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Abstract
Ambulatory care and a Needs Assessment Toolkit
Kibirige M.S.1, Nalubega J.2, Nakakeeto M.3, Kekitiinwa A.3, Lyagoba M.2
Introduction: Reaching out to children within the context of WHO 3x5 initiative requires strategy. However, in poor countries, it is difficult to reach everyone due to lack of workforce and infrastructure.There aren´t enough paediatric doctors. We set out to determine the feasibility of a mobile service . The second aim was to devise a toolkit for a Needs Assessment Score(NAS).
Methods: Two nurses and a driver constitute the mobile team and were trained to manage children. The nurses were supported by a paediatrician in a catchment area of 20 kilometre radius.The team collected demographic and clinical data. They provided vitamin and nutritional support, supervised management of opportunistic infections, tuberclosis, malaria, deworming and administration of HAART. The targets were one visit and food supplies once a month. A 20 item toolkit was devised to evaluate NAS with the most needy scoring 100 points. Weight gain was also assessed.
Results: There were 112 children, of which 65 were girls, age range 9 months to 16 years. Each child was visited at least once a month. The unwell children were visited once a week. Food was distributed once a month to all. Of the 112 children 66% were below third centile for weight and only 4.4% of children were deemed not in need of social support. All children were eligible for HAART. The mean NAS(SD) was 65.4(5.1). The main social needs affecting care include lack of transport, lack of food, safe water, overcrowding and poor source of income.
Conclusions: Home visiting was achievable with trained nurses to supervise management. Ambulatory care is achievable. A toolkit can identfy those with the most need. More than 90% in this cohort were in need of social support. Nurses should be trained to deliver ambulatory service.
The 3rd IAS Conference on HIV Pathogenesis and Treatment
Abstract no.
MoPe11.2C02
Suggested Citation
"KibirigeM.S., et al.
Ambulatory care and a Needs Assessment Toolkit.
Poster Exhibition:
The 3rd IAS Conference on HIV Pathogenesis and Treatment:
Abstract no.
MoPe11.2C02"
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