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Another participant pointed out that many of the solutions we were discussing were from the clinician’s perspective. LTFU has a component from the patient's perspective, intentionally or unintentionally. We need to look holistically to understand why patients miss appointments or do not return to care which cannot be determined with a tracking system. Participants suggested questionnaires regarding LTFU and areas for improvement to understand the patient perspective better and being able to tie that data back to the tracking system. Finally, we discussed the ongoing challenges for tracing patients who may not have provided accurate information due to HIV stigma and have consented to be located for treatment. These challenges have been further exacerbated by patients foregoing care due to fears of COVID-19.
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Impact Squads: Moving forward, we will be forming Impact Squads, or small working groups, to focus on thematic areas. Impact Squads will help to identify challenges, create problem statements, propose solutions, and evaluate and test ideas, and document results. The DUC is a place to hear and learn from practitioners but also an opportunity to build consensus. The hope is that consensus will result in the development and adoption of best practices that affect change in the way resources are allocated and spent in the future. |
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Special Topic: USAID Map and Match Activity Merrick Schaefer, Development Informatics Team Lead for USAID’s Innovation Lab, presented on USAID’s Map and Match activity. The goal of this activity is to map global good adaptations and implementations for COVID-19 and to match the solutions to country needs. The activity makes use of WHO’s Digital Health Atlas (DHA) as a mechanism for tracking the digital tools. The activity will produce country briefs to increase visibility of in situ digital health tools that can support COVID-19 response. This information can be used in advocating for adapting and scaling tools where gaps exist and coordinating efforts to meet country needs.
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