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. 2022 Oct 29;10(11):2167.
doi: 10.3390/healthcare10112167.

Impact of the Implementation of Laboratory Information System (WWDISA) on Timely Provision of HIV-1 Viral Load Results in a Rural Area, Inhambane, Mozambique

Elda Muianga Anapakala  1 , Patrina Chongo  1 , Isis da Barca  1 , Tomás Dimas  1 , Nadia Sitoe  1 , Ruben Sebastião  2 , Francelino Chongola  2 , Isabel Pinto  3 , Osvaldo Loquiha  4   5 , Solon Kidane  6 , Ilesh Jani  1 , Sofia Viegas  1
Affiliations

Impact of the Implementation of Laboratory Information System (WWDISA) on Timely Provision of HIV-1 Viral Load Results in a Rural Area, Inhambane, Mozambique

Elda Muianga Anapakala et al. Healthcare (Basel). .

Abstract

WWDISA is an optional module of the DISA Laboratory Information system (LIS) that offers a web portal that allows access to test results over the internet for patient clinical management. This study aims to assess the applicability of using the WWDISA web application, and the lessons learned from its implementation in six health facilities in Mabote district, Inhambane province. Data from 2463 and 665 samples for HIV-viral load (HIVVL) tests, extracted from paper-based and WWDISA systems, respectively, were included, from January to December 2020. Data were simultaneously collected on a quarterly basis from both systems to allow comparison. The WWDISA turnaround time (TAT) from sample collection to results becoming available was found to be 10 (IQR: 8−12) days and significantly lower than the health unit manual logbook (p value < 0.001). Regarding the system efficiency, it was found that among 1978 search results, only 642 (32.5%) were found, and the main challenges according to the users were lack of connectivity (77%) and the website going down (62%). The WWDISA module has been shown to be effective in reducing the TAT, although a stable internet connection and accurate data entry are essential to make the system functional.

Keywords: Mozambique; WWDISA; implementation of laboratory information system; laboratory information system; web-based laboratory information.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
District of Mabote, Inhambane Province.
Figure 2
Figure 2
Workflow of HIVVL sample reference system.
Figure 3
Figure 3
Turn the time over four quarters, from sampling to the availability of physical results, checked in laboratory journals.
Figure 4
Figure 4
Evaluation of the user survey. The proportion of survey responses was taken once, in 13 system users.
See this image and copyright information in PMC

References

    1. Farzandipour M., Meidani Z., Sadeqi Jabali M., Dehghan Bnadaki R. Designing and evaluating functional laboratory information system requirements integrated to hospital information systems. J. Eval. Clin. Pract. 2019;25:788–799. doi: 10.1111/jep.13074. - DOI - PubMed
    1. Gn H., Kieran M. Laboratory Information System-Electronic Health Record Interconnection, Usage and Functionality in Ambulatory Care Settings. J. Health Med. Inform. 2018;9:5. doi: 10.4172/2157-7420.1000322. - DOI
    1. Mtonga T.M., Choonara F.E., Espino J.U., Kachaje C., Kapundi K., Mengezi T.E., Mumba S.L., Douglas G.P. Design and implementation of a clinical laboratory information system in a low-resource setting. Afr. J. Lab. Med. 2019;8:841. doi: 10.4102/ajlm.v8i1.841. - DOI - PMC - PubMed
    1. Lukić V. Laboratory Information System—Where are we Today? J. Med. Biochem. 2017;36:220–224. doi: 10.1515/jomb-2017-0021. - DOI - PMC - PubMed
    1. Jastania R. How Laboratory Information System Improves Patient Safety. Am. J. Lab. Med. 2019;4:97–100. doi: 10.11648/j.ajlm.20190406.12. - DOI

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