CEM maximising the reporting rate 26 Nov

CEM – maximising the reporting rate 26 Nov 2009 Dar es Salaam 1

Planning & implementation Communication • Ministry of Health • Professional organisations • PHP officials • Health professionals Ødoctors Øpharmacists Ønurses • Other health workers 26 Nov 2009 Dar es Salaam 2

Completion of questionnaires Options • In the NZ IMMP & UK PEM ØDoctors from their patient records • In NZ IMMP ØNurses by telephone Øpatients

Completion of questionnaires Options for ART • Clinicians –Not likely!! Ø in real time Ø from records • Pharmacist at dispensing • CEM data recorder Ø from records Ø in real time (with clinician) Ø patient diary Ø patient interview • [telephone] 26 Nov 2009 Dar es Salaam 4

Planning Discuss • MEET all the key players • Programme / health service directors • Staff at clinics Ø give them the choice • Create a feeling of collaboration Ø working together to improve patient outcomes Ø working together to learn more about the medicines Ø working together for a successful PHP • Company 26 Nov 2009 Dar es Salaam 6

Be friendly collegial 26 Nov 2009 Dar es Salaam 7

Remove barriers • Questionnaires available • Understand the reason • Understand the methodology • Minimise disruption to workflow • Ask for essentials only • Make answering easy Ø Check boxes Ø Avoid difficult recall or access 26 Nov 2009 Dar es Salaam 8

Remove barriers • Patients attending other health facilities ØCEM ID card –to have & to hold ØInform neighbouring clinics / hospitals • Reassure about privacy ØPatient ØHealth worker 26 Nov 2009 Dar es Salaam 9

ID card –front side • Patient Card • Monitoring of HIV medicines • Country organisation / logo • Name of clinic. . . . • Name of patient. . . . • Unique #. . . . . • Please bring this card during every • visit to any hospital or clinic 26 Nov 2009 Dar es Salaam 10

ID card –reverse side • Cohort Event Monitoring (CEM) programme • 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 • Clinic phone no. . . 26 Nov 2009 Dar es Salaam 11

Encouragement / incentives • Good, regular feedback ØInteresting ØHelpful • CME credits • Certificate of participation • Best practice requirement • Acknowledge in publications 26 Nov 2009 Dar es Salaam 12