95-95-95 Strategy
In December 2014, the Joint United Nations Programme of HIV/Aids (UNAIDS) 90-90-90 strategy was adopted thereby
catapulting South Africa into the acceleration and scale-up of managing HIV/Aids and TB as a dual epidemic.
Since then, the South Africa National Department of Health (NDOH) has adapted its existing policies to align
with the rapid scale-up to the United Nations 95-95-95 principles:
- 95% of people tested & know their status
- 95% of those that are HIV positive & eligible are put on treatment
- 95% of those on treatment have an undetected viral load
HIV Counselling and Testing via Lynx-Health to help 95% of people living with HIV to know their HIV status
In some African countries, fewer than 25% of people living with HIV know their status highlighting the impact
that comprehensive data tools could have on improving these conditions.
Digitisation of patient data and collection tools via mobile technologies are at the forefront of innovation
and empowers healthcare providers to collect point-of-care data in areas with poor infrastructure. Now patients
and healthcare workers have instant access to records and reporting with accessible treatment and follow-up
tests. Where connectivity exists, service delivery can be reported within minutes.
With Lynx-Health, HIV Counselling and Testing services are available in remote areas with the collection of
Geographic Information System data for every test conducted. Patient vitals and data on other related
conditions (male medical circumcision, TB and STIs) are collected for reporting and to ensure each patient is
linked to care and treatment
Linking patients to care via Qode Insight to support the United Nations 95-95-95.
95% of people who know their status should be linked to care and on treatment. The largest challenge for
linking patients to care at facilities remains finding patients in disparate data systems. Ministries of Health
spend millions of dollars each year to manually find HIV patient records in various facilities.
By increasing linkage to care, we are reducing the mortality and disability rate caused by HIV. Our clients
have established centres of excellence for HIV care and treatment. At these centres, patients have access to:
- Treatment of HIV/AIDS and opportunistic infections
- Laboratory amenities for blood work
- Counselling before and during antiretroviral therapy
- Antiretroviral medication through professional pharmaceutical services
- Patient monitoring to ensure patients don’t default on treatment
95% of people on treatment should have suppressed viral loads. Many African countries have not yet started
reporting on viral load suppression and still struggle with the first two 95s. Using Qode Insight, we can
monitor real-time viral load suppression and high-risk patients, resulting in implementing proactive
healthcare outcomes.
Realtime Reporting via Knowledge Center to support the United Nations 95-95-95s
Without access to complete, valid, accurate and timely patient data, adequate healthcare is impossible. Qode
Knowledge Center, a big data solution hosted within Microsoft Azure, solves this problem by giving healthcare
providers, programme managers, Ministries of Health, and funders access to real-time healthcare programme
performance.
Knowledge Center currently assists clients that support thousands of healthcare facilities in South Africa,
Zambia, Botswana, and Zimbabwe in decision making through the utilisation of this revolutionary data tool.
We combine HIV counselling and testing data (first 95), treatment (second 95) and viral load suppression
data (third 95) to provide a comprehensive view of the effectiveness of HIV programmes in Africa.
