1. Community Health Active Response Toolkit Information Management for Home-Based Care Timothy Heidel heidel@mit.edu Massachusetts Institute of Technology William DelHagen (PI) Community Health Innovations, Zambia

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

3. Healthcare in Zambia Formal healthcare infrastructure unable to meet demands of HIV/AIDS epidemic Home-Based Care (HBC) programs

4. Home-Based Care

7. Current Record Keeping Information cannot be transferred easily. Many IT systems at facility level, but no community- based systems

10. Program Administration Limited staff resources and time Monitoring & Evaluation Funding

11. 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

12. 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

13. CHART Overview

14. 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

18. Data Entry Personnel Skilled candidates available Minimal training required

20. 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

21. 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

22. Questions? Comments? Suggestions?