TB/HIV Information Systems Support Portal

FAQs

How to manage normal lab results data? And how to bulk-capture normal lab results?

Please refer to the document “Bulk Capturing of Normal Laboratory Results – Guidance”, which is available under Resources & Tools.

Also refer to "Lab results management - slides from 2018 THIS Upgrade Training".

Additional training and reference materials:
- "TIER.Net Training Videos" (under "THIS Training Materials").
- An embedded User Guide in TIER.Net is accessed by clicking on 'Help' in the top menu, selecting 'Help Contents', and using the left-hand panel to navigate to the required topic. Alternatively, select 'User Manual' to open in pdf format. 

Please ensure that only the latest version of TIER.Net is used.

How to do bulk-capturing of Adherence Club patients?

Please refer to the following training slides which are available under Resources & Tools:
"5 Data management Differentiated Care" (under "2018 THIS training v1.12 and DDU").
"Day 4c - Adherence clubs FINAL" (under "2017 TB HIV Info Systems Integration Training v1.10".)

Additional training and reference materials:
- "TIER.Net Training Videos" (under "THIS Training Materials").
- An embedded User Guide in TIER.Net is accessed by clicking on 'Help' in the top menu, selecting 'Help Contents', and using the left-hand panel to navigate to the required topic. Alternatively, select 'User Manual' to open in pdf format. 

Please ensure that only the latest version of TIER.Net is used.

How to manage the data for patients in any of the Differentiated Care / decanting streams per the National Adherence Strategy (NAS), i.e. CCMDD, Adherence Clubs, and SFLA?

Please refer to the following documents which are available under Resources & Tools:
“TIER Net data management for CCMDD SOP_FINAL”.
"5 Data management Differentiated Care" (under "2018 THIS training v1.12 and DDU").
"Day 4c - Adherence clubs FINAL" (under "2017 TB HIV Info Systems Integration Training v1.10").
"Day 4d - CCMDD FINAL" (under "2017 TB HIV Info Systems Integration Training v1.10"). 

Additional training and reference materials:
"TIER.Net Training Videos" (under "THIS Training Materials").
An embedded User Guide in TIER.Net is accessed by clicking on 'Help' in the top menu, selecting 'Help Contents', and using the left-hand panel to navigate to the required topic. Alternatively, select 'User Manual' to open in pdf format. 

Please ensure that only the latest version of TIER.Net is used.

How to ensure and assess data quality in TIER.Net?

Admin Clerks are required to generate and action the Data Validation List on weekly basis, as well as the ART Regimen Line Validation List on monthly basis. Please refer to the document “Integrated TB HIV Data Management SOP - Part 1 Facility Level”, which is available under Resources & Tools.

Note: data quality is not only the responsibility of Admin Clerks. Facility Managers and clinicians must support data quality by ensuring solid clinical record-keeping in legible handwriting in the prescribed stationery. Further, strong data utilisation by Facility Managers and clinicians tends to drive and encourage stronger data quality practices.

THIS Key Implementers (TKIs) are required to conduct an audit of each facility at least once per quarter, using the electronic version of the "THIS Integrated Audit Tool", which is available under Resources & Tools.

Facility staff may choose to use the same audit tool for more frequent internal use, in order to take ownership of assessing and improving their data quality on ongoing basis.

Please ensure that only the latest version of TIER.Net is used.

How to assess and ensure that the TB/HIV Information System is properly implemented and maintained at a facility?

Facility Managers are required to ensure that all aspects of the “Integrated TB HIV Data Management SOP - Part 1 Facility Level” are adhered to by all relevant staff members. This document is available under Resources & Tools.

THIS Key Implementers (TKIs) must complete the "Site Visit Task List THIS v8", during every on-site engagement with a facility. This must be done at least once per quarter for every facility. This document is available under Resources & Tools.

Facility staff may choose to use the same tool for more frequent internal use, in order to take ownership of assessing and improving the implementation and maintenance of their TB/HIV Information System on ongoing basis.

Please ensure that only the latest version of TIER.Net is used.

How to properly implement and maintain the TB/HIV Information System at a facility?

Facility Managers are required to ensure that all aspects of the “Integrated TB HIV Data Management SOP - Part 1 Facility Level” are adhered to by all relevant staff members. This document is available under Resources & Tools.

Additional reference and training materials:
- Slides under "2017 TB HIV Info Systems Integration Training v1.10" as well as under "2018 THIS training v1.12 and DDU".
- "TIER.Net Training Videos" (under "THIS Training Materials").
- An embedded User Guide in TIER.Net is accessed by clicking on 'Help' in the top menu, selecting 'Help Contents', and using the left-hand panel to navigate to the required topic. Alternatively, select 'User Manual' to open in pdf format. 

Please ensure that only the latest version of TIER.Net is used.

How to roll out the TB/HIV Information System in a hospital?

