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Using data stored in Management Information System
to Improve Tuberculosis Treatment Adherence among
People Living with HIV in Central Asia
MAXIM KAN
AEA conference 2013
October 19, 2013
PSI/Central Asia
PAGE 2
USAID Dialogue on HIV and TB Project
PAGE 3
USAID Dialogue on HIV and TB Project
PAGE 4
USAID Dialogue on HIV and TB Project
PAGE 5
 TB treatment adherence among people living with HIV
(PLWH)
PAGE 6
Database
 Management information system (MIS) database
PAGE 7
Project
 Integration of HIV and TB prevention
HIV + TB
PAGE 8
Project
 Innovative for Central Asian region
PAGE 9
Sustainability
 State institutions desire to use the database as an
M&E tool
PAGE 10
After one year (as of September 2012), database shows (N=311)…
51.1%
32.5%
15.4%
successfully completed treatment
page 11
still receiving the treatment
left the project before completion
After one year, database shows (N=48)…
43.8%
33.3%
16.7%
6.2%
Lost contact in the last
month
page 12
Died
Migrated or went to
prison
Due to personal reasons
Use of unique identifier codes (UIC)
___ ___
___ ___
 
 

First 2 letters
of mother’s
name
First 2 letters
of father’s
name
Gender
1- M
2- F
PAGE 13
___
___ ___
 
Last 2 numbers
of birth year
Database…
 Track referrals
Contact is made
PAGE 14
Database…
 Track referrals
Contact is made
PAGE 15
Communication
Database…
 Track referrals
Contact is made
PAGE 16
voucher
Communication
Referral to services
Database…
 Track referrals
Contact is made
PAGE 17
voucher
Communication
Referral to services
page 18
Database…
 Track case detection
PAGE 19
Database…
 Track treatment process
PAGE 20
Need for improvement…
 Client retention
PAGE 21
Need for improvement…
 Why lose contact?
PAGE 22
Other challenges…
 Work load
PAGE 23
Other challenges…
 Tracking results by social worker
PAGE 24
Conclusion
 Room for improvement
 Adaptation by state institutions
 Need more research to understand “why’s?”
PAGE 25
Questions?
Contact:
Maxim Kan
PSI Central Asian Republics
Almaty, Kazakhstan
E-mail: [email protected]
PSI
1120
19TH STREET, NW
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PSI.ORG
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B L O G : P S I H E A LT H Y L I V E S . C O M