Evaluating Florida Systems of Care for Zika Infected Individuals
Poster May 08, 2018
Carlos Parra, Jennifer Delva, Dogeli Rojas, Jennifer Marshall
We followed the Florida Department of Health Zika process maps for women seeking testing and health care services for Zika positive status during pregnancy. Using the journey mapping strategy, our team "walked" the same path a mother seeking testing would follow and conducted interviews with those who are on the front lines of the systems. By dividing the systems into two: "Point-of-care" and "Outbreak Management", we were better able to separate and study the strengths in the systems and challenges the state had to handle. Interviews and focus groups were then analyzed by means of MAXQDA software. Using a modified version of the WHO Health systems evaluation framework, we coded the interviews for recommendations that can be addressed to each of the six building blocks that make up an effective health delivery system.
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This abstract discusses three cases of pediatric heart transplant patients who suffered from parvovirus (B19) infection. Of these patients, two ( B & C) responded well to standard intravenous Ig therapy. Patient A however, did not respond to standard treatment and was begun on subcutaneous Ig, which effectively diminished his viral load. Thus, subcutaneous Ig infusions might serve as a second line treatment for transplant patients with parvovirus who do not respond well to the standard approach.READ MORE