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HPTN 035 Zimbabwe Presented by Dr K. V Chikwanda UZ-UCSF Research - - PowerPoint PPT Presentation
HPTN 035 Zimbabwe Presented by Dr K. V Chikwanda UZ-UCSF Research - - PowerPoint PPT Presentation
HPTN 035 Zimbabwe Presented by Dr K. V Chikwanda UZ-UCSF Research Programme MTN Regional meeting 21-24 May 2007 SPILHAUS CLINIC Seke South location Located within Seke South Polyclinic (offers primary health care) Within low income
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SPILHAUS CLINIC
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Seke South location
- Located within Seke South Polyclinic
(offers primary health care)
- Within low income urban community
- Population of Chitungwiza – 189 133
women of child bearing age.
- Has 3 other polyclinics within 5km radius
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Location of Seke South Clinic
Seke South Seke North 4 km Zengeza 3 km St Mary's 5 km
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SPILHAUS LOCATION
- Southern part of urban Harare and serves the
city’s low income suburbs.
- On the grounds of Zimbabwe’s 2nd largest
hospital – a referral and teaching hospital.
- Within ZNFPC complex which offers a wide
range of reproductive health services
- Well established referral linkages for health
care and support.
- Recruits from surrounding 13 low income
suburbs – a pool of 132 692 women (15-45yr)
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Location of Spilhaus Clinic
Glen Norah 8km Glen View 10km Tafara 34km Budiriro 13km Mufakose 12km Mbare 5km Mabvuku 30km Dzivarasekwa 23km Kuwadzana 18km Kambuzuma 10km
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- Site has done relatively well in targeting
high risk women
- MAJOR CHALLENGES
Risk is assessed more at individual level rather than in groups. Site specific criteria used for recruiting high Risk participants to be used
Recruitment of high risk women
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Community Involvement
- CAB plays key role in our interaction with
communities
- CAB knowledgeable about research issues
- Ability to disseminate information to community
through CAB and other stakeholders.
- COMMUNITY ADVOCACY GROUPS
WASN- Women's Action Support Network WAG- Women's Action Group PADARE – Male Involvement
- Beaurocracy is prohibitive when dealing with
urgent issues like rumors or negative information
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Retention
- CHALLENGES
Seasonal migration to rural areas Cross boarder traders Women who do not disclose to partners about being in the study.
- KEY LESSONS
Retention is a process that starts at recruitment. Use of the data base Participant Retention meetings. Male partner involvement also key
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Product Adherence
CHALLENGES Relying on self reports by participants , no way to verify information. KEY LESSONS Standardisation of adherence counseling messages. Group meetings with participants to discuss adherence issues. Regular review of adherence data with study staff useful.
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Picture of Site Team
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