AMPATHPlus Quarterly Narrative Report Quarter 1, 2015-2016

HIV testing for children was scaled up as part of the ACT program in Kisumu, Busia, and Uasin Gishu. Targeted HTC services were provided for special groups, including orphans and vulnerable children, fisher folks, and female sex workers. The prevention department participated in the assessment of service provision using the Site Improvement Monitoring System (SIMS) tool to improve quality. A sense of ownership and continuity was created in the counties by allowing MOH County MCH champions and training of trainers to lead MCH/FP program activities. Intensive Focused Antenatal Care (FANC) training was conducted for an additional 98 healthcare workers, increasing the number of providers equipped to meet the demands of pregnant women being referred from the community. PMTCT integration was strengthened during the quarter, with most facilities offering MCH-based PMTCT services. In care and treatment, the clinical team conducted ART training and updated ART guidelines for clinical staff from high-volume facilities in all 8 AMPATH catchment counties. The social behavioral team focused on promoting ART adherence among clients in high-volume sites by developing adherence protocols, monitoring patient outcomes, and forming adherence teams. To improve data capture, management, and use, various system improvements were undertaken during the quarter. The OVC program transitioned to the OVC Longitudinal Monitoring Information System (OLMIS), with all child and household forms of 28,228 OVCs entered into the system. The Logistics Management Information System (LMIS) was installed in 10 facilities for capture and management of nutrition data, increasing accuracy and timeliness of reporting. In HIV care and treatment, the health informatics team developed and implemented a Point of Care (POC) system for AMRS, currently undergoing a pilot in Module 2 at AMPATH CCC. A successful quality improvement training was conducted for staff from 19 facilities in Uasin Gishu, Elgeyo Marakwet, West Pokot, and Bungoma, focusing on applying quality improvement tools to address gaps in service delivery. Quantitatively, in Bunyala Sub-County, priority populations, mainly fisher folks, were provided with HTC services, and TB screening and referrals were made appropriately. A total of 421 fisher folks were counseled and tested for HIV. Across the catchment, 10,028 (65.9%) eligible women attended at least 4 ANC visits, and 95% (25,124) of children between 9 months and 5 years received all their required immunizations. In HIV care and treatment, 2355 patients were enrolled, and 2204 were initiated on ART during the quarter. There was a marked increase in the proportion of patients initiated on ART. Family planning commodities were reported in 94% of Service Delivery Points, and nearly all service delivery points submitted their family planning commodities report accurately and on time.