January 22, 2018

Taking access to high quality HIV care as one of the key activities is likened to a hub of achieving excellent results and outcomes in the areas of promoting care for people living with HIV.  MaiKhanda’s dedicated and most reputable Quality Improvement (QI) team is implementing a Blantyre Early Treatment HIV initiative (BETHI) project.


The project seeks to see full implementation and promotion of the five indicators: (a) ART should be offered to all confirmed HIV infected clients who complete ART initiation steps as soon as possible (at the earliest opportunity) within 7 days of HIV diagnosis, (b) Patients are counted as ‘defaulted’ or loss to follow up if they have not returned to the clinic in 2 or more months and are not known to have transferred out, stopped or died, (c) Viral load is monitored at 6 months, 2 years, 4 years and every 2 years thereafter (d), Viral load suppression is defined as viral load below detection limit or less than 1,000 copies/mL, (e) Life-long Isoniazid Preventive Therapy (IPT) should be given to all HIV infected children and adults in the 5 prioritized districts, including Blantyre.

Is it irrefutably accepted globally that organizational structure is fundamental to QI success, and involves a receptive health care organization, sustained leadership, staff training and support, time for teams to meet, and data systems for tracking outcomes. This assessment identifies all of the important elements associated with a sustainable Quality Management Plan (QMP).


After training key health care workers targeted to improve access to high quality health care service, it has been noted that all the facilities engaged are now able to measure indicators that show improved trends and appreciate the comparison of facility indicators to nation and district performance. This is a desired fruit for the project. Trained QI personnel are now able to work with established committees that have representatives from all disciplines, discuss QI progress and meet according to work plan to share progress of QI projects with staff in their hospital.


MaiKhanda is implementing the early treatment HIV initiative project in all health facilities with Elizabeth Glaser Pediatric AIDS Foundation with funding from Center for Disease Control (CDC) through HEALTHQUAL International.


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