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Browsing Protocols by Author "Chapuma, Chikondi"

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    Improving receipt of 6-weeks DNA-PCR HIV test results among HIV Exposed Infants at Mulanje District Hospital, version 1.0
    (Kamuzu University of Health Sciences, 2022-07-18) Chapuma, Chikondi
    This is a quality improvement project using a quasi-experimental pre-and post-intervention assessment. The continuum of care in an HIV-exposed infant, i.e., from DNA-PCR testing to attaining results and being initiated on Antiretroviral drugs, has many bottlenecks where infants may be lost to follow-up. One of the challenges is the untimely communication of DNA-PCR results to mothers/caregivers of HIV-exposed infants. Untimely communication of DNA-PCR results to caregivers of HIV-exposed infants is associated with delayed ART initiation. Hence, HIV-positive infants are at a high risk of morbidity and mortality.To evaluate strategies that increase the percentage of mother's/caregivers of HIV-exposed infants receiving 6-week DNA-PCR test results by 20% from July 2022 to March 2023 at Mulanje District Hospital. Specific objectives: 1. To assess the baseline process of testing an HIV-exposed Infant at six weeks of age to the mother/caregiver of the HIV-exposed infant, getting the results at Mulanje District Hospital. 2. To identify change ideas for improving HIV-exposed Infants' 6-week DNA-PCR test results communication to mother/caregiver at Mulanje District Hospital. 3. To describe quality improvement models for improving receipt of DNA-PCR test results by caregivers of HIV-exposed infants. 4. To measure the percentage of HIV-exposed infants receiving a 6-week HIV DNAPCR test results after implementing change ideas. Methods: We will formulate and train a Work Improvement Team with members comprising ART providers (nurses and clinicians), laboratory staff, HIV Diagnostic Assistants, Health Surveillance Assistants and Expert Clients from Mulanje district hospital. We will analyse routinely collected patient data to identify barriers to communication of results and areas for improvement using the Plan-Do-Study-Cycle. We will then implement change ideas and collect data at the end of the implementation period. Having completed all the above, we will describe quality improvement models for improving receipt of DNA-PCR test results by are givers of HIV-exposed infants using the Consolidated Framework of Implementation Research. We anticipate that the Work improvement team will implement change ideas to improve the communication of results to caregivers. We will recommend the scale-up/adoption of change ideas of high impact and low effort. We will disseminate the results to Mulanje District Health Office stakeholders and the College of Medicine Research Ethics Committee. We also plan to submit an abstract and a manuscript to peer-reviewed national conferences and scientific journals.