Transition to an in-facility electronic Tuberculosis register: Lessons from a South African pilot project

Southern African Journal of HIV Medicine

Field Value
Title Transition to an in-facility electronic Tuberculosis register: Lessons from a South African pilot project
Creator Myburgh, Hanlie Peters, Remco P.H. Hurter, Theunis Grobbelaar, Cornelius J. Hoddinott, Graeme
Subject Social Science; Implementation Science TB programme; systems integration; monitoring and evaluation; roles and responsibilities; HIV
Description Background: South Africa has one of the highest incidences of Tuberculosis (TB) globally. High co-morbid HIV prevalence complicates TB management and treatment outcomes. Growing evidence suggests that integrating the TB and HIV programmes will improve the overall results.Objectives: To describe how TB programme staff at various levels of the South African health system responded to the transition from a paper-based to an electronic register of TB data integrated with HIV programme data.Method: Three primary health service facilities in the Cape Winelands district, Western Cape province, South Africa served as pilot sites for implementation. Semi-structured interviews were conducted with 21 TB programme staff purposively selected at facility, sub-district, district and provincial levels of the health system, based on their involvement in implementing electronic TB data. An objective-driven thematic frame was used to analyse the data.Results: Fears about the transition included reductions in data quality, changes to the status quo and a lack of computer literacy. Participants acknowledged benefits of reduced workloads, speed of accessing patient-level data and click-of-a-button reporting. Three factors influenced the ease of adopting the new system: firstly, implementation challenged the vertical position of the TB programme, TB data and staff’s conventional roles and responsibilities; secondly, perceptions of the paper-based register as functional and reliable made the transition to electronic seem unnecessary; and thirdly, lack of a process of change management challenged staff’s ability to internalise the proposed change.Conclusion: A process of change management is critical to facilitate the efficiency and effectiveness with which the electronic in-facility TB register is implemented.
Publisher AOSIS
Contributor PEPFAR USAID Anova Health Institute University of Stellenbosch
Date 2020-01-16
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross-sectional descriptive
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v21i1.1025
Source Southern African Journal of HIV Medicine; Vol 21, No 1 (2020); 7 pages 2078-6751 1608-9693
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
Coverage — — —
Rights Copyright (c) 2020 Hanlie Myburgh, Remco P.H. Peters, Theunis Hurter, Cornelius J. Grobbelaar, Graeme Hoddinott