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4. HIV Case-Based Surveillance and Patient Monitoring

July 10, 2020 @ 12:00 am UTC+0

Background

HIV case-based reporting and patient monitoring is essential for ensuring quality and continuity of HIV care and treatment by generating data  along the course of HIV disease from diagnosis to entry into care, initiation of ART and viral suppression. It enables programmes to monitor the treatment and health status of patients over time, and performance across health facilities and geographic settings. 

The aim of the course is to provide participants with practical guidance on how to design and implement systems for HIV case reporting and patient monitoring  through the use of longitudinal and other information collected within these systems. 

The course will start with introductory presentations on components and functions of HIV case reporting and patient monitoring and the principles of the analysis of the cascade of HIV care and treatment services. Presentations will outline an essential minimum data set for patient monitoring and case reporting, generic patient monitoring tools (including patient cards, register and cross-sectional and cohort reporting forms) and priority global and national indicators that use the HIV patient monitoring system as a key data source and methods for collection.

Other topics that will be  addressed include key issues in the analysis of  cohorts of patients in HIV care and treatment programmes, aggregation of data across the facilities, principles of cohort data analysis and the use of data to improve the programme performance at various levels. The course will also describe the  methods used to monitor Early Warning Indicators of HIV drug resistance, and the types and methods used in HIV drug resistance surveillance. 

Exercises will illustrate the most common challenges in data collection, use and reporting.  

 

Learning objectives

  • Understand components and functions of HIV case reporting and patient monitoring
  • Understand types of tools and registers needed in setting up these systems, and electronic reporting and linkage
  • Apply the concept of a cohort to ART monitoring and evaluation
  • Organize cohort data collected through routine patient monitoring
  • Calculate key indicators of HIV care and treatment programmes
  • Interpret case reporting and patient monitoring data to enhance capacity for HIV programme monitoring
  • Gain skills in conducting ART cohort analysis 
  • Understand the principles and methods of HIV drug resistance surveillance

 

Key topics 

  • Recent developments in HIV case reporting and patient monitoring 
  • Core set of indicators for HIV patient monitoring along the HIV cascade
  • Data collection tools used in case reporting and HIV patient monitoring
  • Unique patient IDs and de-duplication 
  • Preparing and interpreting the cross-sectional and cohort treatment report
  • Approaches to tracking and linking patients across time and health service delivery points
  • Aggregation of cohort data across facilities and data periods 
  • Principles of ART cohort analysis and how it can be used for programme monitoring
  • Special considerations for MNCH and HIV-exposed infant patient monitoring 
  • Special considerations for TB/HIV patient monitoring 
  • Data management processes in HIV case reporting and programme monitoring

 

Teaching methods

The course consists of lectures, case studies and exercises. 

During group/ individual work participants are expected to develop protocols for HIV patient monitoring or case reporting systems. Alternatively, participants can opt for doing data analysis using HIV cohort data (the dataset will be provided by course organisers). Results of the group/ individual work will be presented on the last day of the course. 

 

Partner institutions:

Global Health Sciences, University of California, San Francisco 

Clinical Hospital for Infectious Diseases, University of Zagreb

 

This course was held in:

  •  Zagreb, Croatia
  •  Morogoro, Tanzania
  • Cairo, Egypt, on request of WHO EMRO

 

Details

Date:
July 10, 2020
Time:
12:00 am UTC+0
Event Category:

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