Remote monitoring of Xpert® MTB/RIF testing in Mozambique: results of programmatic implementation of GxAlert
OBJECTIVE: To describe recently developed applications that allow for real-time, remote monitoring of Xpert results, and initial implementation of one of these products in central Mozambique.
DESIGN: In partnership with the Mozambican National Tuberculosis Program, we compared three different remote monitoring tools for Xpert and selected one, GxAlert, to pilot and evaluate at five public health centers in Mozambique.
RESULTS: GxAlert software was successfully installed on all five Xpert computers, and test results are now uploaded daily via a USB internet modem to a secure online database. A password-protected web-based interface allows real-time analysis of test results, and 1200 positive tests for tuberculosis generated 8000 SMS result notifications to key individuals.
CONCLUSION: Remote monitoring of diagnostic platforms is feasible in LMICs. While promising, this effort needs to address issues around patient data ownership, confidentiality, interoperability, unique patient identifiers, and data security.
Document Type: Research Article
Affiliations: 1: Health Alliance International, Suite 350, 1107 NE 45th Street, Seattle, WA 98105, USA. [email protected] 2: Health Alliance International, Seattle, Washington, USA 3: Mozambican National Tuberculosis Control Programme, Maputo, Mozambique 4: Stop TB Partnership, Geneva, Switzerland
Publication date: March 1, 2016
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