Category: Maternal and Child Health 

Abstract Title: Integration of Family Planning into Voluntary Counselling and Testing (VCT) Services in Shinyanga Region, Tanzania 

Author: Dafrosa Chale Shiluka1

Co-authors:  Dr. Amos Nsheha2; Dr. Gastor Njau2; Sarah Matemu2; Doris Lutkam2 

Background:

The Ariel Glaser pediatric AIDS Healthcare Initiative (AGPAHI) supports Family planning integration into existing HIV and AIDs services in Shinyanga Region with funding from the United Nation’s Population Fund (UNFPA). Shinyanga Region is one among the regions which has low Contraceptive Prevalence Rate of 13% (TDHS, 2010) and low utilization of integration services through various entry points which demonstrates high demands of Family planning services.

Goal: To Improve uptake of family planning methods at VCT sites from 33% to 60% through integration into existing HIV screening services. 

Methodology:

A total of 20 health facilities were identified for FP/VCT integration by co-location of HIV testing services with FP screening, counseling, and commodities at VCTs followed by training of health care providers using national VCT/FP curriculum. The trained service providers were then tasked with provision of FP services at VCT points with continued support of CHMT and national trainers. The actual implementation started in January, 2014 with zero clients receiving FP methods at VCT sites. 

Shinyanga and Simiyu Region are allocated in Lake Zone of Tanzania. The regions are among the identified area with low Contraceptive Prevalence Rate (CPR) 12.5% (TDHS, 2010), low CPR is being contributed by various factors including family planning commodity management.

Supply Chain Management; 

Category; Health policy and health system operations

Author: Emilian Ng’wandu1

Co-authors: Dr. Amos Nsheha2, Dafrosa Chale Shiluka3, Dr. Gastor Njau4, Edgar Basheka5 and Swald Amir6 

Title: The impact of supply chain interventions in improving uptake of Family Planning services at Care and Treatment (CTC) and Voluntary and Counselling Testing (VCT) sites in Shinyanga and Simiyu Regions: Results after 18 months of intervention. 

Background: 

Ariel Glaser Pediatric AIDS Health Care Initiatives (AGPAHI) through the generous support from United Nation’s Population Fund (UNFPA) introduced and implementing integration of Family Planning services into Care and Treatment and Voluntary Counseling and Testing  services in 7 councils of  Shinyanga Region  (Msalala, Ushetu, Kahama Town Council and Shinyanga Municipal Council) and Simiyu Region (Bariadi Town Council, Bariadi and Itilima District Councils) with the aim of increasing access of family planning services through integration approach to HIV services. 

 

Category: Health Policy and Health Systems 

Author: Faustine Kilicha1

Co-authors: Venosa Sawaki2, Raymond Kirigiti3, Dafrosa Charles4, Gastor Njau5 and Amos Nsheha6 

Abstract Title:

Mechanism towards accountability of HIV test kits and their utilization in skimpy supply in lower level health facilities in Itilima district. 

Background:

Inconsistence and inadequate supply of HIV test kits from Medical Store Department and other implementing partners to districts and lower level health facilities has been commonly complained and reported by health care workers from various angles of health facilities in Simiyu Region. Medicine and test kits audit is a big challenge to most of councils. Itilima District Council recognizes the importance of supply audit to ensure quality of services and constant availability of test kits in particular. 

Objective:

To determine mechanism to improve proper utilization of HIV test kits at lower level health facilities in Itilima District. 

Methodology:

A quantitative, cross section study was employed in eleven lower level health facilities which was conveniently sampled between January to March 2015. A local designed auditing tools were used to assess the availability of HIV test kits especially Alere Determine to determine consumption, ordering modalities and timeliness. 

Results:

All primary health facilities had been supplied with HIV test kits as it was ordered from MSD through ILS. Seven health facilities had been reported utilizing the commodities adequately as required. Four facilities reported HIV test kits wastage of more than 25%; overall wastage was 18% which is above the recommended commodity wastage of 5%. Lack of competence on performing HIV testing among service providers led into irrational use of HIV test kits. 