Please refer to the document “THIS Implementation in District Hospitals - Guidance”, as well as the "District Hospital Baseline Assessment Report Template FINAL", both of which are available under Resources & Tools.

How to roll out the TB/HIV Information System in a mobile clinic?

Please refer to the document “THIS data management for mobile clinics - Guidance”, which is available under Resources &

How to get a facility to ART Phase 6?

Please refer to the document “ART Back Capture Verification_Paper register to TIER.Net_Final”, which is available under Resources & Tools.

Additional reference and training materials:
- “Integrated TB HIV Data Management SOP - Part 1 Facility Level”.
- "THIS Integrated Audit Tool".
- "Site Visit Task List THIS v8".
- "TIER.Net Training Videos" (under "THIS Training Materials").
- An embedded User Guide in TIER.Net is accessed by clicking on 'Help' in the top menu, selecting 'Help Contents', and using the left-hand panel to navigate to the required topic. Alternatively, select 'User Manual' to open in pdf format. 

Please ensure that only the latest version of TIER.Net is used.

How to get a facility to TB Phase 6?

A facility has reached TB Phase 6 when the steps for phase 0-5 have all been completed in good order, and the facility is now live with the TB module, and is managing, reporting and using the data as per the “Integrated TB HIV Data Management SOP - Part 1 Facility Level”, which is available under Resources & Tools.

For the full details and expectations of this step, please refer to the document "Implementation Guide for TIER Net TB module FINAL", which is available under Resources & Tools.

How to get a facility to TB Phase 5?

A facility has reached TB Phase 5 when the relevant THIS Key Implementers (TKIs) have verified the data from the initial capture, using the "Tool for data verification before going live from paper TB register to TIER.Net" (available under Resources & Tools), have found the data quality to be acceptable, and have instructed the facility team to retire the paper TB register.

For the full details and expectations of this step, please refer to the document "Implementation Guide for TIER Net TB module FINAL", which is available under Resources & Tools.

How to get a facility to TB Phase 4?

A facility has reached TB Phase 4 when the relevant THIS Key Implementers (TKIs) have completed the "Final Checklist before TB Module Go Live" (available under Resources & Tools), and have activated the TB module, and when the facility admin clerks have commenced the initial capture.

For the full details and expectations of this step, please refer to the document "Implementation Guide for TIER Net TB module FINAL", which is available under Resources & Tools.

How to get a facility to TB Phase 3?

A facility has reached TB Phase 3 when the relevant THIS Key Implementers (TKIs) have conducted training for the facility's admin clerks and clinicians on clinical stationery, data entry, and data use.

For the full details and expectations of this step, please refer to the document "Implementation Guide for TIER Net TB module FINAL", which is available under Resources & Tools.

Additional reference and training materials:
- Slides under "2017 TB HIV Info Systems Integration Training v1.10" as well as under "2018 THIS training v1.12 and DDU".
- "TIER.Net Training Videos" (under "THIS Training Materials").
- An embedded User Guide in TIER.Net is accessed by clicking on 'Help' in the top menu, selecting 'Help Contents', and using the left-hand panel to navigate to the required topic. Alternatively, select 'User Manual' to open in pdf format.

How to get a facility to TB Phase 2?

A facility has reached TB Phase 2 when the relevant THIS Key Implementers (TKIs) and the relevant facility staff are implementing the agreed-upon remedial actions, and when training for the clinicians and the admin clerks has been scheduled.

For the full details and expectations of this step, please refer to the document "Implementation Guide for TIER Net TB module FINAL", which is available under Resources & Tools.

How to get a facility to TB Phase 1?

A facility has reached TB Phase 1 when the relevant THIS Key Implementers (TKIs) have conducted a Facility Stakeholder Approval & FBA Feedback Meeting.

For the full details and expectations of this step, please refer to the document "Implementation Guide for TIER Net TB module FINAL", which is available under Resources & Tools.

The "Facility Baseline Assessment Report Template" is also found under Resources & Tools.

Please also refer to slides 25-36 in "Day 2a - TIER background and structures and TKIs FINAL" (under "2017 TB HIV Info Systems Integration Training v1.10".)

How to get a facility to TB Phase 0?

A facility has reached TB Phase 0 when the relevant THIS Key Implementers (TKIs) have conducted an Informational & Buy-in Meeting at the facility, and have conducted a Facility Baseline Assessment (FBA).

For the full details and expectations of this step, please refer to the document "Implementation Guide for TIER Net TB module FINAL", which is available under Resources & Tools.

The "Facility Baseline Assessment Tool" and the "Facility Baseline Assessment Report Template" are also found under Resources & Tools.

Please also refer to slides 25-36 in "Day 2a - TIER background and structures and TKIs FINAL" (under "2017 TB HIV Info Systems Integration Training v1.10".)

What do the implementation phases of the ART and TB modules mean?

Please refer to the document "TIER phases", which is available under Resources & Tools.