Strategies for Building National-Scale Longitudinal Patient Monitoring Systems for HIV Treatment and Care in PEPFAR Countries

1
Strategies for Building National-Scale
Longitudinal Patient Monitoring Systems for HIV
Treatment and Care in PEPFAR Countries

• Work Group Report
• Zambia

2
Zambia Work Group

• Kurt Jean-Charles
• Ting-Shao Ou (Owen)
• Eliazer Mbaevra
• Gilbert Uwayezu
• Elaine Baker
• Roger Friedman

• Usma Khan
• Lungowe Mwapela
• Chanda Mubanga-Chipoya
• Derrick Muneene
• Nancy Habarta
• Lela Baughman

3
Priorities Identified by Group

• Rollout Strategies
• User feedback and support/System Support
• QA/QC of System
• Strategies for extending beyond HIV
• Legacy Systems
• Evaluation

4
Priorities ACTUALLY discussed by groups

• Rollout Strategies
• Backlog issues
• Training issues
• Operations analysis
• Suggestions
• Readiness assessment (E-readiness)
• Evaluate pilot approaches to inform rollout
• TA to handle hardware/software issues on a
  regular basis (need a full time staff person)

5
Support User and System

• User support
• Help desk strategy (district vs. central)
• Approach and process for mechanism for getting
  routine feedback on system
• System support
• Free anti-virus software
• Upgrades protocol

6
Evaluation

• Baseline
• Consensus building about what and approach
• Draft evaluation framework
• Sampling approach
• Balance between rigor and cost
• Mix of qualitative and quantitative methods
• 3 measurement points
• Indicators to collect quality of EMR

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THANK YOU TO THE WORKGROUP AND ALL PARTICIPANTS
FOR FEEDBACK AND SUGGESTIONS ON THE SMARTCARE
SYSTEM!!!!!!