZI
E
Ever on ART Current on ART
Challenges
Children accessing care when they are very sick
Clinical staff misunderstanding the national guidelines for initiation
Reduce waiting period to initiate
Finding an appropriate caregiver
Mother’s resistance to testing the child
Addressing the Gaps
Training of the guidelines
Fast tracking of the counselling sessions
Developing innovative ways to train illiterate caregivers
Providing basic services and engaging with the mother to test the child for HIV
Conclusion Intensify programmatic efforts
Inconsistent enrolment numbers
Improve record keeping
Address challenges with Task Teams
Lack of data of patients aged 0-12 months
Evaluate systems
‘Care for us and accept us - we are all human beings. We are normal. We have hands. We have feet. We can walk, we can talk, we have needs just like everyone else - don’t be afraid of us - we are all the same!’
Nkosi Johnson (February 4,1989 - June 1, 2001)
Acknowledgements
This presentation is made possible by the support of the American people through the United States Agency for International Development (USAID). The contents are the sole responsibility of MatCH (Maternal, Adolescent and Child Health) and do not necessarily reflect the views of USAID or the United States Government.