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The PDA as a TrainingThe PDA as a Training

Inwani I1, Macharia P2, Jarabi B2, Kamau V2, Ngugi E2,Ikamari L2, Kurth A3, Morris M4

1 KNH2 UoN3 NYU4 UW

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IntroductionIntroduction

Background PDAs

PDA as training tool

PDA as data collection tool Benefits and Challenges

Conclusion

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BackgroundBackground

Methods Currently used; Training Workshops, Sensitization/onjob

training(mentorship), web based training Data Collection Pa er uestionnaires Com uters

Cell Phones The Objective; Promote Sexual risk reduction

among HIV positive and to support treatmentAdherence to those on ART

Innovative methods of; Training Data Collection PDAs

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What is a PDA?What is a PDA?

A PDA is a handheld device with organizerand basic computing functions.

A stylus as input device.

Battery powered and need electricity or solar Storage capacity inbuilt, SD card.

Access stored files/resources.

Collect data through specialized software ; Pendragon Forms, EpiData

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The PDA as a Training ToolThe PDA as a Training Tool

Store files in its memory. Retrieve files based on their specific

application software.

o n a osp a ra n ea areProviders on ; Pambazuko Guidelines on ART Adherence

Pambazuko Guidelines on Sexual Risk

Reduction

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TrainingTraining

Conducted at Thika District Hospital

Participants Health Care workers at theCCC

powering, standby model

Retrieval of training materials.

Recording and playing media files

Storage and care.

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Characteristics of Heath CareCharacteristics of Heath Care

ProvidersProvidersCharacteristics Number/Median

n=23

Proportion %/ IQR

GenderFemale 19 83

Age 29 (Min 23 Max 57) 25 -36

Level of educationNo Education 0

Primary 1 4.5

High school 3 13

o ege

Graduate 4 17.5

ProfessionalbackgroundNurse-counselor 7 30

Clinical Officer 2 9

Pharmacist 2 9

Nutritionist 1 4.5

Social worker 1 4.5Peer counselors 7 30

Ever used ComputerYes 21 91

No 2 9

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Computer UseComputer Use

5

6

7

8

0

1

2

3

4

Nurses Clinicians Pharmasist Nutritionst SocialWorker

Data Clerk PeerCouselors

Yes

No

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How did youHow did you find PDAfind PDA Use?Use? 53% Very Easy

83 % Very useful

Can the PDA be useful in yourCan the PDA be useful in your

every day practice?every day practice?

Did you find the PDA as a usefulDid you find the PDA as a useful

73%

20%

4% 3%

Extremely Useful

Very Useful

Useful

Not Useful

se ra n ng oose ra n ng oo

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Benefits of PDA as Training toolBenefits of PDA as Training tool

Flexibility and Portability

Minimal training to use device

Reduce absenteeism from work

Minimal expenses

Resources Time, trainers, Venue, stationery

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Challenges as Training toolsChallenges as Training tools

Initial investment PDAs Electricity

Security and maintenance

Single user platform User distraction Games, Other

applications

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The PDA as a Data Collection toolThe PDA as a Data Collection tool

Paper questionnaire programmed to

electronic forms Program Skip patterns and checks

Date and time stam

Multiple forms and sub-forms in a PDA Data downloading Synch data to

Computer

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Use of The PDA in the studyUse of The PDA in the study

Self Administered HCP Administered questionnaires Patients

Time motion Patients

me amp verage me spen a

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Benefits of in Data collectionBenefits of in Data collection

Collection and analysis - time Minimal Errors and missing data

Cost saving - no need for data entry

resources Authentic inbuilt Date/Time Stamp

Use pictograms - confidentiality

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Challenges in Data CollectionChallenges in Data Collection

PDA programming requires training Notebooks - Synch data from PDAs

Power Battery last 7hrs

memot on ata on y one event at atime

Backup data After each Synch process

Risk of data loss incase of system failure

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ConclusionConclusion

PDA use as a training and data collectiontool is feasible in a resource limitedsetting.

ere are many ene s owever ereare few challenges which include training,access to electricity and security

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Thank ou all!!Thank ou all!!