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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Piloting the use of personal digital assistants for tuberculosis and human immunodeficiency virus surveillance, Kenya, 2007
International Journal of Tuberculosis and Lung Disease, Volume 14, No. 9, Year 2010
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Description
SETTING: Improved documentation of human immunodeficiency virus (HIV) testing and care among tuberculosis (TB) patients is needed to strengthen TB-HIV programs. In 2007, Kenya piloted the use of personal digital assistants (PDAs) instead of paper registers to collect TB-HIV surveillance data from TB clinics. OBJECTIVE: To evaluate the acceptability, data quality and usefulness of PDAs. DESIGN: We interviewed four of 31 district coordinators who collected data in PDAs for patients initiating TB treatment from April to June 2007. In 10 of 93 clinics, we randomly selected patient records for comparison with corresponding records in paper registers or PDAs. Using Cochran-Mantel-Haenszel tests, we compared missing data proportions in paper registers with PDAs. We evaluated PDA usefulness by analyzing PDA data from all 93 clinics. RESULTS: PDAs were well accepted. Patient records were more frequently missing (28/97 vs. 1/112, P < 0.001) and data fields more frequently incomplete (148/1449 vs. 167/2331, P = 0.03) in PDAs compared with paper registers. PDAs, however, facilitated clinic-level analyses: 48/93 (52%) clinics were not reaching the targets of testing ≥80% of TB patients for HIV, and 8 (9%) clinics were providing <80% of TB-HIV co-infected patients with cotrimoxazole (CTX). CONCLUSION: PDAs had high rates of missing data but helped identify clinics that were undertesting for HIV or underprescribing CTX. © 2010 The Union.
Authors & Co-Authors
Auld, Andrew F.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Wambua, Nancy
Kenya, Nairobi
Global Aids Program
Onyango, John
Kenya, Nairobi
Global Aids Program
Marston, Barbara J.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Namulanda, G.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Ackers, Marta Louise
Kenya, Nairobi
Global Aids Program
Oluoch, Tom O.
Kenya, Nairobi
Global Aids Program
Karisa, A.
Kenya, Nairobi
Global Aids Program
Hightower, Allen W.
Kenya, Nairobi
Global Aids Program
Shiraishi, Ray W.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Nakashima, Allyn K.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Sitienei, Joseph K.
Kenya, Nairobi
Ministry of Health Nairobi
Statistics
Citations: 12
Authors: 12
Affiliations: 3
Identifiers
ISSN:
10273719
Research Areas
Health System And Policy
Infectious Diseases
Study Locations
Kenya