Скачать или смотреть May 2018 ASLM LabCoP ECHO Session: Improving HIV VL Test Results Utilisation, Case Studies

May's LabCoP ECHO session covered improving HIV VL test result utilization: case studies from Keny and Malawi.

Dr Miriam Rabkin from ICAP at Columbia University, Caroline Caren Ayieko of the Siaya County Health Management Team in Kenya, Dr Limbikani Kanyenda from University Research Company in Malawi, and Dr Michael Odo from the Malawi Ministry of Health discussed result utilization of differentiated care models, whereby viral load test results serve to triage patients needing intensified care (in cases of unsuppressed viral load) and patients needing less intensive follow-up at the community level (in cases of suppressed viral load). Kenya and Malawi shared their experiences implementing the ‘Plan, Do, Study, Act’ (PDSA) cycle to prioritize and rapidly test ‘change ideas’ needed to facilitate the rapid identification of unsuppressed viral load, followed by swift appropriate clinical action. Some of the most successful solutions identified included the development of standard operating procedures for the management of unsuppressed viral load, color-coding of files for patients with unsuppressed viral load, appointing viral load focal persons at the facility level, assigning case managers to clients with unsuppressed viral load, forming unsuppressed viral load support groups, appointing second-line antiretroviral therapy champions, and mentoring staff about enhanced adherence counselling. The application of ‘change ideas’ identified during the quality improvement process led to an increasing proportion of patients with unsuppressed viral load who completed 3 enhanced adherence counselling sessions – from 50% to 90% within four months.

Guidelines and best practices to inform patients about the significance of viral load results and ensure that laboratory test results fully contribute to patient clinical management are available at http://icap.columbia.edu/resources/de....

Resource
VL Diagnostic Testing Service Delivery in Kenya presentation download link coming soon.

Download Kenya's presentation at http://www.aslm.org/resource/may-2018...