Table 3

Summary of projects implemented by medium-term fellows, 2008 – 2011
Track/Category Number of projects Nature of projects implemented (number of projects indicated in brackets)* Examples of project outputs
Monitoring and Evaluation Track
Establishing/strengthening the M&E system 15 · Strengthening M&E systems (13) Project title: Consolidating the M&E System at a local non-government organization
· Establishing M&E system (1) Aim: To contribute to the continuous improvement of the M&E function through consolidating the M&E system
· Developing M&E plan (1) Project time-frame: October 2008 – March 2009
Key Outputs:
· Defined the purpose and scope of the M&E system
· Developed the M&E Matrix
· Reviewed the logical framework
· Reviewed report formats
· Documented the critical reflection schedule
· Designed a schematic presentation of the M&E system
· Defined indicators & documented indicator reference sheets
Improving data management and reporting 13 · Improving data management and quality of data collected (7) Project title: Improving quality of HIV/AIDS and related data at a District Local Government
· Improving the reporting system (4) Aim:
· Strengthening health data & information management systems (2) · Improve completeness of in-patient reporting from the district to the Ministry of Health from 53% to 85% & out-patient reporting from 84% to 100%
· Improve timeliness of reporting from the district to Ministry of Health from 75% to 100%
Project time-frame: September 2010- Feb 2011
Key Outputs:
· In-patient reporting completeness improved from 53% to 82.8%
· Outpatient reporting completeness improved from 84% to 96.5%
· Timeliness of reporting improved from 75% to 80%
· Improved district ranking in national district league table from 61st to 45th during the project period.
Other M&E-related areas 04 · Enhancing the performance tracking system of reproductive and HIV/AIDS care programs (3) Project title: Enhancement of the performance tracking system of the Reproductive Health Component of a donor-funded program at a government department
· Strengthening the community component of an organization’s M&E system (1) Aim: To improve the performance tracking system for effective tracking of programme performance
Project time-frame: September 2009 – February 2010
Key Outputs:
· Developed an M&E coordination mechanism
· Developed the M&E system
· Harmonized and agreed on key performance indicators
· Developed M&E Matrix
· Developed the Results Chain
Continuous quality improvement
Reducing proportion of clients who miss scheduled clinic visits or services 10 · Reducing waiting/turn-around time for clients to receive HIV prevention, care and treatment services (5) Project title: Reducing patient waiting time for clients attending the ART clinic at a regional referral hospital
· Reducing the proportion of clients who miss their scheduled clinic visits (2) Aim: To reduce the patient waiting time to receive ART services at the clinic from six hours to four hours so as to improve quality of health care services at the clinic.
· Improving availability of staff on duty to provide ART services (1) Project time-frame: September 2008 – February 2009
· Decreasing the proportion of patients lost to follow-up (1) Key Outputs
· Improving tracking of clients’ medical charts (1) · The average waiting time at the ART clinic reduced from 348 minutes to 220 minutes, a 36.8% reduction in overall clinic waiting time.
· Specifically, there was also a 42.4% reduction in waiting time at the Clinician & Laboratory stations (waiting time reduced from 257 minutes at baseline to 148 minutes at the end of the project)
Improving data collection, management and reporting 06 · Improving HIV care/ART/OVC data collection & reporting (2) Project title: Enhancing Data Management by improving the client identification system at a local NGO
· Improving the data management system (2) Aim: Improve data management through improving the client identification system
· Improving the quality of program reports (2) Project time-frame: October 2010 – March 2011
Key Outputs:
· The proportion of client charts with one consistent identification number increased from 11% to 100% during the project period
· The proportion of clinic charts with two numbers decreased from 61% to 0%
Improving TB diagnosis and treatment 04 · Improving Tuberculosis (TB) treatment success rate (1) Project title: Reducing the proportion of TB suspects bringing less than 2 sputum samples at a local NGO
· Improving TB diagnosis among persons living with HIV (1) Aim: To increase the proportion of TB suspects bringing 2 sputum samples from 40% in November 2009 to 90% by April 2010
· Reducing the number of TB suspects bringing less than 2 sputum samples (1) Project time-frame: November 2009 – April 2010
· Reducing patient waiting time to initiate TB treatment at a Regional Referral Hospital (1) Key outputs:
· Proportion of TB suspects bringing 2 sputum samples increased from 40% to 83% in April 2010, and reached 97% by July 2010
· Reduction in waiting time from 6 to 2 hours
· TB infection control measures were strengthened
· TB suspects’ and patients’ follow-up improved during the project period
Improving capacity for program staff and community volunteers to deliver HIV services 03 · Improving the capacity of community care givers to provide quality Positive Health, Dignity and Prevention services among HIV-positives (1) Project title: Enhancing the capacity of a local non-government organization’s staff to develop and deliver effective health messages for adolescents
· Enhancing capacity of a local non-government organization’s staff to develop and deliver effective health messages to adolescents (1) Aim: Increase the proportion of staff with knowledge and skills in message development from 45% to 80%.
