Community Health Active Response Toolkit Information Management for HomeBased Care

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Community Health Active Response Toolkit
Information Management for Home-Based Care

• Timothy Heidel
• heidel_at_mit.edu
• Massachusetts Institute of Technology
• William DelHagen (PI)
• Community Health Innovations, Zambia

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Outline

• Home-Based Care Record Keeping
• Community Health Active Response Toolkit (CHART)
• Initial Implementation Progress
• Next Steps

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Healthcare in Zambia

• Formal healthcare infrastructure unable to meet
  demands of HIV/AIDS epidemic
• Home-Based Care (HBC) programs

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Home-Based Care
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Current Record Keeping

• Information cannot be transferred easily. 
• Many IT systems at facility level, but no
  community-based systems

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Program Administration

• Limited staff resources and time

• Monitoring Evaluation
• Funding

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Anti Retroviral Therapy

• Majority of ART services outside of the health
  facilities
• Counseling
• Adherence support and side-effect monitoring
• Nutrition support
• Effective ART programs require linkage between
  ART facility and HBC

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New Statistics

• HBC workers have access to important information
  unavailable at the facility level
• Socio-economic
• HIV/AIDS staging
• Family-wide health
• Orphans and vulnerable children

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CHART Overview
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Initial Implementation Human Resources Trust
(HRT)

• December 2004 Initial Funding Received
• January 2005 Initial Discussions with HRT
• February 2005 D-Lab Class at MIT Begins
• April 2005 Software Development began
• July 2005 Initial testing
• August 2005 First full scale implementation

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Data Entry Personnel

• Skilled candidates available
• Minimal training required

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Objectives

• Develop and implement information management
  systems at 5 sites
• Work with all levels of staff at partner
  organizations to develop user requirements and
  system specifications
• Develop software and design hardware systems
• Help HBC partners with implementation
• Train staff in use of the system
• Build structures to ensure long-term
  sustainability and support for systems

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Next Steps

• Work with HBC partners to help them use the new
  tools to serve their clients more effectively. 
• Integrate facility-level systems
• Make information available

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Questions?Comments?Suggestions?