Introduction of GxAlert in Uganda
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GxAlert is a system that allows near real-time monitoring of GeneXpert machines and patient data in Uganda. It addresses challenges with the previous monthly data collection system by (1) regularly receiving weekly usage and test result data from sites, (2) automatically tracking cartridge inventory to aid planning, and (3) having the potential to automatically notify patients and clinicians of results. The next steps are expanding GxAlert nationwide, ensuring continuous internet, and directly messaging patients and clinicians.
Introduction of GxAlert in Uganda
- 1. Introduction of GxAlert in Uganda Moses Joloba
- 4. GeneXpert data • Xpert data is very critical for the following reasons: • Monitoring performance of the machines • Monitoring usage of cartridges • Ensuring all patients detected are put on treatment more so MDR & HIV patients • Capturing TB indicators • For planning purposes
- 5. Xpert data collection • Without GxAlert Xpert data was collected through: • Telephone calls – weekly • SMS • E-mail • Monthly support Supervision • Visits from the center – very expensive
- 6. Xpert data collection challenges • Not many Xpert users are proficient in extracting data • Extracting data, sending it to the center is added workload – not much welcome • Collection of data monthly is not timely to ensure all patients are treated • Most of the Xpert sites lack new lab registers which capture Xpert data. • Challenges with aggregating the data and sending it to the programme and treatment sites • Challenges with communication to the patients
- 8. DEVICES Devices/Health Facilities Connected to GxAlert Which includes Genexpert 22 sites which clearly the shows reporting status in month, days, minutes and seconds real time reporting.
- 9. Dashboard Status of Device showing Total number tests done with Green is positive, Black is rif Resistant, Blue is RIF indeterminate, Yellow are the invalids and Red are Errors
- 10. Inventory Track usage of cartridges: Inventory of Murchison Bay Luzira
- 11. Benefits of GxAlert • Regular receipt of weekly data • 87% of 22 sites in Kampala Vs • 26% of 71 sites without GX Alert
- 12. Next steps • Extend to the rest of the country • Automatically send information to patients and clinicians • Uninterrupted internet connection
- 13. THANK YOU