Mobile system improving data on people living with HIV and TB

Key information

  • Organisation: Alliance Nationale Pour la Sante et le Developpment
  • Country: Côte d’Ivoire
  • Region: Western and Central Africa
  • Stage of innovation: Stage 6: In the market and ready to scale
  • Start date: 2020
  • Type of innovation: Service delivery innovation: new or different way of providing a service
  • Funder: The Global Fund

Summary of intervention

A new, innovative mobile health data collection system called M-TBVIH is improving data quality on people living with HIV and tuberculosis (TB) patients.

Previously, a lack of real-time information and inadequate monitoring of HIV and TB patients made it difficult to track patients’ progress and ensure that they were receiving the right treatment, or to identify patients who were not responding to treatment or who were at risk of dropping out of care. The lack of accurate data made it difficult to plan and allocate resources, which could also lead to delays in treatment. Patients were often not aware of their treatment status or not taking their medication correctly.

M-TBVIH has improved the quality of administrative data collection by supplementing current registration systems with the collection of digital data that allows information to be obtained in real time. It provides results and enables electronic management of appointments for ARV/TB renewal, clinical and biological follow-up visits. It systematically sends SMS or voice reminders in French and local languages — Malinké, French, Abouré and Agni — to HIV and TB patients, facilitating access to treatment, and improving patient monitoring.

The benefits include reduced workload for health workers and Community Advisors. Overall, the innovation has been extremely successful in improving the quality of data on people living with HIV and TB patients, making it easier to track patients’ progress and ensure they are receiving the right treatment. It is helping to keep them in care and has improved timely access to treatment, monitoring and adherence.

learnings

Since M-TBVIH is a mobile health innovation that uses SMS and voice messages to improve the management of HIV and tuberculosis patients, it is easy to use through smartphones, scalable, and provides data in real time. It also monitors the performance of individuals in the community and is interoperable with DHIS2. M-TBVIH has been shown to improve clinical indicators such as retention, viral load access, and reduction in PDV.

next steps

The next steps will be to identify further high impact sites and to acquire smartphones and tablets with good network coverage for community stakeholders. Community actors, health providers will and administrators at district and regional levels will be identified to use the new database.

sustainability

To work towards sustainability, a partnership will be sought with the telephone company and the government in an effort to reduce the cost of SMS.