1. THE 7TH EAHSC Implementation of IQ Care System in CCC increases viral load report generation: IQCare versus C-PAD system
By Lily N. Njoroge (Bsc HR&IM); Njogu M.
The Palladium Group; Centre for health Solutions; Nyahururu County Hospital

2. Outline Introduction Objective Methodology Results Conclusions
Recommendations and Way Forward
Acknowledgement

3. Cont….. Abbreviations CCC: Comprehensive Care Centre
C-PAD: Comprehensive Patient Application Database
EA: East Africa
IQCare: International Quality Care
NCRH: Nyahururu County Referral Hospital
VL: Viral Load

4. Introduction A study in NCRH C-PAD had been in use since 2007
Facility had challenges in decision making
IQCare system was implimented in November 2017
The study is to determine the impact of the new system on viral load update

5. Objective
To assess the effectiveness of IQCare system in viral load(vl) results uptake and decision making.
Record one year data on viral load update
Compare pre and post-implementation data
Determine effectiveness of the new system in decision making
Identify possible solutions based on the findings

6. Methodology A one-year retrospactive study
Assesed effectiveness of the program
Six months pre and post-integration of IQCare was recorded and compared
In months of May to October 2017, 3866 results were updated in C-PAD
In months of December 2017 to May 2018, results were updated in IQCare system
November data was excluded due to migration

7. Cont….

8. Results and Discussion
Before IQCare system there were 38% vl results in C-PAD
There was a drastic increase after implementation of IQCare from 3866 to 11185
By may 2018, 93% of active patients had their results in the system
55% increment was recorded in viral load update since implementation
The remaining 7% were the newly active patients who were not eligible for viral load test

9. Conclusions
Unlike IQCare, C-PAD could not generate summary of patients without vl results
With IQCare, this great improvement is attributed to:
Ease at which one identifies patients without results
Timely appropriate measures for example contacting those due
Ability to follow up and ensure all patients have their results

10. Cont…… Challenges Viral load suppression is at 79%
Delayed high viral load patients contact by two weeks

11. Recommendation and Way Forward
Conduct more studies to establish how system can help achieve 3rd 90 (Viral suppression) by year 2020 through:
Integration of IQCare system and KEMRI Lab system for real-time results update
IQCare alert to healthcare worker on patient with viral load concerns
Pop-up message alerts to patient due or with high vl

12. Acknowledgement Great appreciation goes to: Tanzania Government
EA Health Research Commission
The palladium group
Centre for health solutions Organization
Ministry of Health (Kenya)
Nyahururu County and Referral Hospital