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Software for Longitudinal HIV Patients Monitoring: Leadership and National Ownership
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Software for Longitudinal HIV Patients Monitoring: Leadership and National Ownership

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Software for Longitudinal HIV Patients Monitoring: Leadership and National Ownership Software for Longitudinal HIV Patients Monitoring: Leadership and National Ownership Presentation Transcript

  • Software for Longitudinal HIV Patients monitoring: Leadership and National Ownership
    Konan DJ-P, Kouassi-Gohou AV, Karcher S, Duvignac J, Traoré M, Nicoué Aimé, De Keroguen Nicolas
  • Background
    2003: HIMS Assessment
    2005: Integration HIV indicators in HIMS
    Development 1st HIV tools,
    Each partner had his tools
    News Tools based in the WHO patient monitoring systems’ tools
    Aconda VS adaptpaperstools
    Develop an internal application (electronic adaptation of the paper based tool)
  • Background (2)
    CDC Mission in Côte d’Ivoire
    Providedadvice for informatic application developement
    Advised to use Monistac (Aconda VS)
    Monistac
    Is software developed by Aconda VS, a local NGO and used in health facilities supported by this NGO
    Used in a context of Research Framework
    Mains functions: HIV Patient Monitoring and drug Management
    MOH Request to PEPFAR
    Financing a national electronic medical record for HIV patient monitoring
    Existing SI TWG
  • TechnicalWorking Group
    HIS and Monitoring & Evaluation issues
    insufficient of quantity and qualified M&E staff
    This lead on informatic TWG setting
    Name of the application : SIGVIH (HIV Information Management System) with regard to the general HIMS/SIGVISION
  • TechnicalWorking Group (2)
    Initial Members :
    MOH
    DIPE, PNPEC, PSP
    PEPFAR Partners
    CDC-Retroci
    Aconda VS / ISPED
    MEASURE Evaluation,
    SCMS
    EGPAF,
    Secretariat
    Health Information Division
  • TWG Missions
    Provide technical advice to the MOH/ DIPE
    Develop Technical specifications
    Develop the terms of reference
    Develop deployment plan
    Validate all options
    Coordinate users’ training
  • TWG Missions 2
    Coordinate implementation
    Operating Mode
    Regular Meeting
    Chair: MOH / DIPE
    Consensus decision making
    Proposal to DIPE
  • Results
    2006-2007 (CDC/PEPFAR)
    SIGVIH TWG meetings initiated by the CDC PEPFAR team
    Need assessment,
    TWG
    Development of EMR specifications,
    Development of deployments’ plan and validation documents
    Organization of the first validations
    Administrator Training
  • Results (2)
    Ownership MoH/HIMS department as a national tool : Setting up of the CATSIS-HIV
    Operational unit for EMR implementation
    Regular TWG meeting at MOH office
    Endorsement of the document by the General Directorate of Health (DGS)
    Training and Coaching of 216 users
    154 facilities/354 currently use HIV EMR
    Conducting supervision in facilities using EMR
  • Results (3)
    Now it’s an ongoing local Development
    Use by non-PEPFAR partners
    ESTHER
    Word Bank
    Global Fund
  • Results (4)
    Current membership of the TWG
    National Party
    DIPE
    HIV Program, TB Program, PSP
    PEPFAR IPs
    MEASURE Evaluation
    SCMS, EGPAF
    ACONDA VS
    ICAP, HAI
    Non-PEPFAR partners
    ESTHER, Global Funds (Care International)
    World Bank
  • Challenges
    Availability of financial resources
    For maintain and increase IT positions
    For integration of other programs (TB, Malaria or PMTCT…)
    Maintain trained people
    Integrate use of national HIMS software in national pre-service training institution
  • Validation SIGVIH 1.3.2 version at MEASURE Evaluation Office
  • Last validation session of SIGVIH at MoH Office
  • Conclusion
    Non integrated Health information system
    Using HIV financial resources to integrate and improve the overall HIMS,
    • Strong ownership
    • And Leadership
    • Improve Health Information System
    • for strengthen Health System