Additionally, review of many facility records showed a faster turnaround time for PCR testing data not shown. The core of Rapid Results involves working with Report on rapid results initiative and teams to set and achieve aggressive goals in one or more key areas of performance.
While the RRI concept focuses on intensive intervention over a short period, the program was designed to use strategies that build healthcare worker capacity and strengthen overall systems such as laboratory networking that lead to sustained improvements in outcomes.
HIV-positive PCR results were flagged at district hospital labs and immediately communicated by phone to facilities. The proportion of women testing HIV-positive varied slightly from baseline Which particular activities within community mobilization are most effective in changing attitudes, and behavior is a key research topic for future evaluations.
Additionally, this was a nonrandomized intervention. Abstract Many HIV-positive pregnant women and infants are still not receiving optimal services, preventing the goal of eliminating mother-to-child transmission MTCT and improving maternal child health overall.
Strategies for achieving targets were formulated at both provincial and district levels and are described below. Ultimately, Rapid Results generates both the momentum and the expertise to accelerate and sustain major change.
In these scenarios, companies are compelled to tap into hidden reserves of capacity and energy to get the job done, and they must take action and test assumptions to demonstrate how to enter a new market, sell a new product, or deliver better service.
All levels of facilities were included including 6 district hospitals, 5 subdistrict hospitals, 26 health centers, and 82 dispensaries. Furthermore, data were collected by facilities and technical staff supporting those facilities that had an interest in seeing improvements based on their work.
Rapid Results Initiative Approach. In contrast to traditional consulting methodologies that call for intensive, long-term studies culminating in comprehensive and often highly complex, difficult-to-implement solutions, Rapid Results does exactly as the name suggests: Low stakeholder involvement, poor integration of services, and ineffective referrals are other important factors.
Ultimately, health-seeking behavior is determined at an individual level but heavily influenced by family and community attitudes and behaviors. Women who fail to disclose to their partners due to fear, stigma, or denial are much more likely to default care, and less likely to deliver in a health facility [ 1415 ].
We believe community mobilization as well as leadership and involvement of the MOH, though difficult to measure, contributed significantly to success of the RRI.
Male partner HIV testing increased 2. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the U.
Objective 1 Strategies To increase HAART eligibility assessment among HIV-positive pregnant women, laboratory network for CD4 sample and result transport was harmonized between facilities and hubs; sample transport was increased to daily or twice weekly; access to cell stabilizer tubes was increased to allow for daily blood drawing at peripheral sites; and CD4 samples from ANC were flagged at the lab Report on rapid results initiative prioritization.
The implementation phase was organized by provincial and district-level multidisciplinary taskforces including laboratory, monitoring and evaluation, community liaison and clinical staff.
It is widely used by the World Bank to facilitate projects and optimize limited resources [ 1617 ]. The use of opinion leaders such as chiefs, district administration, peer educators, and community health workers likely sensitized the community to the importance of PMTCT services.
Community and facility level confounders cannot be ruled out. Measurement Site-level data were captured at baseline, covering 12 weeks October —January and compared to the RRI week period April —Juneand to a week post-RRI period July —September to examine changes in testing and uptake of services across the sites.
These include health systems infrastructure limitations such as inefficient laboratory flow, inconsistent commodity supply for essential lab services or drugs, and poor provider knowledge [ 9 — 13 ]. Specific objectives were agreed on and targets set for each measurable outcome over a day implementation timeframe scheduled to begin in April This intervention was implemented within clinics in 5 districts in Nyanza Province.
HIV couples counseling and testing provide a facilitated environment for HIV testing where issues of blame, discordance, and future care options are explained [ 1415 ].
A truly integrated multidisciplinary approach which engages key stakeholders including the local community, such that promoted during the RRI, will play an important role towards reaching the goal of eliminating mother-to-child transmission of HIV and improving health outcomes for HIV-positive women.
In the post-RRI period, women counseled and tested dropped tobelow baseline levels, with a 6. Routine data quality audits were conducted at a portion of sites by an independent team, the monitoring and evaluation officers. The Rapid Response Initiative RRI is an approach that has been refined over the past 40 years to affect organization change and improve performance.
The limited time cycle allows programs to quickly review effective strategies and avoids workforce fatigue that may be associated with CQI or PDSA approaches. View at Google Scholar L.
Male involvement as measured by partner HIV testing also significantly increased during the intervention.The core of Rapid Results involves working with leaders and teams to set and achieve aggressive goals in one or more key areas of performance. In these scenarios, companies are compelled to tap into hidden reserves of capacity and energy to get the job done, and they must take action and test assumptions to demonstrate how to enter a new market.
RAPID RESULTS APPROACH / INITIATIVE. Institutionalization of Results Based Management in Kenya Public Service. By Obong’o Sylvester. The Rapid Results Approach (RRA) is a results-focused learning process aimed at jump. The Department of Corrections (DOC) Rapid Results team launched more than 50 initiatives aimed at improving employee work processes and.
The Rapid Results Initiative: Is a reform programme that forms the building blocks toward achievement of long- term goals. It is one of the tools. Government of Kenya MoPHaS and National AIDS/STI Control Programme, “Voluntary medical male circumcision for HIV prevention in Kenya: report of the first rapid results initiative,” Tech.
Rep., National AIDS/STI Control Programme, Kenyatta, Kenya, Rapid Results is a structured process that mobilizes teams to achieve tangible results over a rapid time frame and accelerate organizational learning.
[Rapid Results Initiative], which appears to lead to sustained benefits for pregnant HIV-infected women and their infants.”.Download