CASE BASED SURVEILLANCE IN HEALTH FACILITIES

MakSPH METS Program held a mentorship workshop on HIV Testing Services (HTS) in Kabarole District from 2^nd – 6^th October 2017 at Kalya Courts in Kabarole District. Participants were mentored on how to enter HTS data in the Uganda EMR to help track the number of people tested for HIV, track the cohorts of those tested as well as track linkage to care.

Individual facility follow-up mentorships were carried out from 16^th – 27^th October 2017 and monitoring of entry of HTS data into the UgandaEMR system was done. These visits were also used to upgrade the said system from version 1.0.17 to 2.0. The new version is equipped with Fingerprint module, captures information from Outpatient Department, is equipped with improved maternal health care data capture tools, TB register data capture tool and data validation checks to determine whether the data entered is correct hence improve reporting at health facilities. The new system can pair mother and child when information of either party is provided on the Early Infection Diagnosis (EID) clinic chart.

The visits were used to get feedback from beneficiaries of the Case Based Surveillance (CBS) Project at the health facilities and hear from them their experience of the different programs under the project.

The visits were also used to collect CBS data (data on EID, Viral Load and longitudinal follow up of patients as detailed below)

• Exposed infant cohort analysis report
• Viral load addendum report, follow-up of patients who non-suppressing before and after Intensive Adherence Counselling (IAC) sessions.
• Adult indicators on CBS reporting which involves tracking patients at determining the status at 6,12,24,36,48,60 and 72 months, to find how many had passed away, were lost to follow-up, those that switched regimen and those failing on first and second and third line regimens

A total of 35 facilities were visited, these included;

1. Twenty-Eight Health Centre IIIs

Kijura, Kaswa, Mucwa, Mitandi, Ruteete, Kakinga, Nyantabooma, Rambia, Kabende, Kasenda, Kicwamba, Nyabuswa, Rwajimba, Rwimi, Yerya, Kasunganayanja, Mugusu, Kiko, Kisomoro, Kabonero, Karambi, Kagote, Katojo, Rwagimba, Kiyombya, Muhoti, Kidubuli and Kasusu

1. Three Health Centre IVs

Kibiito, Kataraka and Bukuuku

3. Four Hospitals

Kabarole, Kida, Virika and Kabarole regional referral