Table 1 Facility-level workflow modifications from the original SAIA trial
Type of change | Specific example | Process improvement |
|---|---|---|
1. Service reorganization | CD4 blood draws changed from daily to weekly | HIV+ mothers with CD4 increased from 26% to 56% |
2. Expand patient knowledge | Maternity tours provided to ANC patients | 16% increase in institutional births |
3. Improve communication across the health care team | ANC nurses pick up lab results instead of waiting | Lab return time reduced from 6 weeks to 10 days |
4. Improve data and its use | At shift change, head nurse cross checks pharmacy and maternity registries on infant ARV administration | 54% to 88% increase in correct administration |
5. Introduce new approaches (norms, treatments, modalities, technologies) | (Re) test women with no test or > 3 months prior HIV test, in family planning | 98-fold increase in testing after initial ANC screening (limited impact on identification of HIV+ women) |