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Retention of HIV-Positive Adolescents in Care: A Quality Improvement Intervention in Mid-Western Uganda
المؤلفون المشاركون
Izudi, Jonathan
Kekitiinwa, Adeodata
Mugenyi, John
Mugabekazi, Mary
Muwanika, Benjamin
Tumukunde Spector, Victor
Katawera, Andrew
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-05-06
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Low retention of HIV-positive adolescents in care is a major problem across HIV programs.
Approximately 70% of adolescents were nonretained in care at Katooke Health Center, Mid-Western Uganda.
Consequently, a quality improvement (QI) project was started to increase retention from 29.3% in May 2016 to 90% in May 2017.
Methods.
In May 2016, we analyzed data for retention, prioritized gaps with theme-matrix selection, analyzed root causes with fishbone diagram, developed site-specific improvement changes and prioritized with countermeasures matrix, and implemented improvement changes with Plan-Do-Study-Act (PDSA).
Identified root causes were missing follow-up strategy, stigma and discrimination, difficult health facility access, and missing scheduled appointments.
Interventions tested included generating list of adolescents who missed scheduled appointments, use of mobile phone technology, and linkage of adolescents to nearest health facilities (PDSA 1), Adolescent Only Clinic (PDSA 2), and monthly meetings to address care and treatment challenges (PDSA 3).
Results.
Retention increased from 17 (29.3%) in May 2016 to 60 (96.7%) in August 2016 and was maintained above 90% until May 2017 (with exception of February and May 2017 recording 100% retention levels).
Conclusion.
Context specific, integrated, adolescent-centered interventions implemented using QI significantly improved retention in Mid-Western Uganda.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Izudi, Jonathan& Mugenyi, John& Mugabekazi, Mary& Muwanika, Benjamin& Tumukunde Spector, Victor& Katawera, Andrew…[et al.]. 2018. Retention of HIV-Positive Adolescents in Care: A Quality Improvement Intervention in Mid-Western Uganda. BioMed Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1124422
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Izudi, Jonathan…[et al.]. Retention of HIV-Positive Adolescents in Care: A Quality Improvement Intervention in Mid-Western Uganda. BioMed Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1124422
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Izudi, Jonathan& Mugenyi, John& Mugabekazi, Mary& Muwanika, Benjamin& Tumukunde Spector, Victor& Katawera, Andrew…[et al.]. Retention of HIV-Positive Adolescents in Care: A Quality Improvement Intervention in Mid-Western Uganda. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1124422
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1124422
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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