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Training on Early Warning Indicator (EWI) for Data Abstractor 27-30 March, 2016

NCASC under the Global Fund support completed a 4 days training on "Early Warning Indicator (EWI) for Data Abstractor" in Kathmandu from 27-30 March, 2016. Fifteen participants from 13 ART sites from all five regions attended the training. The objectives of the training were to assess the extent to which ART program are functioning to optimize prevention of HIV Drug Resistance (HIVDR); to assess the factors at individual clinics that are associated with the emergence of HIVDR; to alert clinics and ART program to situations favoring emergence of HIVDR and to provide an opportunity for corrective action to be taken. The data abstraction period for EWI in the training was 16 July 2012 to 15 July 2013.


The training was inaugurated by the Director of NCASC, Dr. Tarun Poudel. During his remarks, he highlighted the importance of monitoring of the EWI indicators to prevent the HIVDR in the future.







The ART sites who participated in the training were from

  1. Mechi Zonal Hospital,
  2. Sagarmatha Hospital,
  3. Teku Hospital,
  4. Kanti Hospital,
  5. Western Regional Hospital,
  6. Rupandehi District Hospital,
  7. Syangja District Hospital,
  8. Dhaulagiri Regional Hospital,
  9. Pyuthan District Hospital,
  10. Rapti Sub Regional Hospital,
  11. Dadeldhura Regional Hospital and Achham District Hospital

along with 1 Medical Recorder from Rolpa District Hospital and Statistical Assistant from Dhaulagiri Regional Hospital.

According to the EWI guideline Nov 2013, there are five key indicators to be monitored for HIVDR in the country namely on time pill pick up, retention in care, pharmacy stock out, dispensing practice and virological suppression. Out of these five indicators, initial four were abstracted from existing recording tools. After the data abstraction, data were analyzed and possible factors were discussed.

The training was facilitated by Mr. Bir Bahadur Rawal, Mr. Madhav Chaulagain, Mr. Dinesh Bista and Upendra Shrestha from National Centre for AIDS and STD Control. In addition, special technical sessions were carried out by Dr. Bhesh Raj Pokharel on overview of HIV program in Hospitals and Mr. Ganesh Joshi on Logistic Reporting.  After training, completion certificate was distributed to the participants by the Director of NCASC. During closing session, on behalf of participants Ms. Rashmi Luitel shared about the importance of learning exchange among participants. Mr. Rajesh Khanal, Program Manager, Global Fund Program NCASC highlighted importance of ART adherence and retention to prevent possible ART drug resistance. Mr. Bir Rawal SI Focal Person highlighted importance of accurate, complete and timely reporting of HIV program by the hospital sites