1. 1 INS New technologies experience in Mozambique- Health Sector

3. Access: geographicallylargecountry, limitedinfrastructuremakingaccess to a 60% rural populationchallenging

5. Nationalexpansionin 2010

7. Objectives ofthePointofCaredevices

8. Expedited Results System (ERS) INS Server saves data and sends to printers, results only deleted once confirmed receipt from the printer Data codified when sent via GPRS with no possibility of erroneous transmission Admin sends results using automated software, saving precious tech time Server GPRS Wireless Network Internet Printer simple “black box” so HCWs only need to plug in and await their results Real-time stats Printer in Health Center Lab Database (LIS) Lab manager can monitor results transmission and know if printers are functioning or not 5

9. “Real-time” Statistics for Program Monitoring INS

10. ExpeditedResultsSystem: Impact Result Ready Result to Patient Sample Collection Result to Site Sample at Lab Patient Enrolled C&T Todayover 40% of sites receiveresultsin 28 days

11. INS Mobile CD4 ResultsfromPhase 1

12. POCT: Mobility and Capacity for hard to reach areas Community Health Care workers like Martins visit communities by foot in order to deliver ARVs and to monitor CD4. During 2010 this unit produced more than 360 CD4 results for patients in northern Lago district. This compares to only 30 CD4 tests performed in 2009 (samples sent to reference laboratory.)

13. Mobility for hard to reach areas: mobile testing to 35 communities with no road access in North Niassa.

14. Patient Benefits Mr. J. – Cobue Needs to walk 8 hours to get to the health post. Visited the site on this day to pick up his ARV refill. Since his last CD4 was 8 months ago, the community HCW performed a CD4 and the doctor reviewed the result on the same day. Mrs. A. – Metangula “It will help me a lot not to come too many times to the health center since I live 4 hours away by foot. Some times I have come to my consultation just to be told that my CD4 result has not come back yet from the [reference] lab in Lichinga”

15. 12 AcknowledgementsandPartners NationalInstituteofHealth MinistryofHealth Provincial DirectoratesofHealth UNITAID ARK – AbsoluteReturn for Kids UNICEF IrishAid CDC Sequoia Technologies Mcell Mobile Company Alere