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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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