1. Using data to monitor POC performance
25 July 2017
Chishamiso Mudenyanga
CHAI Mozambique

2. Background
Cluster-randomized study showed significant impact of POC EID for patient-important outcomes in primary health care clinics (Jani et al, CROI 2017):
Results received by the patients
ART initiation
Retention on ART
Pilot findings translated into tools for policy development and scale-up of POC EID.
Strategic placement of devices
Clinical workflow optimization
System strengthening to ensure impact, including comprehensive data systems

3. Two core data streams Online stakeholder access
Centralized database-Alere Datapoint
Paper-based submission captured into National EID Database
Mobile network transmission into POC connectivity portal
Reference laboratories database
Health Facility

4. Complementary Data Systems
Connectivity
National EID Portal
Data submission
Real time
Retrospective
Primary objective
Technical monitoring
Overall programmatic and operational indicators
Additional uses
- Inform devices swaps and training needs
- Triangulate LMIS data
- Adherence to testing algorithms
- National trends
Focus
Point-of-Care fleet
Complete EID program (all platforms)
Users
Trained audience
Wider audience
Dependency
Network coverage
Sample transport network
Secure data
Positivity rates
Patient demographics

5. Connectivity Improves POCT Performance
Jani, et al.
AIDS 2016
Vol 30 No 1

6. Connectivity Opportunities
Simplifies follow-up on positive cases for ART initiation
Naming convention to indicate sample origin in order to characterize testing access. Examples:

7. Acknowledgements