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Monitoring Paediatric Trends in a High Prevalence Setting within KwaZulu Natal

Monitoring Paediatric Trends in a High Prevalence Setting within KwaZulu Natal. Ravikanthi Rapiti OVC IN AFRICA 01 Nov 2010. Introduction. MatCH provides support to the eThekwini District District population statistics: Total Population = 3 183 936

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Monitoring Paediatric Trends in a High Prevalence Setting within KwaZulu Natal

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  1. Monitoring Paediatric Trends in a High Prevalence Setting within KwaZulu Natal Ravikanthi Rapiti OVC IN AFRICA 01 Nov 2010

  2. Introduction • MatCH provides support to the eThekwini District • District population statistics: • Total Population = 3 183 936 • Paediatric population = 854 523 (0-14 yrs) • HIV infected = +/-93 000

  3. Processes • Monitoring and Evaluation • Paper Based • Paediatric Indicators • DHIS

  4. Methods • Paediatric patients: • initiated on ARVs • No longer on the programme after 90 days • January 2007 – June 2010 • 10 public health facilities • Clinical registers & routine monthly statistics

  5. Results • Initiations

  6. No Longer on the Programme

  7. Current

  8. Trends

  9. Challenges • Children accessing care when they are very sick • Clinical staff misunderstanding the national guidelines for initiation • Reduce waiting period to initiate • Finding an appropriate caregiver • Mother’s resistance to testing the child

  10. Addressing the Gaps • Training of the guidelines • Fast tracking of the counselling sessions • Developing innovative ways to train illiterate caregivers • Providing basic services and engaging with the mother to test the child for HIV

  11. Conclusion • Intensify programmatic efforts • Inconsistent enrolment numbers • Improve record keeping • Address challenges with Task Teams • Lack of data of patients aged 0-12 months • Evaluate systems

  12. ‘Care for us and accept us - we are all human beings. We are normal. We have hands. We have feet. We can walk, we can talk, we have needs just like everyone else - don’t be afraid of us - we are all the same!’ Nkosi Johnson (February 4,1989 - June 1, 2001)

  13. Acknowledgements • This presentation is made possible by the support of the American people through the United States Agency for International Development (USAID). The contents are the sole responsibility of MatCH (Maternal, Adolescent and Child Health) and do not necessarily reflect the views of USAID or the United States Government.

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