BARBADOS COUNTRY PRESENTATION
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Transcript of BARBADOS COUNTRY PRESENTATION
BARBADOS COUNTRY PRESENTATION
ByMs. Wendy Sealy
3rd CHART Principals and Partners Meeting February 1-3,2007Trinidad & Tobago
STAFF
Dr. Nicholas Adomakoh, Medical Director/ Clinical Consultant, Ladymeade Reference Unit
Ms. Wendy Sealy, Training Coordinator
HIV/AIDS SITUATION IN BARBADOSCumulative total no. of HIV, AIDS cases and deaths
1984- Dec, 2005
Total no. of HIV positive cases 3110Total no. of AIDS cases 1931Total no. of deaths 1283
M:F – 1.13: 1Estimated prevalence 1.9
Statistical UpdateSummary of HIV and AIDS Cases and Deaths: 1984 -2003
0
50
100
150
200
250
1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003Year Diagnosed
Number of Cases
HIVAIDSDeaths
Scaling Up HIV/AIDS Treatment Care and Support Programme
PreventionCare and SupportTreatmentSurveillance/Research/Monitoring & EvaluationProgramme Management
People seeking orin need of services
“I need help to move on with my life”Psychosocial supportPersonal development
Centre, NGOs, Churches,
Welfare & Legal support
“I need treatment and care”
HIV/AIDS Specialist Medical
Care @ LRU
“I need care and help at home”
Domicilary/Community based
Care, Elroy Philips Centre.
“I need other medical services”
Surgical, Dental and Medical
Subspecialties
“I need help coping and changing to a healthier lifestyle”
Counseling/ Education.
“I need information and support”
HIV/AIDS Hotline436-2444 or 436-AIDS
“I need to know my HIV status”
Community Voluntary Counseling & Testing
Care seeking/Providing
Active referral
HIV/AIDS Continuum of Care and Support
TheLadymeadeReference Unit
Ladymeade Reference Unit 2006
Coverage>1000 clients followed up (Sept 06)/~2000 reported cases ~580 Clients on HAART (Sept 06)/ ~650 reported AIDS cases80% undetectable viral load
OutcomesNumber of admissions decreased by 42% from 316 overall admissions to 183.Total hospital days fell by 59.4% Rise in outpatient visits by 128%, from 4727 visits per year to 10,782.Overall reduction in deaths of clinic registered patients by approximately 56%
CHART Barbados Strategy & Project Objectives
To sustain the activities of the CHART Training Centre
To support the CHART vision and mission to expand the number of healthcare professionals educated and trained to deliver quality care, treatment and support services to clients
To develop an organizational infrastructure with the NTC network to assure effectiveness and long term sustainability of CHART
Training Priorities & Accomplishments 2006
TB Prevention & control guidelines Manual Development May –Dec. 2006
TB/HIV Training programme for health personnel including nurses, physicians & environmental health officers, May 2006
Clinical management of HIV training programmes for Pharmacists & Nurses in June & September 2006 respectively
Clinical Mentorship/Preceptorship programme for Nurses, Physicians & Pharmacists ( members of the Clinical Care Team) for Antigua, November 2006
Caribbean Partnership for Nurses in HIV & AIDS Care, Jan. 2006- Present
IMPACT OF TRAININGS: Immediate Impact
Anecdotal records: Oral & summary evaluations indicate that approximately 95% of participants benefit by gaining new knowledge
Follow up interviews with participants indicate application of knowledge & skills in about 75% of participants
Follow up interviews with trainers regarding observation of participants after trainings where possible, indicate marked improvement of confidence in applying knowledge acquired
Curricula content and delivery methods utilized interactive case based methods which allow participants to apply knowledge to real situations
Pre and post tests give immediate feedback of participants’ prior knowledge and acquired knowledge, showing improvement of 25% (from 70 % to 95%)
2007 Programmes & Initiatives
Initiated & Facilitated dev. Of CHART Barbados Strategic Framework & M& Plan, Jan. 8-12 2007
Consultation on Development of Draft Oral Health Policy for Barbados, Feb.5 2007
PMTCT Policy & Guidelines Stakeholder meeting, Feb. 28 2007
Launch of TB/HIV Manual & Training Update, March,25 2007
Introduction of Draft HIV Pre-service Nurse Curriculum to the Dept. Of Nursing, BCC, April 2007
Cont. Clinical Mentorship/Precptorship Programmes for Antigua & the OECS countries
Facilitate Scale up Clinical Management Trainings for the OECS countries
2007 Programmes & Initiatives cont’d
Coordinate Clinical management of HIV Training for Pharmacists, May, 2007
Coordinate Clinical Management of HIV training for Nurses, Sept.,2007
Cont. collaboration with the Caribbean partnership for HIV and AIDS Care
Coordinate Clinical Management of HIV training for Physicians, June 2007
2007 Programmes & Initiatives cont’d
Continue infrastructural development of the Training Centre
Collaborate with agencies to facilitate training activities for the implementation of the Integrated Approach Model of Care
Review of the CHART Barbados Strategic Framework for implementation.
OUTPUTS
Since Sept. 2003 : approximately 450 health care professionals trainedInstitutional strengthening of the project:
1. Development of infrastructure2. Sourcing of equipment & resources3. Contracts review4. Planning & budgeting5. Development of the CHART Barbados Strategic Plan Framework.
With major support from the MOH, Barbados CHART RCU & I-TECH
The Way ForwardCHART Barbados will seek to fulfill the vision and mission of the Regional Network within the context of country priorities identified
Provide training opportunities for health care professionals to enable access to standardized, current and relevant information to assist in building skills and knowledge base in the area of HIV and AIDS treatment, care and support.
Establishment of a dedicated CHART Barbados Office, Training room & Resource Centre.
THE END
TO BE CONTINUED………..