A.29.The development of the HIV and aids referral System at Kasungu
Tchongwe Elton and T. Tafatatha
Objective: The objective of this referral system at Kasungu District Hospital (KDH) is to strengthen HIV and AIDS referral system that would link clients from the wards, OPD and other departments to have easy access to VCT and other HIV and ADIS services.
Methodology: First the team looked at the services offered to clients that come at KDH. The team also listed services that are linked to HIV and AIDS at the hospital, in relation to clients requests for HIV and AIDS at the hospital, in relation to clients request for HIV teat and VCT services. In addition the continuum of care for an individual client was looked at in relation to the stages.
During the development of the HIV and AIDS referral system the team also visited the hospital departments inorder to interview clinicians and other services provides on the existing referral system of clients in the wards and clinics within the hospital. A questionnaire was used as a guiding tool during the interviews.
Results: The major findings were:
It was leant that clients in the wards were referred verbally with no written documents.
It was also learnt that clients did not know where to access the services referred to by the clinicians or other health services providers in the hospital.
Results were not communicated back to the clinicians because no referral forms were used.
It was also found that no specific data was available for the clients that accessed services because there was no documentation.
Conclusion:The development referral system is helping to capture clients that visit the hospital for HIV and AIDS services. Hence there is now no verbal referral in the hospital. The system of using forms for referrals in the hospital. The system of using forms for referrals is improving the situation although not all clinicians are conversant with it.
Forms should be reaching available in all hospital wards and departments.
Orientation to all clinicians.
Nurses to be trained in PMTCT so that they have knowledge to treat mothers as well as babies.