1. Treatment and Research AIDS Centre Word bank Videoconference 18 th December, 2006 Health Management Information System – Technical support and information for the reduction of HIV/AIDS in Rwanda

2. Targets The national targets for accelerating access to ARV in Rwanda have been set and it is expected that, by end of 2006, the number of PLWHA accessing ARV will be approximately 33,000 and that this number will have increased to over 100,000 by end of 2008. The national targets for accelerating access to ARV in Rwanda have been set and it is expected that, by end of 2006, the number of PLWHA accessing ARV will be approximately 33,000 and that this number will have increased to over 100,000 by end of 2008. TRAC aims also to ensure that basic PMTCT and VCT services are available at all 360 heath centers in Rwanda by 2009. TRAC aims also to ensure that basic PMTCT and VCT services are available at all 360 heath centers in Rwanda by 2009. To achieve these targets, TRAC was established the Routine Health Management System via its ICT& Applied Statistics Unit as describe on the schematic diagram bellow : To achieve these targets, TRAC was established the Routine Health Management System via its ICT& Applied Statistics Unit as describe on the schematic diagram bellow :

3. TRAC Routine Health Management System

4. Challenges NeedsSolution “If we don’t know what is happening with health services and HIV/AIDS treatment, it is impossible to determine what problems we’re facing.” “If we can’t determine what the problems are, we cannot react with precise action to resolve them.” “If we can’t determine what the problems are, we cannot react with precise action to resolve them.” For effective distribution of treatment and quality care for PLWHA, Rwanda needs: Precise and timely information on patients and programs. Precise and timely information on patients and programs. Efficient communication and coordination between health facilities, hospitals, TRAC, DHS, CAMERWA, CNLS, local government, the PMU and the Ministry of State for HIV/AIDS and other Epidemics. Efficient communication and coordination between health facilities, hospitals, TRAC, DHS, CAMERWA, CNLS, local government, the PMU and the Ministry of State for HIV/AIDS and other Epidemics. Improve the present system for information collection, sharing, and dissemination, as it does not meet our needs. Improve the present system for information collection, sharing, and dissemination, as it does not meet our needs. Implement a solution that maximizes the performance of all personnel in the Rwandan Health System. Implement a solution that maximizes the performance of all personnel in the Rwandan Health System.

5. Solution and Key Capabilities Rwanda TRACnet is a dynamic information technology solution designed to collect, store, retrieve, disseminate and facilitate the analysis of critical program, drug, and patient information related to HIV/AIDS.

6. TRAC Database, TRAC Gis, EMR TRAC database is designed for data entry, data visualization and reporting for VCT, PMTCT indicators collected at the sites. TRAC database is designed for data entry, data visualization and reporting for VCT, PMTCT indicators collected at the sites. Electronic Medical Record under the first implementation for Rwanda. Possibility and flexibility of integration of the tool with TRACnet system. The interface is laid out in a coherent, simple and attractive way. The system allows users to enter detailed patient data, has several sorting/data organization functions. The interface is laid out in a coherent, simple and attractive way. The system allows users to enter detailed patient data, has several sorting/data organization functions. A geodatabase & mapping tool system (GIS) interface that displays health facilities offering HIV/AIDS services : VCT, PMTCT and ARV in order to facilitate the decision-making espicially on epidemic surveillance. A geodatabase & mapping tool system (GIS) interface that displays health facilities offering HIV/AIDS services : VCT, PMTCT and ARV in order to facilitate the decision-making espicially on epidemic surveillance. Shabani CISHAHAYO cishahayos@tracrwanda.org