Anapakala Elda Muianga, Chongo Patrina, Barca Isis da, Dimas Tomás, Sitoe Nadia, Sebastião Ruben, Chongola Francelino, Pinto Isabel, Loquiha Osvaldo, Kidane Solon, Jani Ilesh, Viegas Sofia
Instituto Nacional de Saúde, Marracuene 3943, Mozambique.
Provincial Health Directorate, Inhambane 1309, Mozambique.
Healthcare (Basel). 2022 Oct 29;10(11):2167. doi: 10.3390/healthcare10112167.
WWDISA is an optional module of the DISA Laboratory Information system (LIS) that offers a web portal that allows access to test results over the internet for patient clinical management. This study aims to assess the applicability of using the WWDISA web application, and the lessons learned from its implementation in six health facilities in Mabote district, Inhambane province. Data from 2463 and 665 samples for HIV-viral load (HIVVL) tests, extracted from paper-based and WWDISA systems, respectively, were included, from January to December 2020. Data were simultaneously collected on a quarterly basis from both systems to allow comparison. The WWDISA turnaround time (TAT) from sample collection to results becoming available was found to be 10 (IQR: 8−12) days and significantly lower than the health unit manual logbook (p value < 0.001). Regarding the system efficiency, it was found that among 1978 search results, only 642 (32.5%) were found, and the main challenges according to the users were lack of connectivity (77%) and the website going down (62%). The WWDISA module has been shown to be effective in reducing the TAT, although a stable internet connection and accurate data entry are essential to make the system functional.
WWDISA是DISA实验室信息系统（LIS）的一个可选模块，它提供了一个门户网站，允许通过互联网访问检测结果，以用于患者临床管理。本研究旨在评估使用WWDISA网络应用程序的适用性，以及从其在伊尼扬巴内省马博特区六个卫生机构的实施中吸取的经验教训。纳入了分别从纸质系统和WWDISA系统中提取的2020年1月至12月期间2463份和665份HIV病毒载量（HIVVL）检测样本的数据。每季度同时从两个系统收集数据以便进行比较。发现从样本采集到结果可用的WWDISA周转时间（TAT）为10天（四分位距：8 - 12天），显著低于卫生单位手工日志（p值<0.001）。关于系统效率，发现在1978条搜索结果中，仅找到642条（32.5%），用户提出的主要挑战是缺乏连接性（77%）和网站瘫痪（62%）。尽管稳定的互联网连接和准确的数据录入对于系统正常运行至关重要，但WWDISA模块已被证明在缩短TAT方面是有效的。
