Active Case Management

Active Case Management

: (prevention of mother-to-child transmission of HIV,PMTCT) HIV (Couple HIV counselling and testing, CHCT) (Perinatal HIV Intervention Monitoring System, PHIMS ) 2560Getting to Zero 2560 TR < 1.5 % (Impact)MTCT Rate < 1.5 % 50 (Outcome) 50 3 80 VL < 50 cpm 12 2560 Output 60 60 90 HAART 90 PCR 1 Active Case ManagementSystem PMTCT case , ( ) Call centerSupport 25-26 2557 1 Building Capacity Training( .)Guide BookEvaluation CD4 HIV Active Case Management

Form contact person Active Case Management (ACM) Form EMTCT HIV EMTCTCase Manager case HIV positive HIV positiveOutlines Case Activation flow & network Active case management form & database ACC

HIV+ve deliveryHospitals(N=900)DOHPed Cure ResearchACC Form (All HIV+ exposed infants)Part 1: registerPart 2: EIDACC databaseInfant PCR+ve Regional CM, HIVNATNAP PCR labsN=15ACC Form (PCR+ve infants)Part 1: registerPart 2: EIDPart 3: ACCBATSHIV NAT : TUCMom Case Activation & ManagementCall Center - CM ACC part 1,2 ( EID) (5000/yr)ACC Database : TUC : TUC

NHIVNATProv = 5 Pediatric HIV Centers: referral site, training and networking with provincial hospitals in the regionProvincial hospitals: referral site and networking with their community hospitals in the provinceHIVNAT: a referral site and networking with Thai Red Cross and Bangkok Hospitals+Pediatric HIV i-ACC NetworksHYProv = 14CRP Prov=18SNR Prov= 20PCKProv = 20 : TUCACC Database Collect key information of HIV+ve mother delivered in hospitals3 parts: registration, EID, ART (if PCR+) Case managers will call and interview hospital staff to enter data into web-based programRelated stakeholders will have access to ACC database and use data for managing HIV+ve mom & HIV exposed infants : TUCACC Form

1. - . 2. risk MTCT, EID, HIV Dx3. ART for PCR+vereferral to Ped Cure research : TUCM&E for ACCACC databaseNAP databaseMonthly activity reportData exportRCMHCMACC Advisory Committee & Working GroupOutcomes reportsDOH - CM : TUCM&E for ACCACC databaseNAP databaseMonthly activity reportClinical data exportHCMACC Advisory Committee & Working GroupOutcomes reportsNeed approval from NHSO for monthly/quarterly data export (cohort of HIV+ mom & children)Guide & track active managementHow well PMTCT for HIV+ve mom Determine risk for MTCTHow soon EID & early ART in PCR+ve infantsRCMDOH - CM : TUCM&E for ACCACC databaseNAP databasenumber and where HIV+ve mom giving birthsClassification of risk for MTCTEID appointment & receiptWhere PCR positive infants identifiedAge at first identificationNumber of confirmed PCR positiveAge at confirmed HIV+veNumber of ART initiationAge at ART initiation

PMTCT service uptakeMTCT rateART & retention (outcome) Number of infants in HIV careNumber of infants received ARTVL suppression at 12, 24, moCD4 status/gain over timeBW & height ARV AdherenceOI incidence?Retention in careDeadPed cure researchHIV reservoir in early ART infantsCase investigationRisk factors for MTCT

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