Analysis of Big Data for Better Targeting of ART Adherence Strategies : Spatial Clustering Analysis of Viral Load Suppression by South African Province, District, Sub-District and Facility (April 2014-March 2015)

This report presents the findings of a large spatial analysis of almost 3 million viral load tests from over 2 million HIV patients on antiretroviral therapy in South Africa. It is part of the second phase of a series of analytical and evaluation s...

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Main Author:	World Bank
Other Authors:	Görgens, Marelize
Format:	Report
Language:	English en_US
Published:	World Bank, Washington, DC 2016
Subjects:	BIRTH TREATMENT SPECIALIST PEOPLE OLD AGE INFORMATION SYSTEM HUMAN IMMUNODEFICIENCY VIRUS PREVENTION HEALTH ECONOMICS LOAD TESTING DATA MINING INFORMATION HAEMATOLOGY MONITORING HEALTH CARE DRUGS ACQUIRED IMMUNODEFICIENCY SYNDROME PREVALENCE HIV PREVENTION EFFECTS HEALTH COMPREHENSIVE CARE TRANSMISSION EPIDEMIC IMPLEMENTATION PLAN LABORATORY SERVICES TIME PERIOD ENVIRONMENTAL HEALTH IMMUNODEFICIENCY SYNDROME PERSONAL INFORMATION SYNDROME INFORMATION SYSTEMS PUBLIC HEALTH HEALTH SECTOR HEALTH INFORMATION SYSTEMS INSTITUTIONS LINK DATA AIDS EPIDEMIC DISEASES COMPUTERS INFECTIOUS DISEASES IDENTIFICATION NUMBERS PATIENT PATIENTS INTERVENTION MEDICAL SCIENCES HEALTH INDICATORS CLINICAL BENEFIT TARGETS HIV INFECTION MALE LINKS TUBERCULOSIS HIV/AIDS UNIQUE IDS HEALTH INFORMATION TREATMENTS IDENTIFICATION NUMBER CLINICIAN AGED HIV TB RESULTS IMMUNODEFICIENCY GENDER MEDICINE AGE GROUPS SPREADSHEET MOTHER WORKSHOPS ADOLESCENTS HIV POSITIVE PRIMARY HEALTH CARE THERAPY RESULT UNIQUE IDENTIFIER HIV TRANSMISSION CLINICAL CARE VIRUS UNIQUE IDENTIFIERS EXERCISE CHILDREN FEMALES DISEASE CLINICS NETWORK ID DATA WAREHOUSE PERFORMANCE DONORS INFECTION ALL SITES TECHNICAL SUPPORT COMMUNICATION IDS MALES STRATEGY EPIDEMIOLOGY INTERFACE PHOTO DATABASE HOSPITALS AIDS INFORMATION GAP FEMALE IMPLEMENTATION TARGET
Online Access:	http://documents.worldbank.org/curated/en/922221474874783155/April-2014-to-March-2015 http://hdl.handle.net/10986/25399

