Professional Documents
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Standards-Based Management and Recognition (SBM-R): A Tool for Improving the Quality of PMTCT Services A Case Report for the Zambian Defense Forces (ZDF) Health Facilities
by: Maureen Chilila, Hilda Shasulwe, Joseph Banda, Kwame Asiedu, Joseph Nikisi, Webby Kanjipite and Lt. Col. Joyce Mulilo
Project Goal
To reduce the
spread of HIV and AIDS and mitigate the impact of the epidemic by building the capacity of the ZDF to both prevent infections and provide treatment and care
Results
Comprehensive PMTCT services such as antenatal
care, labor and delivery, postnatal, family planning and child health care have been initiated in all model sites, with the performance of providers markedly improved, as demonstrated by the achievement of standards in the various areas. All the sites have received supportive supervision visits and mentorship. The initiative resulted in a steady increase in service uptake over the years. 11,207 mothers have been counseled and tested. Seven in every 10 positive pregnant women were provided with ARVs during the PMTCT program.
Approach
and Recognition (SBM-R) approach as a way to improve the quality of services and various support systems SBM-Ra quality improvement process that uses a set of detailed standards for the various reproductive health components Training of providers and mentorship for improved skills for providers Provision of data management tools to capture the information on PMTCT program implementation and service utilization Procurement and distribution of equipment and supplies for service provision
Of these, 13% (1,436) tested HIV-positive. 277 (3%) pregnant women already knew their HIV
status at entry.
Conclusion
The program data so far have shown that it is
possible for quality PMTCT services to be scaled up to the ZDF health facilities and to increase the number of infected women benefiting from the PMTCT program in Zambia.
This work has been supported by the Presidents Emergency Plan for AIDS Relief (PEPFAR) through DOD under the terms of Grant No. N00244-09-1-0050.