Policy and research poster session 4
Track 4
Saturday, October 28, 2023 |
1:20 PM - 1:55 PM |
Exhibition Hall |
Speaker
Mr Thiago Cherem Morelli
Ministry of Health of Brazil
Primary Health Care and its strategic role in ending the AIDS epidemic
Summary
The purpose of the space is to present the Brazilian strategy for fighting HIV/AIDS and its results, with the central participation of primary health care (PHC) in the care network, with the offer of prevention strategies (PEP and PrEP), diagnosis, antiretroviral treatment and comprehensive care for people living with HIV/AIDS.
Brazil has one of the strongest AIDS programs in the world, with more than 700,000 people on treatment and 94% of them with suppressed viral load. However, 116 thousand still do not know their diagnosis and another 130 thousand are in a situation of discontinuation of treatment. The model centered on specialized services will not handle the new scenario of the AIDS epidemic in Brazil and in the world. If before people were diagnosed in advanced stages of immunodeficiency, today the care model is closer to a chronic disease. Which requires a new format of care.
It is urgent to expand PHC participation in the provision of antiretroviral treatment, as a way of expanding access to care for these people, especially key populations for HIV (sex workers, gay men and men who have sex with men, people who use injecting drugs and trans people).
In addition, one of the most promising strategies for epidemic control, PrEP (Pre-exposure prophylaxis), has shown important results in reducing access inequities with the participation of PHC in Brazil. While in the specialized service most PrEP users are white, in PHC most users are black.
PHC and its principles and the person-centered clinical method have much to contribute to the goal of ending the AIDS epidemic by 2030.
Brazil has one of the strongest AIDS programs in the world, with more than 700,000 people on treatment and 94% of them with suppressed viral load. However, 116 thousand still do not know their diagnosis and another 130 thousand are in a situation of discontinuation of treatment. The model centered on specialized services will not handle the new scenario of the AIDS epidemic in Brazil and in the world. If before people were diagnosed in advanced stages of immunodeficiency, today the care model is closer to a chronic disease. Which requires a new format of care.
It is urgent to expand PHC participation in the provision of antiretroviral treatment, as a way of expanding access to care for these people, especially key populations for HIV (sex workers, gay men and men who have sex with men, people who use injecting drugs and trans people).
In addition, one of the most promising strategies for epidemic control, PrEP (Pre-exposure prophylaxis), has shown important results in reducing access inequities with the participation of PHC in Brazil. While in the specialized service most PrEP users are white, in PHC most users are black.
PHC and its principles and the person-centered clinical method have much to contribute to the goal of ending the AIDS epidemic by 2030.
Takeaways
1. End the AIDS epidemic by 2030
2. PHC expanding access to HIV treatment and prevention
3. Stigma, discrimination and key populations for HIV
2. PHC expanding access to HIV treatment and prevention
3. Stigma, discrimination and key populations for HIV
Biography
Thiago is a family doctor, with experience working in public primary care and comprehensive health clinics for the trans population. He is currently the manager of the HIV/AIDS coordination of the Ministry of Health of Brazil and the national HIV/AIDS consultant for PAHO.
Dr Anna Guia Limpoco
Philippine Academy of Family Physicians
Teaching systems thinking using patient centered family focused community oriented matrix in case management
Summary
Background and Objective:
Primary care provides the first contact , comprehensive, coordinated and continuity of care in the context of a patient centered, family focused, community oriented (PFC) lens. There is a need to capacitate health care providers on the roles of a competent health care provider, researcher, leader, educator, navigator and coordinator for a successful delivery of primary care. Thus innovations in enhancing competencies of each roles are vital in training. The integrated case management is an innovation from the usual clinical case management.
Methods.
The resident trainee are required to present one actual patient encounter in the integrated case management session.
The integrated case management is an interactive case discussion that is divided into four parts. Part I is the PFC matrix table which highlights the patient centered management using biopsychosocial approach, wellness and prevention. Family focused management are based on the analysis of family assessment tools. Community oriented care based on the analysis of community resource awareness, access and utilization.
Part II is the identification of the six roles applied to the patient, family and community management. Part III is the critical appraisal of an article that best answers the clinical dilemma encountered by the resident during the actual patient encounter or course of management. Part IV is the overall insight of the experience using the DSAQ (discoveries, surprises, affirmations and questions) format.
Results:
There is acceptability and positive feedback from the resident trainees on the utilization of the integrated case management. The six roles of a primary care provider vis a vis in the context of a patient centered, family focused and community oriented lens is further enhanced.
Conclusion:
Integrated case management is one innovation that include experiential and reflective learning via facilitated case discussion in small groups whether face to face, virtual or hybrid.
Primary care provides the first contact , comprehensive, coordinated and continuity of care in the context of a patient centered, family focused, community oriented (PFC) lens. There is a need to capacitate health care providers on the roles of a competent health care provider, researcher, leader, educator, navigator and coordinator for a successful delivery of primary care. Thus innovations in enhancing competencies of each roles are vital in training. The integrated case management is an innovation from the usual clinical case management.
Methods.
The resident trainee are required to present one actual patient encounter in the integrated case management session.
The integrated case management is an interactive case discussion that is divided into four parts. Part I is the PFC matrix table which highlights the patient centered management using biopsychosocial approach, wellness and prevention. Family focused management are based on the analysis of family assessment tools. Community oriented care based on the analysis of community resource awareness, access and utilization.
