Aurélie BONFILS ESTHERAID Project Manager ESTHERAID: a Sub regional PSM Program mobilizing hospital...
-
Upload
scarlett-poole -
Category
Documents
-
view
222 -
download
0
description
Transcript of Aurélie BONFILS ESTHERAID Project Manager ESTHERAID: a Sub regional PSM Program mobilizing hospital...
Aurélie BONFILS ESTHERAID Project Manager
ESTHERAID: a Sub regional PSM Program mobilizing hospital partnerships
2
GOAL
Initiated by ESTHER, funded by UNITAID, implemented in full cooperation with each country Ministry of Health
Extend the number of patients accessing pediatric and 2nd line ARV in selected TC by strengthening the supply chain and building the health system capacity
gaps identified :• Management of the ART supply-chains not yet proven
efficient• Weak lab and TCC capacity to diagnose (infants, failure),
treat and monitor patients in need of pediatric or 2nd line treatment
• Lack of reliable data to ensure accurate ARV quantifications and forecasts
The reasons behind the project
Low and irrational demand and consumption of pediatrics and 2nd line ARV=> Stock out and expired drugs
% of patients on pediatric ARV
Rational % of patients switched
to 2L
Stock out
Access to early diagnosis & monitoring of viral load and CD4
Rational use + compliance
Accuracy of quantification & ART forecast
OBJECTIVES / STRATEGY
• Reinforce the supply chain
• Optimize the quality of diagnosis, treatment and monitoring of patients
• Improve data collection and analysis
2 TYPES OF EXPERTISE
Hospital expertisemulti-disciplinary teams of experts
Capacity building at treatment center level
ESTHERHQ/ coordinations
Additional consultancyinternational, national consultants
in collaboration with KOLs
Technical workshop (SOPs, guidelines, norms) and
recommendations at central level
National key institutions, MoH & decision makers
Steering Committee
Complementary approach Synergy Sustainability
Hospital Partnership in ESTHERAID● In the North: 14 Hospitals involved in the project.● In the South: 57 health facilities as
partners + each country National Reference Lab.
5 partner countries57 treatment centers
Range of hospital partnership
• Capacity building : on site and workshop trainings, tutoring, seminars (HIV care, therapeutic failure, pediatric,..)
• Internships in hospital• Technical training in
laboratories
• Therapeutic committee• National guidelines • Supervision• Treatment education,
dispensing
Objective: Improve healthcare provision by optimizing the quality of diagnosis, therapy and patients monitoring
Activities
Hospital partners interventions since 2011
Hospital partners profile:Doctors - Infectiologists - Paediatricians - GynecologistsBiologists - Virologists – Laboratory technicians -Pharmacists - Nurses
BENIN CAR BURKINA FASO
•Support to PMTCT •HIV PCR development •Paediatric Seminars •Trainings on management of virological failures
•Laboratory strengthening •Companionship for paediatric care
•Organization of collection and transport of VLT samples•Training through tutoring• Management of Treatment Committees
CONCLUSION
• Hospital expertise and additional technical assistance can be mobilized in a complementary way
• hospital to hospital & on overall health system • capacity building at hospital level + strategy and
recommendations at central level• ITA provides a comparative and brings resourceful “south” public
health expertise • Hospital expertise brings legitimacy, trust and continuance with
long lasting partnership
• Limitations: articulation between types of expertise, limited communication and availability of hospital partners between field missions
Acknowledgements to ESTHERAID teams
• Focal point Pharmacy: P. Doo-Kingué• Focal point M&E: C. Barberousse, B. Bassirou• Focal point PSS: M. Dieng, M. Touré, M. Dossou-Yvo• Focal point trainings: A. Beugny• Focal point UNITAID & Project coordinator: A.
Bonfils
Bénin Burkina Faso Mali Cameroon CAR
A. LaurentS. OgouL. PourteauM. NintoungbeC. Leger
O. TerzoloG. OuedraogoA. TraoreI. SondeA. Masali
D. FofanaI. MaigaH.OuedraogoL. Gressier
C. ComitiJ. MottoC. MimbangC. Leger
S. PerrotA. NaissemA. BackoX. Gillette