CDI Key System Barriers - WBS

CDI Key System Barriers WBS
 
 
 
 

CDI Key System Barriers - WBS

1 years ago by: Cassandra Jackson
 
 
  • Key System Barriers
    • Insufficient coordination of AIDS activities
      • 1. Coordination meetings with the National Coordinating Committee of the Response to the fight against AIDS in Côte d'Ivoire (CNCILS) which the functioning is ensured by two organs (i) the Coordinating Committee for the Fight against AIDS (CCLS) chaired by the Minister of Health or his representative and the Technical Committee for the Fight against AIDS (CTLS) chaired by the General Director of Health. This technical committee will be expanded to the Health Regional Directorate and will be held monthly to ensure better monitoring of site performance (monthly and quarterly review and analysis of overall results).
      • 5. Policy Development / Revision 6. Support to the DGS operation (including the PNLS) firstly by receiving operating support like Fuel, Phones card and office supplies fuel and secondly by Human Resources reinforcement including premium for Senior Technical Advisor, M&E senior, data managers and others MoH staffs 7. Participation in PEPFAR meetings 8. Coordination with PNOEV for the use of social centers (coordination with all other programs to improve the follow-up and maintenance of patients in care and treatment)
      • Monitoring / sites visits
      • Participation in PEPFAR meetings
      • 5. Participation in PEPFAR meetings
      • 1. Planning / goal setting meetings 2. Performance review meetings (weekly data)
    • Insufficient knowledge of the population about HIV
      • 2. Conducting a bibliographic study of the surveys carried out in Côte d'Ivoire on the reasons for stopping ARV treatment (patients lost to follow-up (LTFU
      • 3. Development and implementation of the new communication strategy
      • 3. Local communication strategies suitable for the region
    • Low retention of PLHIV in care
      • 13. Coordination with social centers (PNOEV) with all other decentralized programs or organizations to improve the follow-up and maintenance of patients in care and treatment
      • 14. Drug and input stocks monitoring (Alertness Unit for the management of input disruptions)
    • Weak analysis of HIV data at the decentralized level for decision-making
      • 4. Monitoring and evaluation of the response / Electronic tools or data management (data quality)
      • 2. Performance review meetings (weekly data)
    • 9. Insufficient monitoring and reporting of morbidity/mortality outcomes including infectious/non-infectious morbidity (Surveilance, M&E, HIMS, unique identifier)
      • 4. Monitoring and evaluation of the response / Electronic tools or data management (data quality)
      • Idea
    • Insufficient ART coverage and retention for men, women and adolescents due to slow adoption and low implementation of policies (differentiated service delivery models, including six month multi-month scripting, free user fees)
      • 1. Planning / goal setting meetings 2. Performance review meetings (weekly data)
      • 3. Exchange meetings with community partners 4. Exchange meetings with OSCs
    • Low involvement of center leaders in AIDS activities and local authorities
      • Monitoring / sites visits / Inspection to ensure the effectiveness of measures through unannounced site visits
      • 1. Organize the decentralized committees statutory meetings for the fight against AIDS in the presence of civil society including PLHIV associations 2. Relationship and follow-up of the partners’ regional offices activities
      • 5. Information and sensitization of local administrative and village authorities and development of funding mechanisms for their involvement. 6. Training of local authorities 7. Development of Regional and District Action Plans 8. Regional Planning Meetings 9. Regional Performance Review Meetings
      • 6. Involvement of the different community levels (district and CSO) in the management of the results of the sites of care
    • 8. Limited access to VL/EID testing services and delayed availability of results for clients management (to achieve more than 90% retention rate across age, sex, and risk groups)
    • Weak local capacity empowerment and HRH sub-optimized (e.g. Coordination at subnational levels of health system; indigenous partners; CSOs…)
      • 11. Premium for HIV / AIDS Focal Points
      • 7. Motivation based on the performance of human resources for managers of treatment sites (sites with high volumes or priority)
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