Part II is the identification of the six roles applied to the patient, family and community management. Part III is the critical appraisal of an article that best answers the clinical dilemma encountered by the resident during the actual patient encounter or course of management. Part IV is the overall insight of the experience using the DSAQ (discoveries, surprises, affirmations and questions) format.
Results:
There is acceptability and positive feedback from the resident trainees on the utilization of the integrated case management. The six roles of a primary care provider vis a vis in the context of a patient centered, family focused and community oriented lens is further enhanced.
Conclusion:
Integrated case management is one innovation that include experiential and reflective learning via facilitated case discussion in small groups whether face to face, virtual or hybrid.
Takeaways
at the conclusion of my presentation attendees should
1. utilize patient centered family focused community oriented matrix in the case
2. identify the six roles applied in the management of the case
3. Apply evidence based medicine in the management of care
1. utilize patient centered family focused community oriented matrix in the case
2. identify the six roles applied in the management of the case
3. Apply evidence based medicine in the management of care
Biography
Dr Anna Guia O Limpoco is a family physician, educator, primary care provider. Anna is a trainor for Family and community medicine residency training programs, advocates for the promotion and utilization of patient centered family focused community oriented care approach integrating the six roles of a family physician and evidenced based medicine.
Dr Tsengelmaa Bayanzul
Head of Gurvanjargalkhairkhan FGP
Research on support and service during (the COVID-19) pandemic from family group practices of Songinokhairkhan district, Ulaanbaatar city, Mongolia.
Summary
Basis of research work:
Songinokhairkhan district of Ulaanbaatar city is located at the western marginal far from the city and is the most populated district. Family Group Practice are worked in purpose of required support and services during the coronavirus infection. The family group practices are required to research and summarize how to make any support or service, and what support or services are imperative to make during the coronavirus infection and Covid-19 pandemic.
Purpose of research work:
The purpose is to research the support and services accomplished by the Family Group Practice during the coronavirus infection and Covid-19 pandemic in Mongolia.
Objectives of research work:
1. To research the performance of rules, regulations, declarations and decisions applied by the Mongolian Government and the Ministry of Health during the coronavirus infection.
2. To research the support and services from the Family Group Practices during the coronavirus infection and Covid-19 pandemic.
Methodology of research work:
Included in this research are the Family Group Practices of 43 in located Songinokhairkhan district.
Research result:
Results present that the Family Group Practices succeeds in performing all rules, regulations, declarations and decisions from the Mongolian Government and the Ministry of Health during the coronavirus infection and Covid-19 pandemic.
One doctor in each Family Group Practices stated the previous customer averaged 18-40 persons per day in an ambulance, with numbers increased to 50-110 people per day during the coronavirus pandemic.
Furthermore, results presented by each doctor of the Family Group Practices conducted home services and call services for 12-23, prevention examination for 16-39, monitoring examination for 5-21 and antigen rapid tests for taken of 15-41 people per day.
Summary:
1. Efficiently performed temporary regulations, declarations and decisions during the coronavirus infection
2. The Family Group Practice served critical support and services during the coronavirus pandemic.
Songinokhairkhan district of Ulaanbaatar city is located at the western marginal far from the city and is the most populated district. Family Group Practice are worked in purpose of required support and services during the coronavirus infection. The family group practices are required to research and summarize how to make any support or service, and what support or services are imperative to make during the coronavirus infection and Covid-19 pandemic.
Purpose of research work:
The purpose is to research the support and services accomplished by the Family Group Practice during the coronavirus infection and Covid-19 pandemic in Mongolia.
Objectives of research work:
1. To research the performance of rules, regulations, declarations and decisions applied by the Mongolian Government and the Ministry of Health during the coronavirus infection.
2. To research the support and services from the Family Group Practices during the coronavirus infection and Covid-19 pandemic.
Methodology of research work:
Included in this research are the Family Group Practices of 43 in located Songinokhairkhan district.
Research result:
Results present that the Family Group Practices succeeds in performing all rules, regulations, declarations and decisions from the Mongolian Government and the Ministry of Health during the coronavirus infection and Covid-19 pandemic.
One doctor in each Family Group Practices stated the previous customer averaged 18-40 persons per day in an ambulance, with numbers increased to 50-110 people per day during the coronavirus pandemic.
Furthermore, results presented by each doctor of the Family Group Practices conducted home services and call services for 12-23, prevention examination for 16-39, monitoring examination for 5-21 and antigen rapid tests for taken of 15-41 people per day.
Summary:
1. Efficiently performed temporary regulations, declarations and decisions during the coronavirus infection
2. The Family Group Practice served critical support and services during the coronavirus pandemic.
Takeaways
1. About service from FGP
2. Efficiently performed temporary regulations, declarations and decisions during the coronavirus infection
3. Others
2. Efficiently performed temporary regulations, declarations and decisions during the coronavirus infection
3. Others
Biography
Bayanzul Tsengelmaa is a family consultant doctor with more than 30 years of experience in this sector and a member of the general practices council of the Ministry of Health of Mongolia.
He is also the founder and head of the Gurvanjargalkhairkhan family group practice in Songinohairkhan district of Ulaanbaatar city.
In the field of family medicine, a total of 896 hours of theoretical lessons and 4810 hours of practical lessons were taught, and 23 programs and plans for family medicine lessons were developed. A total of 43 scientific articles were published, including 35 domestic and 8 international articles. A total of 4 doctors were supervised and successfully received their master's degree. In 2012, she received the degree of "Doctor of Philosophy Medicine" on the topic "Some issues of family group practices".
