From Paper to Electronic Registers: The Digital Transformation of TB/HIV Patient Monitoring in Haiti

Hi Everyone,

I hope that you can join us Monday 20 June at 14:15 at the upcominig DHIS2 Annual Conference where @Roody_Thermidor, Deputy Director of the Unite Evaluation de Programme will be presenting: From Paper to Electronic Registers: The Digital Transformation of TB/HIV Patient Monitoring in Haiti

Ten years ago the TB/HIV data collection processes were all paper based in Haiti. At that time, health facilities struggled to manually compile data from different patient forms and manually aggregate these data to produce the required reports. During this process, data quality was impacted due to the number of manual steps involved. The availability of reliable TB data was an issue for the national program to fight TB (PNLT) as they struggled to report to the Ministry of Health (MoH) and donors in a timely manner.

The increased demand for more reliable TB data by the Haiti MoH and international organizations led to the implementation of a DHIS2- based TB patient monitoring system and digitalization of all TB registers.

The digital transformation of TB/HIV patient monitoring has been adopted throughout the TB community. An increasing number of patients are now being monitored through the system, from 30,000 in the second quarter of 2019 to more than 64,000 as of today. All 283 TB sites are electronically monitoring patients and use data for clinical decision making, program management, TB drug forecasting and reporting purposes. All aspects of TB treatment monitoring are included within the system including TB Sensible, MDR TB, Prophylaxis to INH, and TB contact tracing, and the ability to with monitor TB vaccinations among children is in development.

The improvement of timeliness and completeness of the TB data has led to an increase in demand for more TB analytics and reporting. There are 100 active users of this system, including 40 non ministry users from 9 different NGOs and international organizations. The system currently supports the configuration of specific donor report/indicators including those for WHO, PEPFAR and Global Fund.It is also configured for data synchronization with SISNU, Haiti’s national health information repository.

The PNLT has come a long way in its digital transformation, but the journey continues. The program is integrating nurses and doctors in the management and operations of the system in order to ensure data quality and sustainability, and plans on extending this system to all TB sites by the end of the year. Through this digital transformation, the PNLT is doing more with its data and is setting an example for other programs within the MoH.


Thanks for sharing this use case @adam :+1:

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