Evidence map›Paper›PMID 27919390›Full record

ArticleInternational journal of medical informatics2017

Scaling-up health information systems to improve HIV treatment: An assessment of initial patient monitoring systems in Mozambique.

Mindy Hochgesang, Sophia Zamudio-Haas, Lissa Moran, Leopoldo Nhampossa, Laura Packel, Hannah Leslie, Janise Richards, Starley B Shade

Abstract read
In one paragraph

Article in International journal of medical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Mindy HochgesangCenter for Global Health, Division of Global HIV and TB, Centers for Disease Control and Prevention, Maputo, Mozambique. Electronic address: mindyho@gmail.com.
Sophia Zamudio-HaasDivision of Prevention Sciences, Department of Medicine, University of California, 550 16th Street, 3rd floor, San Francisco, CA 94158, USA. Electronic address: Sophia.Zamudio-Haas@ucsf.edu.
Lissa MoranDivision of Prevention Sciences, Department of Medicine, University of California, 550 16th Street, 3rd floor, San Francisco, CA 94158, USA. Electronic address: lissa.moran@ucsf.edu.
Leopoldo NhampossaUniversidade Eduardo Mondlane, Direcção do Registo Académico, Av. Julius Nyerere 3453, R/C, C.P. 257 Maputo, Mozambique. Electronic address: Jose.nhampossa@gmail.com.
Laura PackelCalifornia HIV/AIDS Research Program, University of California Office of the President, Oakland, CA 94612, USA. Electronic address: ljpackel@gmail.com.
Hannah LesliePrevention and Public Health Group, Global Health Sciences, University of California, 550 16th Street, San Francisco, CA 94158 USA. Electronic address: hleslie@hsph.harvard.edu.
Janise RichardsCenter for Global Health, Division of Global HIV and TB, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: jrichards@cdc.gov.
Starley B ShadeDivision of Prevention Sciences, Department of Medicine, University of California, San Francisco, USA. Electronic address: Starley.Shade@ucsf.edu.
University of California, San Francisco · USCenters for Disease Control and Prevention · USEduardo Mondlane University · MZInternational Centre for Reproductive Health · MZUniversity of California Office of the President

Funding

PS09-904 ATLANTA HQ UCSF TECHNICAL ASSISTANCE TO SUPPORT PEPFARU2GPS001468 · PS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RUTHERFORD, GEORGE WILLIAMS · 2009 to 2014
$21.8M
NCHHSTP CDC HHS U2G PS001468PEPFAR
6 · The paper itself

Abstract

introductionThe rapid scale-up of HIV care and treatment in resource-limited countries requires concurrent, rapid development of health information systems to support quality service delivery. Mozambique, a country with an 11.5% prevalence of HIV, has developed nation-wide patient monitoring systems (PMS) with standardized reporting tools, utilized by all HIV treatment providers in paper or electronic form. Evaluation of the initial implementation of PMS can inform and strengthen future development as the country moves towards a harmonized, sustainable health information system.

objectiveThis assessment was conducted in order to 1) characterize data collection and reporting processes and PMS resources available and 2) provide evidence-based recommendations for harmonization and sustainability of PMS.

methodsThis baseline assessment of PMS was conducted with eight non-governmental organizations that supported the Ministry of Health to provide 90% of HIV care and treatment in Mozambique. The study team conducted structured and semi-structured surveys at 18 health facilities located in all 11 provinces. Seventy-nine staff were interviewed. Deductive a priori analytic categories guided analysis.

resultsHealth facilities have implemented paper and electronic monitoring systems with varying success. Where in use, robust electronic PMS facilitate facility-level reporting of required indicators; improve ability to identify patients lost to follow-up; and support facility and patient management. Challenges to implementation of monitoring systems include a lack of national guidelines and norms for patient level HIS, variable system implementation and functionality, and limited human and infrastructure resources to maximize system functionality and information use.

conclusionsThis initial assessment supports the need for national guidelines to harmonize, expand, and strengthen HIV-related health information systems. Recommendations may benefit other countries with similar epidemiologic and resource-constrained environments seeking to improve PMS implementation.

Indexed as

Data CollectionDelivery of Health CareHealth FacilitiesOutcome Assessment, Health CareHealth Information SystemsHIV-1HIV InfectionsHumansMonitoring, PhysiologicMozambiqueRural Health ServicesElectronic medical recordsHealth information systemsHIVMozambiquePatient monitoring systemsSub-Saharan africa

Identifiers

PMID27919390
PMCPMC6056312
OpenAlexW2556291278

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.