Browsing by Author "Longwe Matupa, Elinat"

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    Assessing the effectiveness of Multi Month Scripting of Anti Retroviral Therapy amongst stable patients: A comparative case of Bwaila Martin Preuss Center and Kapiri In Malawi
    (Kamuzu University of Health Sciences, 2021-03-17) Longwe Matupa, Elinat
    Type of research: A quantitative multiple retrospective study aimed at evaluating the effectiveness of multi-month scripting (MMS) on ART amongst stable adult patients living with HIV under care using a comparative case of Bwaila Martin Preuss Clinic in Lilongwe and Kapiri Mission Hospital in Mchinji, Malawi. Secondary data will be used. The problem: The United Nations Programme on HIV/AIDS (UNAIDS) and WHO promote adoption of the Differentiated Service Delivery (DSD) approach with its 95-95-95 targets by 2030. Malawi adopted the multi-month scripting (MMS) among other models to relieve the burden of frequent 28 September 2016. National Health Sciences Research Committee (NHSRC) number 15/11/1513”. The study population will include stable adult patients living with HIV on Regimen 5A TDF/3TC/EFV (300/300/600mg) at Bwaila Martin Pruess Clinic and Kapiri Health Centre. A total of 3,565 patient records receiving three months (90days) dispensing intervals in these two health facilities will be used for the study. Data used will be secondary quantitative data collected routinely as part of clinic Electronic Medical Records (EMR) at the two health facilities. Collected data will be stored securely in computer data base that have a password and only limited access to key study team will be provided. Stata version 15 will be used for analysis with summary statistics including percentages, medians and ranges calculated and presented for quantitative variables. Ethical approval will be sought from the College of Medicine Research and Ethics Committee (COMREC). Expected findings and their Dissemination: It is anticipated that the study will generate findings that are well enriched with adequate information that provides a deep understanding of the subject and contribute meaningfully to the body of knowledge on Differentiated Service Delivery. We expect to determine the effectiveness of MMS on ART among stable patients and if patient characteristics are associated with retention. Research results will be disseminated in writing and presentations. The report will be submitted to College of Medicine, University of Malawi being the institution to award the degree. Research findings will be presented to health care workers and senior management teams the participating health facilities. The researcher will be available to share the results from the study through local dissemination conferences, seminars and workshops organized by the College of Medicine’s Research Support Centre (RSC) and Research and Ethics Committee (COMREC). An abstract will be developed for submission to conferences and publication in journals. appointments of patients and providers, freeing up resources to provide more intensive care to complex patients where HIV mortality is high. Since 2016 all government health facilities in Malawi have implemented 3 months multi- month scripting for stable patients on ART. However, there is no evidence on the comparative effect of MMS on improved patient outcomes in terms of adherence to ART and the influence of the captured patient characteristics on the adherence to ART. Objectives: The aim of the study is to evaluate the effectiveness of multi-month scripting (MMS) on ART amongst stable adult patients living with HIV under care using a comparative case of Bwaila Martin Preuss Clinic in Lilongwe and Kapiri Mission Hospital in Mchinji, Malawi. The study specifically seeks to determine the effect of MMS on patient retention; assess the patient characteristics that are associated with the degree of compliance to ART treatment and assess the influence of patient characteristics on retention in care for patients on MMS. Methodology: A quantitative multiple retrospective study will be used to evaluate the effectiveness of multi month scripting (MMS) on ART amongst stable adult patients living with HIV under care at Bwaila Martin Preuss Clinic in Lilongwe and Kapiri Mission Hospital in Mchinji. Secondary data analysis will be done on data collected from the study titled “Assessing Implementation of Models of Differentiated Care for HIV Service Delivery in Malawi: A Process Evaluation dated