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By Lily N. Njoroge (Bsc HR&IM) ; Njogu M.

This study compares the impact of implementing the IQCare system versus the C-PAD system on viral load report generation at Nyahururu County Hospital. Results show a significant increase in viral load updates with IQCare, indicating improved decision-making processes. The study aims to assess the effectiveness of IQCare in viral load results uptake and decision-making by analyzing one year of data pre-and post-implementation. Recommendations include integrating IQCare with KEMRI Lab system for real-time updates and implementing alerts for high viral load cases.

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By Lily N. Njoroge (Bsc HR&IM) ; Njogu M.

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  1. THE 7TH EAHSCImplementation of IQ Care System in CCC increases viral load report generation: IQCare versus C-PAD system By Lily N. Njoroge (Bsc HR&IM); Njogu M. The Palladium Group; Centre for health Solutions; Nyahururu County Hospital

  2. Outline • Introduction • Objective • Methodology • Results • Conclusions • Recommendations and Way Forward • Acknowledgement

  3. Cont….. • Abbreviations • CCC: Comprehensive Care Centre • C-PAD: Comprehensive Patient Application Database • EA: East Africa • IQCare: International Quality Care • NCRH: Nyahururu County Referral Hospital • VL: Viral Load

  4. Introduction • A study in NCRH • C-PAD had been in use since 2007 • Facility had challenges in decision making • IQCare system was implimented in November 2017 • The study is to determine the impact of the new system on viral load update

  5. Objective • To assess the effectiveness of IQCare system in viral load(vl) results uptake and decision making. • Record one year data on viral load update • Compare pre and post-implementation data • Determine effectiveness of the new system in decision making • Identify possible solutions based on the findings

  6. Methodology • A one-year retrospactive study • Assesed effectiveness of the program • Six months pre and post-integration of IQCare was recorded and compared • In months of May to October 2017, 3866 results were updated in C-PAD • In months of December 2017 to May 2018, 11185 results were updated in IQCare system • November data was excluded due to migration

  7. Cont….

  8. Results and Discussion • Before IQCare system there were 38% vl results in C-PAD • There was a drastic increase after implementation of IQCare from 3866 to 11185 • By may 2018, 93% of active patients had their results in the system • 55% increment was recorded in viral load update since implementation • The remaining 7% were the newly active patients who were not eligible for viral load test

  9. Conclusions • Unlike IQCare, C-PAD could not generate summary of patients without vl results • With IQCare, this great improvement is attributed to: • Ease at which one identifies patients without results • Timely appropriate measures for example contacting those due • Ability to follow up and ensure all patients have their results

  10. Cont…… • Challenges • Viral load suppression is at 79% • Delayed high viral load patients contact by two weeks

  11. Recommendation and Way Forward • Conduct more studies to establish how system can help achieve 3rd 90 (Viral suppression) by year 2020through: • Integration of IQCare system and KEMRI Lab system for real-time results update • IQCare alert to healthcare worker on patient with viral load concerns • Pop-up message alerts to patient due or with high vl

  12. Acknowledgement • Great appreciation goes to: • Tanzania Government • EA Health Research Commission • The palladium group • Centre for health solutions Organization • Ministry of Health (Kenya) • Nyahururu County and Referral Hospital

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