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Interventions to Improve HIV Viral Load Suppression among the Adolescents: Evidence of Improvement Science through a Quality Improvement Approach in Eastern Uganda
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摘要：
<b>Introduction:</b> Achieving viral load suppression among the adolescents living with HIV continues to hold back attainment of sustainable development goals. TASO Mbale realized a viral load suppression rate of 63.1% among the adolescents living with HIV in care in quarter 4 of 2016. We therefore, instituted a quality imrpovement project to improve Viral load suppression from 63.1% in quarter 4 2016 to 90% by the end of quarter 4 2017. <b>Method:</b> Baseline data from the Uganda viral load dashboard were analyzed, and fishbone diagram was utilized to provide root causes of low viral load suppression among the adolescents living with HIV at TASO Mbale. The identified barriers were Knowlegde gap, among the adolescents, on positive living, Missing clinic appointments, Sub-optimal adherence, Poorly planned adolescent HIV clinic, Inadequate follow-up and Low use of data for informed decisions. A plan-do-study-act (PDSA) model was applied to implement tested changes. Strategies that worked included introduction of appointment register to track appointment behaviour of the adolescents, generating lists of clients on appointment who were due for Viral Load bleeding, telephone calls for follow up, increasing the frequency of reviewing adolescents from once a month to twice a week, committing a dedicated team responsible for adolescent care. <b>Results:</b> The viral load suppression improved from 63.1% in quarter 4 of 2016 to 63.8% in the first quarter of 2017, to 87.5% in quarter 2 of 2017, 97.6% in the third quarter and 91.4% in quarter 4 of 2017. <b>Conclusion:</b> The use of quality improvement in addressing gaps in HIV service delivery is highly effective.
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| 篇名 | Interventions to Improve HIV Viral Load Suppression among the Adolescents: Evidence of Improvement Science through a Quality Improvement Approach in Eastern Uganda | ||
| 来源期刊 | 艾滋病(英文) | 学科 | 医学 |
| 关键词 | HIV Adolescents Viral Load Suppression Quality Improvement | ||
| 年，卷（期） | 2020,（2） | 所属期刊栏目 | |
| 研究方向 | 页码范围 | 94-106 | |
| 页数 | 13页 | 分类号 | R51 |
| 字数 | 语种 | ||
| DOI | |||
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HIV
Adolescents
Viral
Load
Suppression
Quality
Improvement
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艾滋病（英文）
主办单位：
美国科研出版社
出版周期：
季刊
ISSN：
2160-8814
CN：
开本：
出版地：
武汉市江夏区汤逊湖北路38号光谷总部空间
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18
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0
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