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The first session is in French and the rest are in English
Please note that all slides will be shared.
PODI = Poste de distribution
The Presentation will be translated to English and shared
Hey. Are you able to translate in texts?
@Corey, I think drug shops are are small stores that sell mostly over the counter medications. They are not allowed to dispense some medications like ARVs and medications. Tracy can share more as she has done some work with drug shops. And in Nigeria I think they are called patent medicine vendors
Drug shops are a category of shops which sell a limited category of medicines. They are a level below the pharmacy
This needs to be aligned with each country policy
Hi Terrence, as the PODI model was adopted by the national progame HIV in the country, the data and reporting is part of the monthly requirement (like for health centres).
Oral and Injectables are provided at the community level through the CHCD model
The analysis on the VL coverage and suppression are still ongoing and I don't have the data at the moment. This has been due to the evolving electronic M&E system, that still cannot report the CHCD data separately. All data presented in this session is abstracted data and the data on VLC and VLS will be shared in due course.
In terms of M&E systems Epic has designed a simple App which allows for sharing of information between the facility and refill outlets. Generally the DDD activities are reported by the facility and need information from the outlets about the patient refill.
@David and Laura, are any CDP points private facilities?
Currently CDPs are not Private Facilities. they are really just based at the community level. Eligibility for sites is based on being a central location for that community, providing some privacy or set up to allow for privacy.
Is there a plan to transfer the service to individuals to pay? at least some individuals?
In terms of safety and drug security all drugs go out with the HCWs and are distributed by HCWs. So similar to normal outreachs at the community level but just focused on drug distribution.
bonjour et mercijames , malheureusement je ne parle pas shwahili
Need to know to know the quality of the person who delivers products
Is there any criteria to select which clients receive home ART delivery?
The products are delivered by a trained Health care worker
is it any motivation for the leader of the group
In the CRAG meeting do they take eachother's weight each time?
Any effects of MMD on CAGs? Some experience in Mozambique indicated break-up of some CAGs with patients preferring individual MMD option.
Clients periodically go back to the health facility for the review and lab test.
CARGs do get MMD. Depending on stock status they get 3MMD or MMD
Hi Christian, stable clients go once a year to the health facility for check up (viral load etc), and in addition if any issues come up
lost to follow up, loss of weight, any other problems, they go back for a check at the health centre
Up to 6MMD. There are no challenges
Auxilia that was wonderful. Many lessons learnt.
DRC: 98% retention , excellent but at which period of ART? 1month, 2months, 3 months, 6 months or 12 months? Mortality in PODI nil but what is the mortality rate in facility and what contribute to low mortality at PODI level?
What is eligibility criteria for a community drug pick up point and how is drug security sustained?
I'm curious if you see a rural vs urban split in Zimbabwe with CAGs?
Will the slides be shared?
3 months (4 visits per year) - mortality, you are right - if clients become sick they would get referred back to health facility
You can register for the next session here: https://zoom.us/webinar/register/WN_YzefxrC-So-4TYlJTOzURg