This abstract has been accepted at the 2024 DHIS2 Annual Conference
Use of DHIS2 tracker individual line lists to facilitate case management approach, and improve HIV treatment continuity and viral load coverage and suppression in Liberia.
Introduction Effective case management plays a crucial role in optimizing HIV care outcomes, including treatment continuity and enhancing viral load coverage and suppression rates. This abstract explores the utilization of DHIS2 tracker individual line lists as a tool to facilitate a comprehensive case management approach within the PEPFAR and USAID funded Meeting Targets and Maintaining Epidemic Control (EpiC) project in Liberia. Process and approach . To address a huge burden of treatment interruption that was recorded in December 2022, the project introduced an intensive case management approach that used four additional counseling sessions before first treatment refill at day 30 and rigorous tracking of clients by peer navigators. To identify the clients, we utilized DHIS2 tracker individual line lists with recipients of care codes to analyze individual level data and identify gaps in treatment and viral load testing. The data were categorized based on age, sex, population type, antiretroviral therapy status, adherence status, viral load status, differentiated service delivery type, date of treatment initiation, and location/address. These data provided sufficient information to case managers for tracking and for the health care workers to synthesize specific approaches and support to at risk groups. Case managers provided education, support for linkage back to treatment, and addressing barriers to medication adherence and viral load coverage and suppression. Results and outcomes The DHIS2 based case management approach yielded significant improvements in HIV treatment continuity. One notable finding was the substantial reduction in treatment interruptions, particularly among clients who had been on treatment for less than three months. As of December 2022, a total of 1,620 individuals who had been on treatment for less than three months experienced treatment interruption. As of December 2023, this number had dropped to zero among this category of clients. Between October 2022 and September 2023, viral load coverage increased from 66% (7,901) to 92% (14,216), and viral load suppression from 82% (6,465) to 97% (13,751). Conclusion Case management supported by DHIS2 tracker individual line lists demonstrated substantial improvements in HIV treatment continuity, viral load coverage, and viral load suppression. The reduction in treatment interruptions, particularly among clients on treatment for less than three months, and the improvements in viral load coverage highlight the effectiveness of personalized interventions based on individual level data. These findings emphasize the value of utilizing data driven approaches in enhancing HIV care and provide valuable insights for future interventions and strategies aimed at improving client.
Primary Author: Rachel Lyimo
Keywords:
Tracker, Individual line lists, HIV/AIDS, case management, Treatment Continuity, viral load coverage and suppression.
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