Application Of Informatic Technologies In HivAids Health Information Management

MINISTRY OF HEALTH VIET NAM ADMINISTRATION OF HIV/AIDS CONTROL Prof Dr Nguyen Thanh Long Director, VAAC CONTENTS Overview of HIV/AIDS health information systems Application of informatic technologies in health information managment systems Lessons learnt Constraints and issues Future direction of HIV/AIDS health information systems Recommendations OVERVIEW OF HIV/AIDS HEALTH INFORMATION MANAGEMENT SYSTEM Organizational structure of HIV/AIDS information system Other Ministries International organization Pasteur Institute of Nha Trang PACs of Central coast provinces District PMCs Management & Coordination Technical groups MOH (VAAC) National Institute of Hygiene & Epidemiology Pasteur Institute of HCM city PACs of Southern provinces District PMCs Report Tay Nguyen Institute of Hygiene & Epidemiology M&E Units of Highland provinces District PMCs Technical Assistance M&E Units of Northern provinces District PMCs Feedback & Information sharing OVERVIEW OF HIV/AIDS HEALTH INFORMATION MANAGEMENT SYSTEM (cont.) Collection, analysis of HIV/AIDS information Information collection: - From service sites (VCT, ARV, Harm reduction, PMTCT, VCT….) - From special surveys Analysis (Conducted at district PMC, PACs, Regional institutes, VAAC) Information Publications OVERVIEW OF HIV/AIDS HEALTH INFORMATION MANAGEMENT SYSTEM (cont.) Management and dissemination of information Reporting Reportingforms, forms, questionnaires questionnaires Routine Routine information information collection collection Instruction Instruction information information Special Special studies studies Software Software Website, Website,CD CD&& printed printeddocuments documents Update Information Information Exchange Sharing, Synthesizing Archive, Archive, Analysis Analysis Dissemination OVERVIEW OF HIV/AIDS HEALTH INFORMATION MANAGEMENT SYSTEM (cont.) Information synthesis Integrated Hardware ? Health information system, General statistic office Software Database Internet HIV/AIDS INFORMATION SYSTEM APPLICATION OF INFORMATION TECHNOLOGIES IN DEVELOPMENT OF HIV/AIDS INFORMATION SYSTEMS HARDWARES  VAAC’s network operates on Client/Server model using LAN servers, specialized softwares on data management, sharing and internet access  Develop and use an AIDSL for data management, reporting, searching and emailing HARDWARE SYSTEM Invested to 100% provincial M&E units on computors and network to ensure accessibility to central database system Invested to a proportion of district M&E units to expand utilization of professional softwares SOFTWARES CURRENTLY BEING USED IN HIV/AIDS Data export HIV-INFO SOFTWARE (Management of HIV/AIDS cases, deaths, sentinel surveillance data) VCT AND PEER EDUCATION ACTIVITIES SOFTWARE METHADONE INFORMATION SOFTWARE REPORT FOR GOVERNMENT DECISION 28/2008/MOH ONLINE REPORTING SOFTWARE UNIVERSAL ACCESS REPORTING FORM (UNAID/WHO) CARE & TREATMENT SOFTWARE ESTIMATION & PROJECTION HIV TESTING SOFTWARE Primary data UNGASS REPORTING (CRISS) PLANNING TOOLKIT Secondary data Data use V ARV management software Purpose: to manage electronic records on ARV treatment Monitoring the treatment process and result of ARV treatment Implemented: piloted since 2010 Application scale: intended for all ARV clinics Currently being used in Bach Mai hospital, National Institute for Tropical diseases Input data: patients’ information, treatment doses, adherence… It is recommended that the software to be revised for online reporting VI Online reporting software Purpose: to report HIV/AIDS activities based on the national and international indicators (UNGASS, Universal Access) Implemented: piloted since 2010, scaled up nationally since 2011 Application scale: intended for all HIV/AIDS centers, projects, regional institutes and VAAC, all health care facilities implementing HIV/AIDS activities VII HIV/AIDS Website Purpose: to provide information on HIV/AIDS activities, official legal documents, reports Implemented: since 2005 LESSONS LEARNT  Attracted leaders’ attention and support at all levels on increasing the application of informatics technology on HIV/AIDS  Mobilized donors’ support on investment & technical assistance on specialized software development  Collaboration among technical experts and software developers, especially during development of system specification requirements  Strengthened timely trainings and technical assistance to software using agencies CONSTRAINTS AND ISSUES  Lack of common standards on health informatics technologies, hence difficulties in data management and sharing among different databases  Limited connection and streamlining among current application software  High cost of software development  Limited internet speed affected utilization of online software  Human resource on informatics technologies lacks of quantity, quality and does not meet the demand of data management FUTURE DIRECTION ON DEVELOPMENT OF THE INFORMATION SYSTEM, 2011-2015 Tasks To ensure sustainable development and effective use of investment, strategies and plans on HIV/AIDS informatic technology development are for optimum responses to Viet Nam’s needs with attention to local technology infrastructure Purposes  To monitor, manage and share information on prevention, care & treatment (at all health care facilities nationally):  Meet requirements of national and international network HIV/AIDS activities  Connection services and activities on HIV / AIDS  Ensure system integrity, accuracy  Ensure the updating and use data most effectively MODULE FOR INTEGRATED INFORMATION SYSTEM ON HIV/AIDS VCT LIS ARV HARM REDUCTION PMTCT HIV-INFO REPORT Some directions on exchanging patients information in the systems: - Code for Patient identifying information using UIC method - Use of bare code in testing and patient referral - Use of fingerprint - Use of Electronic ID card for patients - Standardization of HIV/AIDS activity categories RECOMMENDATIONS  Development of standard code of administrative units nationally, synthesis information system (GIS) of geographical  MOH to establish Center for health data synthesis, to develop standards for health informatic technologies and methods for data exchange among health information systems  Support VAAC to develop codes for HIV/AIDS activities