Although information technology (IT) plays an increasingly important role in the delivery of healthcare, specific guidelines to assist human immunodeficiency virus (HIV) care settings in adopting IT are lacking.
Through the experiences of six Special Projects of National Significance - (SPNS) funded HIV-specific IT interventions, key considerations prior to adoption and evaluation of IT are presented. The purpose of this article is to provide guidelines to consider prior to adoption and evaluation of IT in HIV care settings.
Six sites conducted comprehensive evaluations of IT interventions between 2002 and 2005, encompassing care delivered to 24,232 clients by 700 providers. Six key considerations prior to adoption of IT in HIV care delivery were identified, including IT and programmatic capacity, expectations, participation, organizational models, end-user types, and challenges. Specific evaluation techniques included implementation assessment, formative evaluation, cost studies, outcomes evaluation, and performance indicators. Grantee experiences are used to illustrate key considerations.
With proper preparation, even resource-poor HIV care delivery programs can successfully adopt IT.
"Clifford et al.  suggest that critical to success is the " creation of long-term relationships to build infrastructure and solving systemic problems to provide health care " . Magnus et al.  note success also goes beyond lack of resources – " With proper preparation, even resource-poor HIV care delivery programs can successfully adopt IT. " Similar challenges exist in the broader Information and Communication Technologies and Development (ICTD) community. Anokwa et. "
[Show abstract][Hide abstract] ABSTRACT: Despite the effective use of computerized clinical summaries and reminders in high-income countries to increase the quality of care, the difficulties of implementing and deploying such systems in low-income countries have hindered their adoption. To become viable in these settings, clinical summaries and reminders systems must reliably deliver information while enabling healthcare providers to explore relevant data. This paper begins by explaining the need for summaries and reminders and how they might increase the efficiency of care. It then discusses the challenges similar systems have overcome and how those lessons learned apply to the context of providers in Sub-Saharan Africa. Finally, we describe the development of a phone-based clinical summaries and reminder system designed to increase the quality of Human immunodeficiency virus (HIV) care in Sub-Saharan Africa. In our evaluations, we will show through instrumentation and user studies that such a system is more available and can lead to more compliance with HIV testing guidelines.
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