More Related Content
Similar to 3g mhealth presentation atiam
3g mhealth presentation atiam
- 1.
- 2. • HIV-related infantmortality is high in sub-Saharan Africa (260,000 children died from AIDS-related causes in 20091 due to delay in diagnosis and timely initiation ART) • Infant mortality is high in Lesotho (91 deaths per 1,000 live births) 2 • There is a high under-five mortality rate (117 per 1,000 live births) 1, especially among children living with HIV • Children die while awaiting DNA PCR results, which can take up to 12 weeks to be returned to the health facility from the laboratory2 • There is difficulty not only accessing health care services in some remote locations, but also transporting laboratory results from facilities to laboratories and results back to facilities UNAID Report on the Global AIDS Epidemic, 20101 LHDS, 20112
- 5. • EGPAF-Lesotho supportedthe MOHSW to initiate innovative approach to promptly distribute DNA PCR results to health facilities by using 3G mobile internet • In Q2 2010, laptops and 3G mobile internet were provided for EGPAF District Clinical Coordinators (DCCs), who are trained nurses based in all 10 supported districts • All DCCs electronically signed a confidentiality form • Through this approach, the EGPAF Director of Clinical Services (DCS) receives DNA PCR results from the South Africa National Institute of Health on a weekly basis and the DCS immediately sends results to the DCCs • The DCCs compile the DNA PCR results of their districts and take them to the health facilities • Results are printed and patients contacted through the use of Lesotho Network of AIDS Service Organization (LENASO) focal persons, mothers2mothers community members (both are EGPAF sub-grantees), and community volunteers in the districts
- 6. • A two-yeardata review from January 2010 to December 2011, a total of 787 infants: 345 males (43.8%), 442 females (56.2%) with a mean age of six weeks had DBS PCR test performed at Berea Hospital and its feeder clinics, Butha Buthe and Maputsoe • Through the use of 3G technology, average test result turnaround time was reduced from 12 weeks to 4 weeks • The percentage of HIV-positive children initiated on ART at these facilities and its feeder clinics increased significantly from 2% (3 out of 127) in the 2nd quarter of 2010 to 22% (40 out of 181) in the 4th quarter of 2010, • Now 100% (all 137 infants) in1st quarter and all 113 infants in 4th quarter of 2011 were initiated on ART within.
- 7. ART Initiation ofEligible Children Before and After Introduction of 3G Technology 80 3G 70 Introduced 60 50 40 ART-Eligible 30 Initiated on ART 20 10 0 Q1 2010 Q2 2010 Q3 2010 Q4 2010 60% Mortality: calculated by 50% taking the of number of 40% deaths among children initiated on ART within 3 30% months over the total 20% number of children initiated on ART 10% 0% Q1 2010 Q2 2010 Q3 2010 Q4 2010
- 8. 200 180 160 140 120 100 80 60 BB 40 MAPUTSOE 20 BEREA 0 BEREA BB
- 9. • The useof 3G mobile internet technology is feasible in Lesotho and has enabled faster and easier transfer of DNA PCR results to rural health facilities • Use of 3G mobile internet facilitates early initiation of children on ART by reducing the waiting time for test results • This intervention can have a great impact on infant mortality among HIV-exposed infants in Lesotho
- 10. Further research onthe impact of this intervention on infant mortality among HIV-positive infants in Lesotho is underway
- 11.