id	okr-10986-25399
recordtype	oai_dc
spelling	okr-10986-253992021-06-14T10:18:37Z Analysis of Big Data for Better Targeting of ART Adherence Strategies : Spatial Clustering Analysis of Viral Load Suppression by South African Province, District, Sub-District and Facility (April 2014-March 2015) World Bank Görgens, Marelize Fraser, Nicole Shubber, Zara BIRTH TREATMENT SPECIALIST PEOPLE OLD AGE INFORMATION SYSTEM HUMAN IMMUNODEFICIENCY VIRUS PREVENTION HEALTH ECONOMICS LOAD TESTING DATA MINING INFORMATION HAEMATOLOGY MONITORING HEALTH CARE DRUGS ACQUIRED IMMUNODEFICIENCY SYNDROME PREVALENCE HIV PREVENTION EFFECTS HEALTH COMPREHENSIVE CARE TRANSMISSION EPIDEMIC IMPLEMENTATION PLAN LABORATORY SERVICES TIME PERIOD ENVIRONMENTAL HEALTH IMMUNODEFICIENCY SYNDROME PERSONAL INFORMATION SYNDROME INFORMATION SYSTEMS PUBLIC HEALTH HEALTH SECTOR HEALTH INFORMATION SYSTEMS INSTITUTIONS LINK DATA AIDS EPIDEMIC DISEASES COMPUTERS INFECTIOUS DISEASES IDENTIFICATION NUMBERS PATIENT PATIENTS INTERVENTION MEDICAL SCIENCES HEALTH INDICATORS CLINICAL BENEFIT TARGETS HIV INFECTION MALE LINKS TUBERCULOSIS HIV/AIDS UNIQUE IDS HEALTH INFORMATION TREATMENTS IDENTIFICATION NUMBER CLINICIAN AGED HIV TB RESULTS IMMUNODEFICIENCY GENDER MEDICINE AGE GROUPS SPREADSHEET MOTHER WORKSHOPS ADOLESCENTS HIV POSITIVE PRIMARY HEALTH CARE THERAPY RESULT UNIQUE IDENTIFIER HIV TRANSMISSION CLINICAL CARE VIRUS UNIQUE IDENTIFIERS EXERCISE CHILDREN FEMALES DISEASE CLINICS NETWORK ID DATA WAREHOUSE PERFORMANCE DONORS INFECTION ALL SITES TECHNICAL SUPPORT COMMUNICATION IDS MALES STRATEGY EPIDEMIOLOGY INTERFACE PHOTO DATABASE HOSPITALS AIDS INFORMATION GAP FEMALE IMPLEMENTATION TARGET This report presents the findings of a large spatial analysis of almost 3 million viral load tests from over 2 million HIV patients on antiretroviral therapy in South Africa. It is part of the second phase of a series of analytical and evaluation studies contributing to the design of an impact and process evaluation of South Africa’s National Adherence Guidelines for Chronic Diseases. The analysis was conducted by the National Health Laboratory Service (NHLS) and Boston University/Health Economics and Epidemiology Research Office (HE2RO), in collaboration with the National Institute for Communicable Diseases (NICD), the National Department of Health of South Africa, and the World Bank. A number of other institutions contributed in the multi-step process of creating a patient-linked cohort through a novel record linkage algorithm and a masterlist of public sector health facilities, which are both underpinning this analysis and described in the report. The analysis demonstrates the diversity in the proportion of HIV patients getting a viral load test annually and patients virally suppressed. The variation shows by geographic location and facility, as well as by age, gender and demography. It sheds light on high viral load levels in young HIV patients on treatment. Also, one in six male and one in nine female ART patients were identified as having a high risk of HIV transmission due to viral load levels above 10,000 copies/mL 2016-11-21T22:08:38Z 2016-11-21T22:08:38Z 2015-11 Report http://documents.worldbank.org/curated/en/922221474874783155/April-2014-to-March-2015 http://hdl.handle.net/10986/25399 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work Africa South Africa
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	BIRTH TREATMENT SPECIALIST PEOPLE OLD AGE INFORMATION SYSTEM HUMAN IMMUNODEFICIENCY VIRUS PREVENTION HEALTH ECONOMICS LOAD TESTING DATA MINING INFORMATION HAEMATOLOGY MONITORING HEALTH CARE DRUGS ACQUIRED IMMUNODEFICIENCY SYNDROME PREVALENCE HIV PREVENTION EFFECTS HEALTH COMPREHENSIVE CARE TRANSMISSION EPIDEMIC IMPLEMENTATION PLAN LABORATORY SERVICES TIME PERIOD ENVIRONMENTAL HEALTH IMMUNODEFICIENCY SYNDROME PERSONAL INFORMATION SYNDROME INFORMATION SYSTEMS PUBLIC HEALTH HEALTH SECTOR HEALTH INFORMATION SYSTEMS INSTITUTIONS LINK DATA AIDS EPIDEMIC DISEASES COMPUTERS INFECTIOUS DISEASES IDENTIFICATION NUMBERS PATIENT PATIENTS INTERVENTION MEDICAL SCIENCES HEALTH INDICATORS CLINICAL BENEFIT TARGETS HIV INFECTION MALE LINKS TUBERCULOSIS HIV/AIDS UNIQUE IDS HEALTH INFORMATION TREATMENTS IDENTIFICATION NUMBER CLINICIAN AGED HIV TB RESULTS IMMUNODEFICIENCY GENDER MEDICINE AGE GROUPS SPREADSHEET MOTHER WORKSHOPS ADOLESCENTS HIV POSITIVE PRIMARY HEALTH CARE THERAPY RESULT UNIQUE IDENTIFIER HIV TRANSMISSION CLINICAL CARE VIRUS UNIQUE IDENTIFIERS EXERCISE CHILDREN FEMALES DISEASE CLINICS NETWORK ID DATA WAREHOUSE PERFORMANCE DONORS INFECTION ALL SITES TECHNICAL SUPPORT COMMUNICATION IDS MALES STRATEGY EPIDEMIOLOGY INTERFACE PHOTO DATABASE HOSPITALS AIDS INFORMATION GAP FEMALE IMPLEMENTATION TARGET
