Monitoring, Evaluation & Research
A robust qualitative and quantitative implementation science agenda is implemented each year in order to increase understanding of best practices in the management of TB and/ or HIV-infected persons and the provision of a continuum of services from HIV testing through palliative care. With a team of well-trained data clerks, managers, and technical advisers, Lighthouse effectively monitors and evaluates its integrated HIV/TB programs. Every month, the ME & R department supports the departmental coordinators in compiling reports on key data elements on their departments' operations. The reports are presented in monthly management meetings for deliberations. Using these reports, the management members review quality and coverage of services against annual targets.
The ME & R department support the implementation of a user-friendly, real-time, electronic medical records system (EMRs) for patient management. The EMRs has increased data quality, completeness, and timely reporting, enabling us to better use our data to improve clinical practices and inform national programs and policies. In addition, the EMRs has ensured adherence to clinical guidelines and improved quality of patient care. Lighthouse continually supports Baobab, EMRs developers, in enhancing the system.
The ME & R department supports the patient tracing program called Back-To-Care (B2C). The B2C team traces HIV-infected individuals by phone, SMS, or home visit to advise them to return to the clinic for ART refills or viral load results (especially in cases of treatment failure).
In collaboration with our partners, the ME & R department is working on several operational research projects including factors associated with retention, cancer, ART uptake, incidence of TB among HIV-infected persons, family planning and outcomes of older people on ART.