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Improving TB Surveillance and Patients' Quality of Care Through Improved Data Collection in Angola: Development of an Electronic Medical Record System in Two Health Facilities of Luanda

TB Programs should promote the use of digital health platforms, like Electronic Medical Records (EMR) to collect patients' information, thus reducing data incompleteness and low accuracy and eventually improving patients' care. Nevertheless, the potential of digital health systems remains...

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Autores principales: Robbiati, Claudia, Tosti, Maria Elena, Mezzabotta, Giampaolo, Dal Maso, Francesca, Lulua Sachicola, Ofélia M., Siene Tienabe, Paulo, Nsuka, Joseph, Simonelli, Marco, Dente, Maria Grazia, Putoto, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009439/
https://www.ncbi.nlm.nih.gov/pubmed/35433613
http://dx.doi.org/10.3389/fpubh.2022.745928
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author Robbiati, Claudia
Tosti, Maria Elena
Mezzabotta, Giampaolo
Dal Maso, Francesca
Lulua Sachicola, Ofélia M.
Siene Tienabe, Paulo
Nsuka, Joseph
Simonelli, Marco
Dente, Maria Grazia
Putoto, Giovanni
author_facet Robbiati, Claudia
Tosti, Maria Elena
Mezzabotta, Giampaolo
Dal Maso, Francesca
Lulua Sachicola, Ofélia M.
Siene Tienabe, Paulo
Nsuka, Joseph
Simonelli, Marco
Dente, Maria Grazia
Putoto, Giovanni
author_sort Robbiati, Claudia
collection PubMed
description TB Programs should promote the use of digital health platforms, like Electronic Medical Records (EMR) to collect patients' information, thus reducing data incompleteness and low accuracy and eventually improving patients' care. Nevertheless, the potential of digital health systems remains largely unexploited in low-resource settings. Angola is one of the 14 countries with a triple burden of TB, TB/HIV and MDR-TB (multidrug-resistant TB) and it is among the three countries, together with Congo and Liberia that have never completed a drug-resistance survey so far. The Sanatorium Hospital of Luanda and the Tuberculosis Dispensary of Luanda are the two reference health facilities in Luanda dealing with most of the TB cases, and they both rely entirely on paper-based data collection. The aim of this paper is to describe a three-stage process for the development of a TB EMR system in these two health facilities of Luanda and to share the lessons learned. The description is focused on the activities that took place from March 2019 to January 2020. Main lessons learned were identified in the importance of engaging all the stakeholders in the development process, in the mainstream of the “think digital” transition, in the promotion of a monitoring and evaluation (M&E) culture and in the planning of the system's sustainability. This approach may be replicated in similar contexts where the development of a TB EMR system is sought, and the lessons learned could assist and facilitate the programming of the interventions.
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spelling pubmed-90094392022-04-15 Improving TB Surveillance and Patients' Quality of Care Through Improved Data Collection in Angola: Development of an Electronic Medical Record System in Two Health Facilities of Luanda Robbiati, Claudia Tosti, Maria Elena Mezzabotta, Giampaolo Dal Maso, Francesca Lulua Sachicola, Ofélia M. Siene Tienabe, Paulo Nsuka, Joseph Simonelli, Marco Dente, Maria Grazia Putoto, Giovanni Front Public Health Public Health TB Programs should promote the use of digital health platforms, like Electronic Medical Records (EMR) to collect patients' information, thus reducing data incompleteness and low accuracy and eventually improving patients' care. Nevertheless, the potential of digital health systems remains largely unexploited in low-resource settings. Angola is one of the 14 countries with a triple burden of TB, TB/HIV and MDR-TB (multidrug-resistant TB) and it is among the three countries, together with Congo and Liberia that have never completed a drug-resistance survey so far. The Sanatorium Hospital of Luanda and the Tuberculosis Dispensary of Luanda are the two reference health facilities in Luanda dealing with most of the TB cases, and they both rely entirely on paper-based data collection. The aim of this paper is to describe a three-stage process for the development of a TB EMR system in these two health facilities of Luanda and to share the lessons learned. The description is focused on the activities that took place from March 2019 to January 2020. Main lessons learned were identified in the importance of engaging all the stakeholders in the development process, in the mainstream of the “think digital” transition, in the promotion of a monitoring and evaluation (M&E) culture and in the planning of the system's sustainability. This approach may be replicated in similar contexts where the development of a TB EMR system is sought, and the lessons learned could assist and facilitate the programming of the interventions. Frontiers Media S.A. 2022-03-24 /pmc/articles/PMC9009439/ /pubmed/35433613 http://dx.doi.org/10.3389/fpubh.2022.745928 Text en Copyright © 2022 Robbiati, Tosti, Mezzabotta, Dal Maso, Lulua Sachicola, Siene Tienabe, Nsuka, Simonelli, Dente and Putoto. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Robbiati, Claudia
Tosti, Maria Elena
Mezzabotta, Giampaolo
Dal Maso, Francesca
Lulua Sachicola, Ofélia M.
Siene Tienabe, Paulo
Nsuka, Joseph
Simonelli, Marco
Dente, Maria Grazia
Putoto, Giovanni
Improving TB Surveillance and Patients' Quality of Care Through Improved Data Collection in Angola: Development of an Electronic Medical Record System in Two Health Facilities of Luanda
title Improving TB Surveillance and Patients' Quality of Care Through Improved Data Collection in Angola: Development of an Electronic Medical Record System in Two Health Facilities of Luanda
title_full Improving TB Surveillance and Patients' Quality of Care Through Improved Data Collection in Angola: Development of an Electronic Medical Record System in Two Health Facilities of Luanda
title_fullStr Improving TB Surveillance and Patients' Quality of Care Through Improved Data Collection in Angola: Development of an Electronic Medical Record System in Two Health Facilities of Luanda
title_full_unstemmed Improving TB Surveillance and Patients' Quality of Care Through Improved Data Collection in Angola: Development of an Electronic Medical Record System in Two Health Facilities of Luanda
title_short Improving TB Surveillance and Patients' Quality of Care Through Improved Data Collection in Angola: Development of an Electronic Medical Record System in Two Health Facilities of Luanda
title_sort improving tb surveillance and patients' quality of care through improved data collection in angola: development of an electronic medical record system in two health facilities of luanda
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009439/
https://www.ncbi.nlm.nih.gov/pubmed/35433613
http://dx.doi.org/10.3389/fpubh.2022.745928
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