1. Software for Longitudinal HIV Patients monitoring: Leadership and National Ownership Konan DJ-P, Kouassi-Gohou AV, Karcher S, Duvignac J, Traoré M, Nicoué Aimé, De Keroguen Nicolas

2. Background 2003: HIMS Assessment 2005: Integration HIV indicators in HIMS Development 1st HIV tools, Each partner had his tools News Tools based in the WHO patient monitoring systems’ tools Aconda VS adaptpaperstools Develop an internal application (electronic adaptation of the paper based tool)

3. Background (2) CDC Mission in Côte d’Ivoire Providedadvice for informatic application developement Advised to use Monistac (Aconda VS) Monistac Is software developed by Aconda VS, a local NGO and used in health facilities supported by this NGO Used in a context of Research Framework Mains functions: HIV Patient Monitoring and drug Management MOH Request to PEPFAR Financing a national electronic medical record for HIV patient monitoring Existing SI TWG

4. TechnicalWorking Group HIS and Monitoring & Evaluation issues insufficient of quantity and qualified M&E staff This lead on informatic TWG setting Name of the application : SIGVIH (HIV Information Management System) with regard to the general HIMS/SIGVISION

5. TechnicalWorking Group (2) Initial Members : MOH DIPE, PNPEC, PSP PEPFAR Partners CDC-Retroci Aconda VS / ISPED MEASURE Evaluation, SCMS EGPAF, Secretariat Health Information Division

6. TWG Missions Provide technical advice to the MOH/ DIPE Develop Technical specifications Develop the terms of reference Develop deployment plan Validate all options Coordinate users’ training

7. TWG Missions 2 Coordinate implementation Operating Mode Regular Meeting Chair: MOH / DIPE Consensus decision making Proposal to DIPE

8. Results 2006-2007 (CDC/PEPFAR) SIGVIH TWG meetings initiated by the CDC PEPFAR team Need assessment, TWG Development of EMR specifications, Development of deployments’ plan and validation documents Organization of the first validations Administrator Training

9. Results (2) Ownership MoH/HIMS department as a national tool : Setting up of the CATSIS-HIV Operational unit for EMR implementation Regular TWG meeting at MOH office Endorsement of the document by the General Directorate of Health (DGS) Training and Coaching of 216 users 154 facilities/354 currently use HIV EMR Conducting supervision in facilities using EMR

10. Results (3) Now it’s an ongoing local Development Use by non-PEPFAR partners ESTHER Word Bank Global Fund

11. Results (4) Current membership of the TWG National Party DIPE HIV Program, TB Program, PSP PEPFAR IPs MEASURE Evaluation SCMS, EGPAF ACONDA VS ICAP, HAI Non-PEPFAR partners ESTHER, Global Funds (Care International) World Bank

12. Challenges Availability of financial resources For maintain and increase IT positions For integration of other programs (TB, Malaria or PMTCT…) Maintain trained people Integrate use of national HIMS software in national pre-service training institution

13. Validation SIGVIH 1.3.2 version at MEASURE Evaluation Office

14. Last validation session of SIGVIH at MoH Office

16. And Leadership

17. Improve Health Information System

18. for strengthen Health System