spellingShingle	BIRTH TREATMENT SPECIALIST PEOPLE OLD AGE INFORMATION SYSTEM HUMAN IMMUNODEFICIENCY VIRUS PREVENTION HEALTH ECONOMICS LOAD TESTING DATA MINING INFORMATION HAEMATOLOGY MONITORING HEALTH CARE DRUGS ACQUIRED IMMUNODEFICIENCY SYNDROME PREVALENCE HIV PREVENTION EFFECTS HEALTH COMPREHENSIVE CARE TRANSMISSION EPIDEMIC IMPLEMENTATION PLAN LABORATORY SERVICES TIME PERIOD ENVIRONMENTAL HEALTH IMMUNODEFICIENCY SYNDROME PERSONAL INFORMATION SYNDROME INFORMATION SYSTEMS PUBLIC HEALTH HEALTH SECTOR HEALTH INFORMATION SYSTEMS INSTITUTIONS LINK DATA AIDS EPIDEMIC DISEASES COMPUTERS INFECTIOUS DISEASES IDENTIFICATION NUMBERS PATIENT PATIENTS INTERVENTION MEDICAL SCIENCES HEALTH INDICATORS CLINICAL BENEFIT TARGETS HIV INFECTION MALE LINKS TUBERCULOSIS HIV/AIDS UNIQUE IDS HEALTH INFORMATION TREATMENTS IDENTIFICATION NUMBER CLINICIAN AGED HIV TB RESULTS IMMUNODEFICIENCY GENDER MEDICINE AGE GROUPS SPREADSHEET MOTHER WORKSHOPS ADOLESCENTS HIV POSITIVE PRIMARY HEALTH CARE THERAPY RESULT UNIQUE IDENTIFIER HIV TRANSMISSION CLINICAL CARE VIRUS UNIQUE IDENTIFIERS EXERCISE CHILDREN FEMALES DISEASE CLINICS NETWORK ID DATA WAREHOUSE PERFORMANCE DONORS INFECTION ALL SITES TECHNICAL SUPPORT COMMUNICATION IDS MALES STRATEGY EPIDEMIOLOGY INTERFACE PHOTO DATABASE HOSPITALS AIDS INFORMATION GAP FEMALE IMPLEMENTATION TARGET World Bank Analysis of Big Data for Better Targeting of ART Adherence Strategies : Spatial Clustering Analysis of Viral Load Suppression by South African Province, District, Sub-District and Facility (April 2014-March 2015)
geographic_facet	Africa South Africa
description	This report presents the findings of a large spatial analysis of almost 3 million viral load tests from over 2 million HIV patients on antiretroviral therapy in South Africa. It is part of the second phase of a series of analytical and evaluation studies contributing to the design of an impact and process evaluation of South Africa’s National Adherence Guidelines for Chronic Diseases. The analysis was conducted by the National Health Laboratory Service (NHLS) and Boston University/Health Economics and Epidemiology Research Office (HE2RO), in collaboration with the National Institute for Communicable Diseases (NICD), the National Department of Health of South Africa, and the World Bank. A number of other institutions contributed in the multi-step process of creating a patient-linked cohort through a novel record linkage algorithm and a masterlist of public sector health facilities, which are both underpinning this analysis and described in the report. The analysis demonstrates the diversity in the proportion of HIV patients getting a viral load test annually and patients virally suppressed. The variation shows by geographic location and facility, as well as by age, gender and demography. It sheds light on high viral load levels in young HIV patients on treatment. Also, one in six male and one in nine female ART patients were identified as having a high risk of HIV transmission due to viral load levels above 10,000 copies/mL
author2	Görgens, Marelize
author_facet	Görgens, Marelize World Bank
format	Report
author	World Bank
author_sort	World Bank
title	Analysis of Big Data for Better Targeting of ART Adherence Strategies : Spatial Clustering Analysis of Viral Load Suppression by South African Province, District, Sub-District and Facility (April 2014-March 2015)
title_short	Analysis of Big Data for Better Targeting of ART Adherence Strategies : Spatial Clustering Analysis of Viral Load Suppression by South African Province, District, Sub-District and Facility (April 2014-March 2015)
title_full	Analysis of Big Data for Better Targeting of ART Adherence Strategies : Spatial Clustering Analysis of Viral Load Suppression by South African Province, District, Sub-District and Facility (April 2014-March 2015)
title_fullStr	Analysis of Big Data for Better Targeting of ART Adherence Strategies : Spatial Clustering Analysis of Viral Load Suppression by South African Province, District, Sub-District and Facility (April 2014-March 2015)
title_full_unstemmed	Analysis of Big Data for Better Targeting of ART Adherence Strategies : Spatial Clustering Analysis of Viral Load Suppression by South African Province, District, Sub-District and Facility (April 2014-March 2015)
title_sort	analysis of big data for better targeting of art adherence strategies : spatial clustering analysis of viral load suppression by south african province, district, sub-district and facility (april 2014-march 2015)
publisher	World Bank, Washington, DC
publishDate	2016
url	http://documents.worldbank.org/curated/en/922221474874783155/April-2014-to-March-2015 http://hdl.handle.net/10986/25399
_version_	1764459698522685440

Analysis of Big Data for Better Targeting of ART Adherence Strategies : Spatial Clustering Analysis of Viral Load Suppression by South African Province, District, Sub-District and Facility (April 2014-March 2015)

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