In both underserved settings examined in this study, physicians, office managers, and clinic administrators expressed strong support for improved ability to electronically exchange information and reliably access that information.
This research was approved by the internal EHR4CR scientific committee, the Münster ethics committee and the data protection managers and clinic directors of the sites involved in the evaluation.
Widespread corruption in the government, in the whole public sector and of top managers and clinic managers in the health sector was also mentioned as a factor that could justify and encourage the same practice to be adopted throughout the health system.
Participating MOH staff (TMs, clinic managers and clinical supervisors) gave written informed consent.
The clinical group consisted of 27 attending physicians; 17 residents and fellows; 19 medical students; 9 nurse practitioners; 10 nurses; 10 ancillary clinic staff, including medical assistants, social workers, pharmacists, and clinic managers; and 11 clinical research personnel.
This was confirmed by the key informant interviews with the facility managers and ART clinic in-charges who rated their performance as either good or very good.
All the facility managers and ART clinic in-charges interviewed confirmed that ASWs were conducting adherence counseling in their facilities and contributing to the reduction of the workload of HCWs.
In a structured survey conducted among 62 national or provincial managers and HIV clinic staff in Mozambique, respondents indicated that non-physician clinicians should initiate ART for adults (100%), pregnant women (95%), and patients with tuberculosis (83%) [ 70].
It will take more than case managers and co-located clinics to get more men into care and help them reduce viral loads in our communities.
The King Sabata Dalindyebo Local Municipality manager and the clinic managers of both primary healthcare centres gave permission for the study.
