Monday, November 1, 2010

Service (dis)integration...


I thought you all would like to see the complexities involved in trying to treat people who are infected with both HIV and TB at our clinic. This is, in theory, how a patient would “flow” through our care model. It was actually hysterical to make this drawing as a participatory mapping exercise: everyone in the room (providers, data monitors, managers) could not help but laugh at the absurdity. No wonder only 66% of co-infected people actually get treatment for both, and that is at the best clinic in the country! In rural clinics, I would think it is much, much worse. Still, getting it down is step one in making it better. Wish us luck!

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