1. Surveillance of HIV assisted partner services using routine health information systems in Kenya
- Author
-
Paul Macharia, Anne Ng’ang’a, David Bukusi, Bourke Betz, Beatrice Wamuti, Betsy Sambai, Carey Farquhar, Matthew R. Golden, Mathew Dunbar, Peter Maingi, Felix Abuna, and Peter Cherutich
- Subjects
Adult ,Male ,0301 basic medicine ,Internet privacy ,HIV Infections ,Health Informatics ,Computer security ,computer.software_genre ,Health informatics ,Health Information Systems ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Information system ,Humans ,Medicine ,030212 general & internal medicine ,Surveillance ,Scope (project management) ,business.industry ,Open data kit ,Health Policy ,HIV ,Information technology ,Kenya ,030112 virology ,3. Good health ,Computer Science Applications ,Assisted partner services ,Sexual Partners ,Health information ,Data quality ,Epidemiological Monitoring ,Female ,Electronic data ,Contact Tracing ,business ,computer ,Contact tracing ,Research Article - Abstract
Background The utilization of routine health information systems (HIS) for surveillance of assisted partner services (aPS) for HIV in sub-Saharan is sub-optimal, in part due to poor data quality and limited use of information technology. Consequently, little is known about coverage, scope and quality of HIV aPS. Yet, affordable electronic data tools, software and data transmission infrastructure are now widely accessible in sub-Saharan Africa. Methods We designed and implemented a cased-based surveillance system using the HIV testing platform in 18 health facilities in Kenya. The components of this system included an electronic HIV Testing and Counseling (HTC) intake form, data transmission on the Global Systems for Mobile Communication (GSM), and data collection using the Open Data Kit (ODK) platform. We defined rates of new HIV diagnoses, and characterized HIV-infected cases. We also determined the proportion of clients who reported testing for HIV because a) they were notified by a sexual partner b) they were notified by a health provider, or c) they were informed of exposure by another other source. Data collection times were evaluated. Results Among 4351 clients, HIV prevalence was 14.2 %, ranging from 4.4–25.4 % across facilities. Regardless of other reasons for testing, only 107 (2.5 %) of all participants reported testing after being notified by a health provider or sexual partner. A similar proportion, 1.8 % (79 of 4351), reported partner notification as the only reason for seeking an HIV test. Among 79 clients who reported HIV partner services as the reason for testing, the majority (78.5 %), were notified by their sexual partners. The majority (52.8 %) of HIV-infected patients initiated their HIV testing, and 57.2 % tested in a Voluntary Counseling and Testing (VCT) site co-located in a health facility. Median time for data capture was 4 min (IQR: 3–15), with a longer duration for HIV-infected participants, and there was no reported data loss. Conclusion aPS surveillance using new technologies is feasible, and could be readily expanded into HIV registries in Kenya and other sub-Saharan countries. Partner services are under-utilized in Kenya but further documentation of coverage and implementation gaps for HIV and aPS services is required.
- Published
- 2016
- Full Text
- View/download PDF