Following a series of regional Quality Improvement (QI) Learning Sessions held during March-April, representatives of the QI Collaborative from seven regions where this initiative is being implemented convened in Kyiv on April 25-27, 2016, for the First Cross-Regional QI Learning Session.
The aim of the meeting was to share local, regional and global experience on improving the quality of services along the HIV continuum; and to revise regional packages of changes for the next round of implementation until October 2016.
DeputyDirector of the Ukrainian Center for Disease Control of the Ministry of Health of Ukraine Larysa Hetman provided an update on the progress of the national HIV/AIDS program implementation and unified clinical protocol development. International recommendations and promising practices were presented by Bruno Bouchet (FHI360), Eleanora Gvozdeva (UNAIDS), Alexei Borbrik (WHO), Danielle Darrow De Mora (FHI360), and Shirley Ko (Pact Inc.)
The regional teams presented their Story Boards to demonstrate their improvement objectives, patient pathways, changes being tested, run charts showing number of people tested for HIV, enrolled in care & treatment as well as most crucial remaining barriers to be discussed in the course of the three-day meeting.
- Eight ART sites which didn’t prescribe ART previously began to initiate patients on treatment
- In Jan-Mar 2016, 565 new patients were put on treatment compared to 249 in Jan-Mar 2015
- Reduced the time for transporting biomaterial from different health care facilities in the city to AIDS Center lab from 2 weeks to 3 days
- Demonstrated 6% HIV detection rate in patients referred for HIV Testing Services (HTS) by primary health care providers (23 HIV positive out of 384 tested)
- Three HIV testing sites began to also function asART sites
- Four ART sites started dispensing ARVs through pharmacies
- Out of 281 patients lost to follow up at the Regional AIDS Center, 78 (27.8%) were returned into care; of them 41 were put on ART
- In three districts, nurses were trained and began providing HCT services
- In three districts, local funds were allocated to purchase rapid tests
- Local funding was allocated in one district to purchase commodities (vacutainers)
- In two districts, psychologists were hired by central district hospitals for ART sites
- In Jan-Mar 2015, 463 new HIV cases were registered compared to 306 in Jan-Mar 2015
- 344 new patients were put on treatment compared to 254 in Jan-Mar 2015
- SMS messaging has been introduced to prevent lost to follow up
- Of newly detected HIV cases, 90% were registered with ART sites, and 90% of them initiated treatment
- Four new nursing positions were introduced at ART sites in four districts
- Text message reminders piloted in Ochakov brought in 72% of patients lost to follow-up (48 out of 67)
- 11% HIV detection rate was achieved in Pervomaisk district through patient behavioral risk screening (8 HIV cases in 74 tested with rapid tests)
Regional QI Implementation teams shared their early achievements and short-term plans, which they describe in this video.
Photos from the event are available by this link.
The meeting Agenda and presentations are available as attachments below.