Dar es Salaam126 Nov 2009 CEM – maximising the reporting rate

26 Nov 2009Dar es Salaam2 Planning & implementation Communication Ministry of Health Ministry of Health Professional organisations Professional organisations PHP officials PHP officials Health professionals Health professionals  doctors  pharmacists  nurses Other health workers Other health workers

Completion of questionnaires Options In the NZ IMMP & UK PEM   Doctors from their patient records In NZ IMMP   Nurses by telephone   patients

26 Nov 2009Dar es Salaam4 Completion of questionnaires Options for ART Clinicians –Not likely!! Clinicians –Not likely!!  in real time  from records Pharmacist at dispensing Pharmacist at dispensing CEM data recorder CEM data recorder  from records  in real time (with clinician)  patient diary  patient interview [telephone] [telephone]

26 Nov 2009Dar es Salaam6 Planning Discuss MEET all the key players MEET all the key players Programme / health service directors Programme / health service directors Staff at clinics Staff at clinics  give them the choice Create a feeling of collaboration Create a feeling of collaboration  working together to improve patient outcomes  working together to learn more about the medicines  working together for a successful PHP Company Company

26 Nov 2009Dar es Salaam7 Be friendly collegial

26 Nov 2009Dar es Salaam8 Remove barriers Questionnaires available Questionnaires available Understand the reason Understand the reason Understand the methodology Understand the methodology Minimise disruption to workflow Minimise disruption to workflow Ask for essentials only Ask for essentials only Make answering easy Make answering easy  Check boxes  Avoid difficult recall or access

26 Nov 2009Dar es Salaam9 Remove barriers Patients attending other health facilities Patients attending other health facilities  CEM ID card –to have & to hold  Inform neighbouring clinics / hospitals Reassure about privacy Reassure about privacy  Patient  Health worker

26 Nov 2009Dar es Salaam10 ID card –front side Patient Card Patient Card Monitoring of HIV medicines Monitoring of HIV medicines Country organisation / logo Country organisation / logo Name of clinic Name of clinic Name of patient Name of patient Unique # Unique # Please bring this card during every Please bring this card during every visit to any hospital or clinic visit to any hospital or clinic

26 Nov 2009Dar es Salaam11 ID card –reverse side Cohort Event Monitoring (CEM) programme Cohort Event Monitoring (CEM) programme This patient’s medicines are being specially monitored to help decide the safest use and ensure the greatest benefits. This patient’s medicines are being specially monitored to help decide the safest use and ensure the greatest benefits. If he or she has any new health problems, please inform his or her regular clinic and identify the patient with the unique number If he or she has any new health problems, please inform his or her regular clinic and identify the patient with the unique number Clinic phone no Clinic phone no

26 Nov 2009Dar es Salaam12 Encouragement / incentives Good, regular feedback Good, regular feedback  Interesting  Helpful CME credits CME credits Certificate of participation Certificate of participation Best practice requirement Best practice requirement Acknowledge in publications Acknowledge in publications