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Closing the delivery gaps in pediatric HIV care in Togo, West Africa: using the care delivery value chain framework to direct quality improvement
Providing quality care for all children living with HIV/AIDS remains a global challenge and requires the development of new healthcare delivery strategies. The care delivery value chain (CDVC) is a framework that maps activities required to provide effective and responsive care for a patient with a...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991220/ https://www.ncbi.nlm.nih.gov/pubmed/27391996 http://dx.doi.org/10.1080/09540121.2016.1176678 |
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author | Fiori, Kevin Schechter, Jennifer Dey, Monica Braganza, Sandra Rhatigan, Joseph Houndenou, Spero Gbeleou, Christophe Palerbo, Emmanuel Tchangani, Elfamozo Lopez, Andrew Bensen, Emily Hirschhorn, Lisa R. |
author_facet | Fiori, Kevin Schechter, Jennifer Dey, Monica Braganza, Sandra Rhatigan, Joseph Houndenou, Spero Gbeleou, Christophe Palerbo, Emmanuel Tchangani, Elfamozo Lopez, Andrew Bensen, Emily Hirschhorn, Lisa R. |
author_sort | Fiori, Kevin |
collection | PubMed |
description | Providing quality care for all children living with HIV/AIDS remains a global challenge and requires the development of new healthcare delivery strategies. The care delivery value chain (CDVC) is a framework that maps activities required to provide effective and responsive care for a patient with a particular disease across the continuum of care. By mapping activities along a value chain, the CDVC enables managers to better allocate resources, improve communication, and coordinate activities. We report on the successful application of the CDVC as a strategy to optimize care delivery and inform quality improvement (QI) efforts with the overall aim of improving care for Pediatric HIV patients in Togo, West Africa. Over the course of 12 months, 13 distinct QI activities in Pediatric HIV/AIDS care delivery were monitored, and 11 of those activities met or exceeded established targets. Examples included: increase in infants receiving routine polymerase chain reaction testing at 2 months (39–95%), increase in HIV exposed children receiving confirmatory HIV testing at 18 months (67–100%), and increase in patients receiving initial CD4 testing within 3 months of HIV diagnosis (67–100%). The CDVC was an effective approach for evaluating existing systems and prioritizing gaps in delivery for QI over the full cycle of Pediatric HIV/AIDS care in three specific ways: (1) facilitating the first comprehensive mapping of Pediatric HIV/AIDS services, (2) identifying gaps in available services, and (3) catalyzing the creation of a responsive QI plan. The CDVC provided a framework to drive meaningful, strategic action to improve Pediatric HIV care in Togo. |
format | Online Article Text |
id | pubmed-4991220 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-49912202016-09-06 Closing the delivery gaps in pediatric HIV care in Togo, West Africa: using the care delivery value chain framework to direct quality improvement Fiori, Kevin Schechter, Jennifer Dey, Monica Braganza, Sandra Rhatigan, Joseph Houndenou, Spero Gbeleou, Christophe Palerbo, Emmanuel Tchangani, Elfamozo Lopez, Andrew Bensen, Emily Hirschhorn, Lisa R. AIDS Care Articles Providing quality care for all children living with HIV/AIDS remains a global challenge and requires the development of new healthcare delivery strategies. The care delivery value chain (CDVC) is a framework that maps activities required to provide effective and responsive care for a patient with a particular disease across the continuum of care. By mapping activities along a value chain, the CDVC enables managers to better allocate resources, improve communication, and coordinate activities. We report on the successful application of the CDVC as a strategy to optimize care delivery and inform quality improvement (QI) efforts with the overall aim of improving care for Pediatric HIV patients in Togo, West Africa. Over the course of 12 months, 13 distinct QI activities in Pediatric HIV/AIDS care delivery were monitored, and 11 of those activities met or exceeded established targets. Examples included: increase in infants receiving routine polymerase chain reaction testing at 2 months (39–95%), increase in HIV exposed children receiving confirmatory HIV testing at 18 months (67–100%), and increase in patients receiving initial CD4 testing within 3 months of HIV diagnosis (67–100%). The CDVC was an effective approach for evaluating existing systems and prioritizing gaps in delivery for QI over the full cycle of Pediatric HIV/AIDS care in three specific ways: (1) facilitating the first comprehensive mapping of Pediatric HIV/AIDS services, (2) identifying gaps in available services, and (3) catalyzing the creation of a responsive QI plan. The CDVC provided a framework to drive meaningful, strategic action to improve Pediatric HIV care in Togo. Taylor & Francis 2016-05-26 2016-07-08 /pmc/articles/PMC4991220/ /pubmed/27391996 http://dx.doi.org/10.1080/09540121.2016.1176678 Text en © 2016 Hope through Health. Published by Informa UK Limited, trading as Taylor & Francis Group http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Articles Fiori, Kevin Schechter, Jennifer Dey, Monica Braganza, Sandra Rhatigan, Joseph Houndenou, Spero Gbeleou, Christophe Palerbo, Emmanuel Tchangani, Elfamozo Lopez, Andrew Bensen, Emily Hirschhorn, Lisa R. Closing the delivery gaps in pediatric HIV care in Togo, West Africa: using the care delivery value chain framework to direct quality improvement |
title | Closing the delivery gaps in pediatric HIV care in Togo, West Africa: using the care delivery value chain framework to direct quality improvement |
title_full | Closing the delivery gaps in pediatric HIV care in Togo, West Africa: using the care delivery value chain framework to direct quality improvement |
title_fullStr | Closing the delivery gaps in pediatric HIV care in Togo, West Africa: using the care delivery value chain framework to direct quality improvement |
title_full_unstemmed | Closing the delivery gaps in pediatric HIV care in Togo, West Africa: using the care delivery value chain framework to direct quality improvement |
title_short | Closing the delivery gaps in pediatric HIV care in Togo, West Africa: using the care delivery value chain framework to direct quality improvement |
title_sort | closing the delivery gaps in pediatric hiv care in togo, west africa: using the care delivery value chain framework to direct quality improvement |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991220/ https://www.ncbi.nlm.nih.gov/pubmed/27391996 http://dx.doi.org/10.1080/09540121.2016.1176678 |
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