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Quality Improvement Interventions for Early HIV Infant Diagnosis in Northeastern Uganda
Joint Authors
Izudi, Jonathan
Akot, Agnes
Kisitu, Grace Paul
Amuge, Pauline
Kekitiinwa, Adeodata
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-26
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
Early infant diagnosis (EID) of human immunodeficiency virus (HIV) ensures prompt treatment and infant survival.
In Kaabong Hospital, 20% of HIV exposed infants (HEIs) had access to HIV diagnosis by eight weeks.
We aimed to improve EID of HIV by deoxyribonucleic acid-polymerase chain reaction (DNA-PCR) testing by eight weeks from 20 to 100% between June 2014 and November 2015.
Method.
In this quality improvement (QI) project, EID data was reviewed, gaps prioritized using theme matrix selection, root causes analyzed using fishbone tool, and improvement changes were selected using counter measures matrix but implemented using Plan-Do-Study-Act cycle.
Root causes of low first DNA-PCR testing included maternal EID ignorance, absent lost mother-baby pairs (LMBP) tracking system, and no EID performance reviews.
Health education, Continuous Medical Education (CMEs), and integration of laboratory and EID services were initial improvement changes used.
Results.
DNA-PCR testing increased from 20 to 100% between June 2014 and July 2015 and was sustained at 100% until February 2016.
Two declines, 67% in September 2014 and 75% in June 2015, due to LMBP were addressed using expert clients and peer mothers, respectively.
Conclusion.
Formation of WIT, laboratory service integration at MBCP, and task shifting along EID cascade improved EID outcomes at 6 weeks.
American Psychological Association (APA)
Izudi, Jonathan& Akot, Agnes& Kisitu, Grace Paul& Amuge, Pauline& Kekitiinwa, Adeodata. 2016. Quality Improvement Interventions for Early HIV Infant Diagnosis in Northeastern Uganda. BioMed Research International،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1098154
Modern Language Association (MLA)
Izudi, Jonathan…[et al.]. Quality Improvement Interventions for Early HIV Infant Diagnosis in Northeastern Uganda. BioMed Research International No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1098154
American Medical Association (AMA)
Izudi, Jonathan& Akot, Agnes& Kisitu, Grace Paul& Amuge, Pauline& Kekitiinwa, Adeodata. Quality Improvement Interventions for Early HIV Infant Diagnosis in Northeastern Uganda. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1098154
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1098154