community health active response toolkit information management for home-based care timothy heidel...
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Community Health Active Response Toolkit
Information Management for Home-Based Care
Timothy Heidelheidel@mit.edu
Massachusetts Institute of Technology
William DelHagen (PI)Community Health Innovations, Zambia
Outline
• Home-Based Care Record Keeping
• Community Health Active Response Toolkit (CHART)
• Initial Implementation Progress
• Next Steps
Healthcare in Zambia
• Formal healthcare infrastructure unable to meet demands of HIV/AIDS epidemic
• Home-Based Care (HBC) programs
Home-Based Care
Geographic Zones
HBC Projects
Home 1
HRT Main Office
Primary Care Giver
Zone C
Patient
Zone N
Zone B
Home 3
HBC 2
Home 2
Home 4
...
...
Home 25...
HBC 6
HBC 1
Nurse
+
Coordinator
Zone A
Home Care Visits
Care Supporters
Staff
Current Record Keeping
• Information cannot be transferred easily.
• Many IT systems at facility level, but no community-based systems
Program Administration
• Limited staff resources and time
• Monitoring & Evaluation
• Funding
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
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
CHART Overview
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
Data Entry Personnel
• Skilled candidates available
• Minimal training required
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
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
Questions?
Comments?
Suggestions?
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