· Increasing the number of planned faithful house trainings for married persons implemented at a donor-funded Project (1) Project time-frame: October 2011 – March 2012
Key outputs:
· The proportion of staff with skills in effective message development and delivery increased from 45% at baseline to 75% at the end of the project
· Staff employed a multi-channel approach in the delivery of messages
Streamlining appointment system 02 · Streamlining patients appointment system at a local HIV/AIDS Initiative (1) Project title: Improving the proportion of clients honoring their appointments at an HIV care and treatment facility
· Improving the proportion of clients honoring their appointments (1) Aim: To improve the proportion of clients honoring their appointments from 48.2% to at least 80% in six months
Project time-frame: March – September 2011
Key outputs:
· Proportion of clients keeping appointments from 48.2% to 81%
· Developed standard operating procedures for clinicians emphasizing the importance of appointments’ keeping
· Redesigned the clients’ prescription form to include ‘next appointment date’ and reason for the visit
· Designed weekly appointment schedules and circulated them to all clinicians
· Developed information, education & communication (IEC) messages and materials emphasizing the importance of keeping appointments
· Designed a patient flow chart to guide patient flow
· Conducted daily health education sessions where the issue of appointments’ keeping was emphasized
Improving proportion of individuals utilizing HIV prevention services 02 · Increasing male circumcision uptake among referred study participants (1) Project title: Increasing the proportion of medical male circumcision uptake among study participants at a research site
· Increasing the proportion of counseled clients tested for HIV at an outreach site (1) Aim: Increase uptake of medical male circumcision among study participants from 20 to 34%
Project time-frame: March – September 2011
Key outputs:
· Uptake of medical male circumcision increased from 20.5% at baseline to 32.4% at the end of the project
· Two male circumcision notification strategies were used: phone contact and physical re-notification. Phone contact notification was found to be cheaper than physical re-notification
Improving psycho-social support for people living with HIV 02 · Strengthening psychosocial support through increasing enrollment and participation of children in Kids’ Clubs in Kigarama sub-County, Sheema District (1) Project title: Increasing participation of psychosocial groups in PMTCT activities through couple-to-couple strategy at a local NGO
· Increasing enrolment and participation of psychosocial groups in Prevention of Mother-to-Child HIV Transmission activities in Kabwhole-Itendero Town Council, Sheema District (1) Aim: Increase the general enrolment into psychosocial groups from 47% to 70% by the end of the project
Project time-frame: February – August 2012
Key outputs:
· General enrolment into psychosocial groups increased from 47% to 87% by August 2012
· Proportion of male partners participating in PMTCT activities increased from 21% to 30%
· Trained 16 model mentor couples to provide outreach PMTCT services in the community
· Built capacity of psychosocial groups to support community members in coping with the effects of HIV/AIDS
· Strengthened referral systems between the community and health facilities.
Improving access to Prevention of Mother-to-Child Transmission (PMTCT) of HIV services 02 · Improving access to comprehensive PMTCT services at a Regional Referral Hospital (1) Project title: Improving linkage to PMTCT at a private-not-for-profit hospital
· Improving linkage to PMTCT care at a private-not-for-profit hospital (1) Aim: To improve linkage to PMTCT for HIV-positive pregnant mothers attending antenatal care services from 40% to 70%
Project time-frame: August 2011 – January 2012
Key outputs:
· Proportion of HIV-positive pregnant mothers linked to PMTCT increased from 40 to 78.2%; 95% of these mothers got ARVs
· Time for provision of PMTCT services at the antenatal care clinic declined from 7 to 4.5 hours
Other CQI-related areas 04 · Increasing the proportion of eligible clients initiated on antiretroviral therapy (ART) at a government health center in Jinja district (1) Project title: Increasing the proportion of eligible clients initiated on ART at a government health center in Jinja district
· Improving the procurement process for ART supplies at a local HIV/AIDS Initiative (1) Aim: To increase the proportion of eligible clients initiated on ART from 26.7% in August 2008 to 75% by January 2009
· Improving ART adherence assessment at an HIV clinic at Mulago Hospital, Kampala, Uganda (1) Project time-frame: August 2008 – January 2009
· Improving efficiency and quality of home visit services at a faith-based hospital in Kampala, Uganda (1) Key outputs:
· By April 2009, all eligible and pending clients attending the clinic were initiated on ART
· ART logistics orders were made timely and no stock outs were reported during the project period
· Two clinic days were established with each clinic designated to see 25-30 patients per day compared to 60 patients before the project: this increase the client-provider interaction time
· Increased monthly attendance at the clinic from 162 in October 2008 to 253 by April 2009.

*Detailed presentations of all projects indicated in this table are available at the Fellowship Program website at: http://www.musphcdc.ac.ug. webcite

Matovu et al.

Matovu et al. BMC International Health and Human Rights 2013 13:8   doi:10.1186/1472-698X-13-8

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