gxalert monitors and reduces high testing error rates in nigeria's genexpert machine
TRANSCRIPT
GxAlert SMS Improves Patient Enrollment and Management in
Nigeria
46th Union World Conference on Lung Health Cape Town, South Africa
Kehinde Jimoh , MD5 December 2015
Abt Associates
Outline Session Objectives
Background
Approach and Process of Using GxAert
Value of integrating the GxAlert application
Implementation of Innovation
Results
To share Lessons Learned
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Session Objectives To orient participants to the technology-supported
GxAlert system in Nigeria.
To present improvements in DR-TB patient enrollment.
To share lessons learned to date.
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Background Nigeria is a Country in W/Africa with a
population of 165 million Nigeria is ranked 13th among the 27 high
DR-TB burden countries in the world Prevalence of MDR-TB among New
Cases is 2.9% Prevalence of MDR-TB among
Retreatment Cases is 14.3% Number of GeneXpert Site is 151
presently Nigeria is implementing technology-
supported GxAlert system to improve DRTB patients notification and enrollment in about 60 Labs.
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Challenges to Intervention
Reporting TB testing results is a lengthy process due to a continued reliance on paper records and slow data transit systems.
Quality of results data is often poor and subsequent program management decisions are not always timely or focused on priority needs.
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Why Connect GeneXperts?
Connected via GxAlert
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What is GxAlert?
GeneXpert
Health Systems
Connects the device via secure network. Allows automatic real-time reporting of test results.
Routes the information so it can become “actionable” within the health system.
Open-Source SoftwareSource Code Available for freeAny funded development available to all users/countries
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Approach and Process of GxAert
GxAlert is configured on GeneXpert systems by installing a modem from a telecom that encryps and gives access to internet to send GeneXpert MTB/RIF diagnostic results in real time to a secure web-based database in mere seconds
GXAlert is a real time online database. Data can be analyzed and aggregated by: Cartridge, Module, Device, Facility, LGA, or State.
The system then sends the results in an SMS alert to program decision makers at the state and national TB program, shortening the new-case reporting period from months to seconds.
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Results The proportion of DR-TB patients
enrolled for treatment based on GxAlert messages received from 35 GeneXpert facilities jumped to 85% in March, 2015 from only 20% enrolled in April 2014.
SMS or text message alerts are sent to TB Local Government supervisor, State program manager and National Program DR-TB enrollment officer upon GeneXpert confirmation of a MTB+ Rif+ case to speed treatment initiation.
Weekly reports of all new TB+ cases are both emailed and sent by SMS to local health officials to ensure better connection between diagnosis, enrollment and treatment.
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Can we get better quality data, faster?
Does it lead to NTP action?
Do results get to patients?
“We saw 3x the level of MDR we expected!”
YES!
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GxAlert Allows Data to Flow Across the Health System
GH Kumo
Kwali GH
IDH Kano
Zankli Lab
NIMR Yaba
SMS
ComputerApp
Other Systems:e-TB Manager
DHIS2
• Connects diagnostic devices
• Collects custom data
• Sends alerts, notifications and reports to different level of care providers
• Monitors and manages cartridge inventory
• Records service, warranty,and maintenance events
• Integrates with other health systems
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Recap: Take Home Messages
GxAlert eliminates the need for human error in data entry, reduces the lag time, and helped pinpoint patients that should be place on care.
GxAlert strengthened surveillance of DR-TB, TB in children and TB in the HIV infected, speeding response and improving programmatic decision made for enrollment and placement of DR-TB patient on treatment.
The use of GxAlert SMS notification of GeneXpert testing suggests a scalable model for sustainability: Installation is done once and in-country.
QUESTIONS?www.GxAlert.com
Contact:Kehinde Jimoh Agbaiyero, Abt Associates
OR
Martha Benezet, Abt [email protected]