Treatment and Treatment and Research AIDS Research AIDS

Centre Centre

Word bank VideoconferenceWord bank Videoconference1818thth December, 2006 December, 2006

Health Management Information Health Management Information System – Technical support and System – Technical support and information for the reduction of information for the reduction of

HIV/AIDS in RwandaHIV/AIDS in Rwanda

TargetsTargetsThe national targets for accelerating access to ARV in The national targets for accelerating access to ARV in Rwanda have been set and it is expected that, by end Rwanda have been set and it is expected that, by end of 2006, the number of PLWHA accessing ARV will be of 2006, the number of PLWHA accessing ARV will be approximately 33,000 and that this number will have approximately 33,000 and that this number will have increased to over 100,000 by end of 2008.increased to over 100,000 by end of 2008.

TRAC aims also to ensure that basic PMTCT and VCT TRAC aims also to ensure that basic PMTCT and VCT services are available at all 360 heath centers in services are available at all 360 heath centers in Rwanda by 2009.Rwanda by 2009.

To achieve these targets, TRAC was established the To achieve these targets, TRAC was established the Routine Health Management System via its ICT& Routine Health Management System via its ICT& Applied Statistics Unit as describe on the schematic Applied Statistics Unit as describe on the schematic diagram bellow :diagram bellow :

TRAC Routine Health TRAC Routine Health Management SystemManagement System

Lab

CAME

RWA

Sites(FOSA)

NationalCensus

andother

surveys

Data collection Data processing /analysisInformation

disseminationDecision making

Ministry ofhealth

Partners

TRAC

CNLS

Ministry of state

TRACnet

EMR

TRAC GIS(Geodatabase &mapping tools)

HistoricalPMTCT,VCT,ARV

data from excelworkbooks

TRACdatabase

Lab data(CD4,Viral

load)

VCT datamonthlyforms

PMTCTdata

monthlyforms

ARVpatients

data

ARVMonthlyforms

Consummables

(stocks)

Lab results

Socio-demographic

data

Repoting

Otherreports

AnnualreportPatients

register

registers

ChallengesChallenges

  NeedsNeeds SolutionSolution

““If we don’t know If we don’t know what is happening what is happening with health services with health services and HIV/AIDS and HIV/AIDS treatment, it is treatment, it is impossible to impossible to determine what determine what problems we’re problems we’re facing.”facing.”

““If we can’t If we can’t determine what the determine what the problems are, we problems are, we cannot react with cannot react with precise action to precise action to resolve them.”resolve them.”

  

For effective distribution of For effective distribution of treatment and quality care treatment and quality care for PLWHA, Rwanda needs:for PLWHA, Rwanda needs:

• •Precise and timely Precise and timely informationinformation on patients and on patients and programs.programs.

• •Efficient communication Efficient communication and coordinationand coordination between between health facilities, hospitals, health facilities, hospitals, TRAC, DHS, CAMERWA, TRAC, DHS, CAMERWA, CNLS, local government, the CNLS, local government, the PMU and the Ministry of PMU and the Ministry of State for HIV/AIDS and other State for HIV/AIDS and other Epidemics. Epidemics.

  

Improve the Improve the present system present system for information for information collection, collection, sharing, and sharing, and dissemination, dissemination, as it does not as it does not meet our needs.meet our needs. Implement a Implement a solution that solution that maximizes the maximizes the performance of performance of all personnel in all personnel in the Rwandan the Rwandan Health System. Health System.

  

Solution and Key Capabilities

Rwanda TRACnet is a dynamic information technology solution designed to collect, store, retrieve, disseminate and facilitate the analysis of critical program, drug, and patient information related to HIV/AIDS.

TRAC Database, TRAC Gis, TRAC Database, TRAC Gis, EMREMR

TRAC database is designed for data entry, data TRAC database is designed for data entry, data visualization and reporting for VCT, PMTCT visualization and reporting for VCT, PMTCT indicators collected at the sites.indicators collected at the sites.

Electronic Medical Record under the first implementation for Rwanda. Possibility and flexibility of integration of the tool with TRACnet system.

The interface is laid out in a coherent, simple and attractive way. The interface is laid out in a coherent, simple and attractive way. The system allows users to enter detailed patient data, has several The system allows users to enter detailed patient data, has several sorting/data organization functions.sorting/data organization functions.

A geodatabase & mapping tool system (GIS) interface A geodatabase & mapping tool system (GIS) interface that displays health facilities offering HIV/AIDS services that displays health facilities offering HIV/AIDS services : VCT, PMTCT and ARV in order to facilitate the : VCT, PMTCT and ARV in order to facilitate the decision-making espicially on epidemic surveillance.decision-making espicially on epidemic surveillance.

Shabani CISHAHAYOcishahayos@tracrwanda.org