Serwanja Winnie and Duhirwe Boneventure

About the Fellow:

Winnie was the Senior Hospital administrator by the time of the Fellowship and Bonaventure was a medical social worker.

Project Title: Improving Access to Comprehensive Prevention of Mother to Child Transmission Services in Masaka Regional Referral Hospital, Masaka District, Uganda

Project description:

The fellows began by forming a CQI team which brainstormed and identified a problem them. Based on this, conducted a pre project survey with members of Family Support Group to identify root causes of the problem. Based on the findings, Training, giving information, reviewing of PMTCT registers, routine support supervision, decentralizations of drugs, establishing stock monitoring system, creation of a client friendly environment were undertaken. A post intervention survey was conducted with clients on the PMTCT program to establish the impact of the project.

Post intervention results revealed that counseling on disclosure and adherence was being accessed by 96% of the clients compared to between 46% and 58% who missed prior to project implementation. On access to drugs, all clients (100%) on the PMTCT program reported having received all the prescribed drug regimens compared to 37.5% who were not receiving before project implementation. In addition staff-client relationship improved (manifested by clients being warmly welcomed, reduced client complaints among others).

These have been possible mainly through orientation of staff to PMTCT packages, decentralization of ART drugs to MCH clinic and training of staff in supplies management which enhanced stock monitoring and led to reduction is stock outs. Additionally, installation of the T.V set in the major waiting area reinforced health education and improved clients’ access to treatment and other services. Installation of water dispenser enabled access to safe drinking water and this eased taking of drugs while within the major waiting area. This also motivated health workers as they share water and TV services. Generally, there was an improvement in clients’ level of satisfaction with 80% of clients reporting satisfaction with the services delivered.
Their project led to improvement in access of comprehensive PMTCT services at Masaka regional referral hospital. Counseling on disclosure and adherence access increased from between 46%-56% to 96%. Access to drugs shot from 37.5% to 100%.

Note: A full report of the project can be obtained from SPH-CDC on request or directly from the Fellows