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Retention of HIV-Positive Adolescents in Care: A Quality Improvement Intervention in Mid-Western Uganda
Joint Authors
Izudi, Jonathan
Kekitiinwa, Adeodata
Mugenyi, John
Mugabekazi, Mary
Muwanika, Benjamin
Tumukunde Spector, Victor
Katawera, Andrew
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-06
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1124422