AUTHOR : NIRANJAN KONDURI
Developed by USAID’s Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program, e-TB Manager enables providers to manage susceptible tuberculosis, MDR tuberculosis, tuberculosis-HIV, and paediatric tuberculosis cases from diagnosis to treatment outcome through WHO guidelines. It allows communicable disease teams at all levels, from health-care providers to government officials, to access individual and consolidated data for evaluating system performance across facilities and regions. Each user account is assigned a certain view by the National TB Program authority depending on the health system level of use. Usually a select handful of staff from the central level will have access to the entire country’s patient data. These are assigned “administrator view.” The vast majority of users in the country can see patient data only for those patients that they are serving, be it at a large city hospital or in a district health facility. Depending on the size of the country, certain doctors or nurses are designated “administrator view” for their responsible state or province.
We recently conducted an 18-point anonymous e-TB Manager user satisfaction survey in nine countries that covered more than 2000 users working in some 1500 health facilities (infographic). We had a high response rate of 76% and received more than 600 user comments. These were channelled back to respective country national decision makers to help with continuous quality improvement, thereby meeting some of the Principles for Digital Development. We also conducted in-depth interviews with key leaders and implementers and learned how e-TB Manager facilitated national, regional, and local health workers’ abilities to track and manage tuberculosis cases. Our findings have key implications for digital health technologies in general.
For WHO’s workshop “Digital health technology for the End TB Strategy: developing priority products and making them work”, see http://liverpool.worldlunghealth.org/programme/workshops
Niranjan Konduri is a Principal Technical Advisor of the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) programme, funded by the US Agency for International Development (USAID) and implemented by Management Sciences for Health.