addressing pmtct gaps through a systematic process improvement (pi) approach
DESCRIPTION
Addressing PMTCT Gaps through a Systematic Process Improvement (PI) Approach. Authors: Shallo Dhaba, Oromia RHB; Brian Robie, CDC Atlanta; Tekeste Kebede, CDC Ethiopia; Solomon Wolde, Jhpiego Ethiopia Yassir Abduljewad, Jhpiego Ethiopia. Background and Description. - PowerPoint PPT PresentationTRANSCRIPT
Addressing PMTCT Gaps through a Systematic Process Improvement (PI) Approach
Authors: Shallo Dhaba, Oromia RHB; Brian Robie, CDC Atlanta; Tekeste Kebede, CDC Ethiopia; Solomon Wolde, Jhpiego Ethiopia Yassir Abduljewad, Jhpiego Ethiopia
Background and Description
Ethiopia’s PMTCT program serves only 5.6% of HIV-infected pregnant women
Process Improvement (PI) pilot project was designed and implemented in five zones of Oromia Region
25 participants attended a five-day PI course and developed eight projects
The Seven Steps of PIDefine ProcessDefine Process
MeasureProcess
Performance
MeasureProcess
Performance
Analyze Causes of Variation
Analyze Causes of Variation
Summary of Results
Within three months, six of the seven teams reported improvements, including increasing:
1) hospital deliveries of HIV-positive women from 59% to 85%; 2) the percentage of HIV-positive women having their CD4 counts tested from 42% to 90%; and 3) the percentage of pregnant women's partners tested for HIV from 13% to 51%.
Lessons Learned
Well-designed and systematically mentored PI projects can have significant outcomes in improving quality of services.
Close follow-up will be required to sustain the changes at the worksites and to see that successful new processes are cross-fertilized to other sites.