Mozambique Field Epidemiology and Laboratory Training Program, Maputo, Mozambique.
National Institute of Health, Maputo, Mozambique.
Pan Afr Med J. 2022 Jun 21;42:137. doi: 10.11604/pamj.2022.42.137.28931. eCollection 2022.
Mozambique antiretroviral therapy is a database used to monitor patients receiving antiretroviral treatment (ART). This study's objective was to evaluate the system for the purpose to monitor patients receiving ART.
data from 287,052 patients who started ART from January to December 2017 were verified, and retention in care was assessed for 2018 in Mozambique. The Centers for Disease Control and Prevention guidelines for evaluating public health surveillance systems were used to conduct the evaluation. Simplicity, flexibility, data quality, representativeness and stability attributes were evaluated.
a total of 93% (266,880/287,052) of patients on ART were adults ≥15 years old, and 65% (186,677/287,052) were female. The system was complex, it involved four organisations and its management was online. Data quality was moderate with 19% (1,533,885/8,037,456) of empty variable fields, 0.04% (123/287,052) observations with birth date later than the initial ART date, 0.2% (424/287,052) and 23% (68,039/287,052) with initial ART date and diagnosis date, later than the next ART pickup date. Nationally, 19%(31/161) of the districts did not have data in the information system. MozART cover health facilities with electronic patient tracking systems. Hence did not represent all patients on ART. While it was not possible to add variables of the electronic patient tracking, the system was stable as neither data or server interruptions were reported.
the system was useful, stable, with moderate data quality, complex, not flexible and not representative. We recommend to health facilities and partners to develop and distribute procedures for data validation and completeness and report all patient tracking variables in the system.
莫桑比克抗逆转录病毒疗法是一个用于监测接受抗逆转录病毒治疗（ART）的患者的数据库。本研究的目的是评估该系统以监测接受 ART 的患者。
验证了 2017 年 1 月至 12 月期间开始接受 ART 的 287,052 名患者的数据，并评估了 2018 年莫桑比克的护理保留情况。使用疾病控制和预防中心评估公共卫生监测系统的指南进行评估。评估了简单性、灵活性、数据质量、代表性和稳定性属性。
接受 ART 的患者中，共有 93%（266,880/287,052）为年龄≥15 岁的成年人，65%（186,677/287,052）为女性。该系统较为复杂，涉及四个组织，其管理是在线进行的。数据质量中等，19%（1,533,885/8,037,456）的变量字段为空，0.04%（123/287,052）的观察值出生日期晚于初始 ART 日期，0.2%（424/287,052）和 23%（68,039/287,052）的初始 ART 日期和诊断日期晚于下一次 ART 取药日期。全国有 19%（31/161）的地区信息系统中没有数据。MozART 覆盖了具有电子患者跟踪系统的卫生机构。因此，它不能代表所有接受 ART 的患者。虽然无法添加电子患者跟踪系统的变量，但由于没有报告数据或服务器中断，该系统仍然稳定。
该系统有用、稳定、数据质量中等、复杂、不灵活且不具有代表性。我们建议卫生机构和合作伙伴制定和分发数据验证和完整性程序，并在系统中报告所有患者跟踪变量。
