1. CommCare as a Tool to Reduce Loss to Follow Up
Case Study: CDC Partners in Mozambique
Jolani de la Porte
Presented by:

2. Background
Adherence to HIV and TB regimens is important to improve patient outcomes and prevent the spread of the disease
In Mozambique HIV prevalence in adults between years of age is 11.5%
In Mozambique in 2014 retention in care is at 67% at 12-months and 52% after 36 months among HIV patients undergoing ART2
1Deeks SG, Gange SJ et al. Trends in multidrug treatment failure and subsequent mortality among antiretroviral therapy-experienced patients with HIV infection in North America. Clin Infect Dis Nov 15; 49(10):
2 Fox MP, Rosen S. Patient retention in antiretroviral therapy programs up to three years on treatment in sub-Saharan Africa, : systematic review. Trop Med Int Health Jun; 15 Suppl 1():1-15.

3. Nationally Consolidated LTFU mHealth Toolkit for HIV/TB
Mozambique

4. LTFU strategy Identified Contacted Referral Made Returned to
Health Facility
Completed 6 months

5. Problem Contacted Identified Referral Made Arrived at Health Facility
Completed 6 months follow up

6. Solution: App Workflow+
Identification
Contact
Referral
Arrival
Recuperation

7. Solution: Summary Tools

8. Solution: Drill-down reports
Identified
Contacted
Referral Made
Arrived at Health Facility
Completed 6 months follow up

9. Solution: Drill-down Reports
Referrals Made
Name
Type of Referral
Days Open
CHW Responsible

10. Solution: Drill down Reports
Name Days Open Defaults
ed Reports
Mobile Reporting CHWs
or Supervisors
Web Reports

11. Summary Strengthen LTFU process through:
Improved patient tracking and two way communication between community and clinic levels
Timely supervision and follow up on patients who are at risk of dropping out at each step of the LTFU process through actionable reports
Improved quality of home visits and adherence counselling
Provide better insights into reasons patients are dropping out for more targeted interventions
Support scale-up of LTFU strategy through nationally consolidated LTFU toolkit

13. Download Application from CommCare Exchange
Ali, any outcomes/conclusions worth mentioning?