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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 | SUITE 600 WASHINGTON, DC 20036 PSI.ORG | T W I T T E R : @ P S I H E A LT H Y L I V E S | B L O G : P S I H E A LT H Y L I V E S . C O M