Conclusion:

Regular supportive supervision, drug auditing including HIV test Kits and mentorship to lower level health facilities has a room to timely detect numerous pitfalls in supply and commodity management. 

Recommendation

Provision of onsite mentorship to service providers will improve documentation and mismanagement of HIV test kits. 

1District AIDS Control Coordinator, Itilima District 

2District Reproductive and Child Health, Itilima District

3District Lab Technician, Itilima District

4Regional Program Coordinator, AGPAHI

5Regional Program Manager, AGPAHI

6Technical Director, AGPAHI 

Corresponding author: Faustine Kilicha

Corresponding author’s email address: This email address is being protected from spambots. You need JavaScript enabled to view it.

Category; Infectious Diseases 

Author: Kihulya Mageda1 

Co-authors: Hussein Alio2, Emmanuel John3, Gastor Njau4, Hamis Kulemba5 

Title: Determinants of Unfavourable Treatment Outcome among Tuberculosis Clients, registered in Simiyu Region: a Retrospective Data Review 2014. 

Background:

Tuberculosis is a chronic infectious disease and commonest opportunistic infection in people living with HIV. Despite high DOTs’ strategy coverage in Simiyu Region the treatment outcome of TB patients in health facilities has not been assessed. There is little information regarding risk factors for unsuccessful treatment outcome in the region. We conducted this study to assess the magnitude of TB/HIV co- infection and factors associated with unsuccessful treatment outcome among client registered at TB clinic in Simiyu region 

Methods:

Routinely collected data from TB care and treatment centers were collected retrospectively. Prevalence was used to measure the level of HIV co-infection. Kaplan-Meier survival curves and incidence rate used to explain mortality. Cox proportional hazard used to determine risk factors for unsuccessful treatment outcome. 

Results:

1183 registered patients 41.3% (489) were co-infected with HIV/AIDS. The overall mortality rate(MR) in this population was 15 person year per 100(Py/100), 95%CI 11.45-19.93.The mortality was higher in advanced age(50yearand above[MR=25Py/100, 95%CI 15.6-40.3], sputum status negative[MR=23.3Py/100, 95% CI 12.2-44.9], second drug regimen (2SRHZE/1RHZE/5RHE)[MR=448.0,95%CI15.5-148.8.The determinant of mortality in this population was advanced age[Adjusted Hazard Rate(AHR)=10.2, 95% CI 1.38-76.61], co-infected with HIV[AHR=3.4, 95% CI 1.52-7.53] and  HIVTB co-infected not using ART[AHR=3.2,95%CI 1.49-8.64]. 

Conclusion:

The prevalence of HIV infection in Simiyu Region among TB patient is high and the factors associated with death during treatment were advance age, TbHIV co- infection and TbHIV co-infection not taking ART.

We emphasize that all patients registered to CTC and TB   clinic should be screened to look for co-infection. Advocates and close follow-up for TB and HIV infected population should be strengthened. 

1Regional Medical Officer, Simiyu Region.  

2Program Officer TBHIV, AGPAHI.

3Regional TB and Leprosy Coordinator, Simiyu Region.

4Regional Program Manager, AGPAHI

5Regional HIVAIDS Coordinator, Simiyu Region.

 

Corresponding author: Dr. Kihulya Mageda

Corresponding author’s email address: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 

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What We Do

  • CIFF Reprogramming +

    Project Goal is to improve health services to prevent HIV transmission, increase identification of adolescents with HIV infection, and improve HIV care and treatment and retention for ALHIV in Tanzania.

  • TB in the Mining Sector Programme +

    TB in mining sector (TIMS) project is funded by Global fund through Development Aid from People to People (ADPP - Mozambique). AGPAHI is a sub-recipient of ADPP Mozambique.The project target is to screen TB to approximately 30,000 mine workers and their families.

  • Provision of Comprehensive HIV Care +

    The purpose of** Boresha Project** is to support comprehensive facility-based HIV testing, care, treatment and support service provision in 9 scale-up and 25 sustained districts in the five lake zone regions of Geita, Mara, Mwanza, Simiyu and Shinyanga. .

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