Application Of Informatic Technologies In HivAids Health Information Management

MINISTRY OF HEALTH
VIET NAM ADMINISTRATION OF HIV/AIDS CONTROL

Prof. Dr. Nguyen Thanh Long
Director, VAAC


CONTENTS
1. Overview of HIV/AIDS health information systems.
2. Application of informatic technologies in health
information managment systems.
3. Lessons learnt.
4. Constraints and issues.
5. Future direction of HIV/AIDS health information
systems.
6. Recommendations.


OVERVIEW OF HIV/AIDS HEALTH
INFORMATION MANAGEMENT SYSTEM
1. Organizational structure of HIV/AIDS information system
Other Ministries

International
organization

Pasteur Institute
of Nha Trang

PACs of Central coast
provinces

District
PMCs
Management &
Coordination

Technical
groups

MOH (VAAC)

National Institute of
Hygiene & Epidemiology

Pasteur Institute
of HCM city

PACs of Southern
provinces

District
PMCs
Report

Tay Nguyen Institute of
Hygiene & Epidemiology

M&E Units of Highland
provinces

District
PMCs
Technical
Assistance

M&E Units of Northern
provinces

District
PMCs
Feedback &
Information sharing


OVERVIEW OF HIV/AIDS HEALTH
INFORMATION MANAGEMENT SYSTEM (cont.)
2. Collection, analysis of HIV/AIDS information

Information collection:
- From service sites
(VCT, ARV, Harm
reduction, PMTCT,
VCT….)
- From special surveys

Analysis
(Conducted at district
PMC, PACs, Regional
institutes, VAAC)

Information
Publications


OVERVIEW OF HIV/AIDS HEALTH
INFORMATION MANAGEMENT SYSTEM (cont.)
3. Management and dissemination of information

Reporting
Reportingforms,
forms,
questionnaires
questionnaires
Routine
Routine
information
information
collection
collection

Instruction
Instruction
information
information
Special
Special
studies
studies

Software

Software

Website,
Website,CD
CD&&
printed
printeddocuments
documents

Update
Information

Information
Exchange

Sharing,
Synthesizing

Archive,
Archive,
Analysis
Analysis

Dissemination


OVERVIEW OF HIV/AIDS HEALTH
INFORMATION MANAGEMENT SYSTEM (cont.)
4. Information synthesis

Integrated

Hardware

?
Health
information
system, General
statistic office

Software

Database

Internet
HIV/AIDS INFORMATION SYSTEM

6


APPLICATION OF INFORMATION TECHNOLOGIES
IN DEVELOPMENT
OF HIV/AIDS INFORMATION SYSTEMS


HARDWARES
 VAAC’s

network

operates

on

Client/Server model using 2 LAN
servers, specialized softwares on
data management, sharing and
internet access.
 Develop and use an AIDSL for

data

management,

reporting,

searching and emailing.


HARDWARE SYSTEM

Invested to 100% provincial M&E units on computors and network to ensure accessibility to
central database system.
Invested to a proportion of district M&E units to expand utilization of professional softwares.


SOFTWARES CURRENTLY BEING USED IN HIV/AIDS
Data export
HIV-INFO SOFTWARE
(Management of HIV/AIDS

cases, deaths, sentinel
surveillance data)
VCT AND PEER
EDUCATION ACTIVITIES
SOFTWARE
METHADONE
INFORMATION
SOFTWARE

REPORT FOR
GOVERNMENT
DECISION
28/2008/MOH
ONLINE REPORTING
SOFTWARE

UNIVERSAL ACCESS
REPORTING FORM
(UNAID/WHO)

CARE & TREATMENT
SOFTWARE

ESTIMATION &
PROJECTION

HIV TESTING SOFTWARE

Primary data

UNGASS REPORTING
(CRISS)

PLANNING TOOLKIT

Secondary data

Data use


I. HIV-INFO software
1.

Purpose: to manage list of HIV infected, AIDS and death
cases since 1990; to screen for duplicative cases; to provide
information on distribution and trends of HIV/AIDS

2.

Implemented since 2003

3.

Application scale: intended for all agencies that are
authorized to manage HIV/AIDS cases. Currently being
used by VAAC, 4 regional institutes, 63 provinces/cities,
50% districts.

4.

Input data: Demographics, risk behaviors, dates of HIV
tested, AIDS, deaths...


Phần mềm quản lý người nhiễm HIV-INFO: 2.1.


DB SERVER

OFFLINE
screening

e
ata onlin
d
ta
ded
Co ive da
ece
r
,
d
Sen

DB Regional Institutes

Screened
Data

Co

ded
dat
, re
a
cei
ve
d at
ao
nli
ne

Entered
Data

Sen
d

Data entry

OFF
scre LINE
enin
g

DB district

Data entry

Templat

Screened
Data

Temp

Sreened
Data

Se
nd
,r
ec
Co eive
de
da
dd
ta
on
ata
lin
OF
scr FLIN
een E
ing

e

DB province

Template

Screened
Data

Data entry


II. Prevent HIV software
1.

Purpose: Management, analysis, monitoring, and evaluation
of VCT & harm reduction activities.

2.

Implemented: since 2004

3.

Application scale: intended for PACs and more than 180 VCT
sites in 53 provinces/cities.

4.

Input data: demographic information, risk behaviors, harm
reduction information.


Data flow
VCTs

OPCs

OPCs

PMUs of
H project
CMUs of
H project

VCTs

PACs
CMUs of
I project

HRs
OPCs

PMUs of J
project

CMUs of J
project

Sub-project
module
(PrevenHIV)

VAAC

Central module
(PrevenHIV)

OPCs



III. LIS software (Laboratory information
system)
1.

Purpose: to monitor laboratory testing quality before,
during and after test, to manage specimen data and test
results. Change paper’s management, save time for healt
workers

2.

Implemented: since 12/2007

3.

Application scale: Intended for HIV labs. Currently being
used in 6 sites in HCMC (Pham Ngoc Thach & Pediatric 2
hospitals, PAC HCMC) and Hanoi (PAC Hanoi).


Data flow

Networking laboratory machines
Networking lab
machines
I-OpenELIS

ELISA machines
CD4 count machines
Heamatology testing
machines
Biochemistry testing
machines…


IV. Methadone information software
1. Purpose: to manage electronic records on

methadone treatment. Monitoring
provide methadone every day. Managing
the dose and treatment adherence
2. Implemented: piloted since 2010
3. Application scale: Methadone clinic in Hai
Phong
4. Input data: Patients’ information,
treatment dose, adherence…



V. ARV management software
1. Purpose: to manage electronic records on ARV

2.
3.

4.
5.

treatment. Monitoring the treatment process
and result of ARV treatment
Implemented: piloted since 2010
Application scale: intended for all ARV clinics.
Currently being used in Bach Mai hospital,
National Institute for Tropical diseases
Input data: patients’ information, treatment
doses, adherence…
It is recommended that the software to be
revised for online reporting



VI. Online reporting software
1. Purpose: to report HIV/AIDS activities

based on the national and international
indicators (UNGASS, Universal Access)
2. Implemented: piloted since 2010, scaled
up nationally since 2011
3. Application scale: intended for all
HIV/AIDS centers, projects, regional
institutes and VAAC, all health care
facilities implementing HIV/AIDS

activities.