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Community Distribution of ART - Shared screen with speaker view
Moses Bateganya
15:08
Sara will be moving the slides.
Sarah Dixon
15:37
I'm ready when you are :)
Sarah Dixon
18:30
Yes, everyone is muted
Issabelle
19:03
Will slides be available to be shared afterwards?
James Batuka
21:33
Please type questions and comments in the chat
James Batuka
22:17
The first session is in French and the rest are in English
James Batuka
23:01
Please note that all slides will be shared.
Issabelle
25:45
PODI = Poste de distribution
James Batuka
26:01
The Presentation will be translated to English and shared
Moses Bateganya
29:28
Hey. Are you able to translate in texts?
Moses Bateganya
29:43
not verbally
Moses Bateganya
39:48
@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
James Batuka
40:12
Drug shops are a category of shops which sell a limited category of medicines. They are a level below the pharmacy
Felix HITAYEZU
43:33
This needs to be aligned with each country policy
Issabelle
43:58
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).
Laura Muzart
54:27
Oral and Injectables are provided at the community level through the CHCD model
Christopher Makwindi
01:01:46
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.
James Batuka
01:03:28
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.
Moses Bateganya
01:05:00
@David and Laura, are any CDP points private facilities?
Laura Muzart
01:06:44
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.
Moses Bateganya
01:07:12
Is there a plan to transfer the service to individuals to pay? at least some individuals?
Laura Muzart
01:07:16
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.
Issabelle
01:08:01
bonjour et mercijames , malheureusement je ne parle pas shwahili
Felix HITAYEZU
01:09:15
Need to know to know the quality of the person who delivers products
Terrence Epie
01:09:55
Is there any criteria to select which clients receive home ART delivery?
James Batuka
01:10:43
The products are delivered by a trained Health care worker
Felix HITAYEZU
01:11:14
Good
Felix HITAYEZU
01:14:56
is it any motivation for the leader of the group
Issabelle
01:20:34
In the CRAG meeting do they take eachother's weight each time?
Andrew Maranga
01:24:09
Any effects of MMD on CAGs? Some experience in Mozambique indicated break-up of some CAGs with patients preferring individual MMD option.
James Batuka
01:24:45
Clients periodically go back to the health facility for the review and lab test.
Pugie Chimberengwa
01:25:40
CARGs do get MMD. Depending on stock status they get 3MMD or MMD
Issabelle
01:25:46
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
Issabelle
01:26:18
lost to follow up, loss of weight, any other problems, they go back for a check at the health centre
Pugie Chimberengwa
01:26:31
Up to 6MMD. There are no challenges
Nkechinyere Izuka
01:28:38
Auxilia that was wonderful. Many lessons learnt.
Patrick Makelele
01:35:51
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?
david chilongozi
01:36:41
What is eligibility criteria for a community drug pick up point and how is drug security sustained?
Tom Minior
01:37:09
I'm curious if you see a rural vs urban split in Zimbabwe with CAGs?
Terrence Epie
01:37:27
Will the slides be shared?
Issabelle
01:38:03
3 months (4 visits per year) - mortality, you are right - if clients become sick they would get referred back to health facility
Sarah Dixon
01:38:07
You can register for the next session here: https://zoom.us/webinar/register/WN_YzefxrC-So-4TYlJTOzURg