Improving HIV Outcomes in Resource-Limited Countries: The Importance of Quality Indicators

DSpace/Manakin Repository

Improving HIV Outcomes in Resource-Limited Countries: The Importance of Quality Indicators

Citable link to this page

 

 
Title: Improving HIV Outcomes in Resource-Limited Countries: The Importance of Quality Indicators
Author: Ahonkhai, Aimalohi A; Bassett, Ingrid Valerie; Ferris, Timothy Gregg; Freedberg, Kenneth Alan

Note: Order does not necessarily reflect citation order of authors.

Citation: Ahonkhai, Aima A., Ingrid Valerie Bassett, Timothy Gregg Ferris, and Kenneth Alan Freedberg. 2012. Improving HIV outcomes in resource-limited countries: The importance of quality indicators. BMC Health Services Research 12:427.
Full Text & Related Files:
Abstract: Background: Resource-limited countries increasingly depend on quality indicators to improve outcomes within HIV treatment programs, but indicators of program performance suitable for use at the local program level remain underdeveloped. Methods: Using the existing literature as a guide, we applied standard quality improvement (QI) concepts to the continuum of HIV care from HIV diagnosis, to enrollment and retention in care, and highlighted critical service delivery process steps to identify opportunities for performance indicator development. We then identified existing indicators to measure program performance, citing examples used by pivotal donor agencies, and assessed their feasibility for use in surveying local program performance. Clinical delivery steps without existing performance measures were identified as opportunities for measure development. Using National Quality Forum (NQF) criteria as a guide, we developed measurement concepts suitable for use at the local program level that address existing gaps in program performance assessment. Results: This analysis of the HIV continuum of care identified seven critical process steps providing numerous opportunities for performance measurement. Analysis of care delivery process steps and the application of NQF criteria identified 24 new measure concepts that are potentially useful for improving operational performance in HIV care at the local level. Conclusion: An evidence-based set of program-level quality indicators is critical for the improvement of HIV care in resource-limited settings. These performance indicators should be utilized as treatment programs continue to grow.
Published Version: doi:10.1186/1472-6963-12-427
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3536601/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:10612915
Downloads of this work:

Show full Dublin Core record

This item appears in the following Collection(s)

 
 

Search DASH


Advanced Search
 
 

Submitters