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Reducing Loss to Follow-up through Effective Contact Tracking (CT)

Reducing Loss to Follow-up through Effective Contact Tracking (CT). By Umeuzuegbu Chioma Felicia Referral Focal Person christlyfavour@yahoo.com +2348068091611. ISSUE. Initiating HIV+ clients on ART requires life-long commitment

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Reducing Loss to Follow-up through Effective Contact Tracking (CT)

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  1. Reducing Loss to Follow-up through Effective Contact Tracking (CT) By Umeuzuegbu Chioma Felicia Referral Focal Person christlyfavour@yahoo.com +2348068091611

  2. ISSUE • Initiating HIV+ clients on ART requires life-long commitment • Failure to adhere to the therapy at any stage led to increase in clients leading to unsuccessful outcome • St. Charles Borromeo Hospital Onitsha (SCBH), had the highest number (18.4%) of ART clients lost to follow-up within the first two years of service provision • There was lack of systematic process for ARV refill

  3. PROJECT • Standardized contact tracking (CT) system was introduced, developed and implemented in SCBH in 2007 • The CT team began tracking defaulters (phone calls and home visits) a day after a client misses appointment • Referral network was established • A support group was formed in the facility

  4. RESULTS • The number of clients’ lost to follow-up reduced from 370 in 2006 to 45 in 2010 • 222 clients who were once lost to follow-up have been re-started on ARV • The formation of CTT improved client documentation and successful CT outcomes • Involvement of support group members helped increase treatment adherence and improve quality of life of PLHIV • Through effective tracking of defaulters, some families have been re-united

  5. Figure 1: Reduction in the number of client lost to follow-up between 2006 and 2010 in St. Charles Borromeo Hospital.

  6. LESSON LEARNED • Effective CT can increase the number of HIV clients retained in care and treatment • Use of standardized CT tools enhances systematic documentation • Improved treatment outcomes

  7. THANKS

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