Implementation of an electronic fingerprint-linked data collection system: a feasibility and acceptability study among Zambian female sex workers View Full Text


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Article Info

DATE

2015-06-27

AUTHORS

Kristin M. Wall, William Kilembe, Mubiana Inambao, Yi No Chen, Mwaka Mchoongo, Linda Kimaru, Yuna Tiffany Hammond, Tyronza Sharkey, Kalonde Malama, T. Roice Fulton, Alex Tran, Hanzunga Halumamba, Sarah Anderson, Nishant Kishore, Shawn Sarwar, Trisha Finnegan, David Mark, Susan A. Allen

ABSTRACT

BackgroundPatient identification within and between health services is an operational challenge in many resource-limited settings. When following HIV risk groups for service provision and in the context of vaccine trials, patient misidentification can harm patient care and bias trial outcomes. Electronic fingerprinting has been proposed to identify patients over time and link patient data between health services. The objective of this study was to determine 1) the feasibility of implementing an electronic-fingerprint linked data capture system in Zambia and 2) the acceptability of this system among a key HIV risk group: female sex workers (FSWs).MethodsWorking with Biometrac, a US-based company providing biometric-linked healthcare platforms, an electronic fingerprint-linked data capture system was developed for use by field recruiters among Zambian FSWs. We evaluated the technical feasibility of the system for use in the field in Zambia and conducted a pilot study to determine the acceptability of the system, as well as barriers to uptake, among FSWs.ResultsWe found that implementation of an electronic fingerprint-linked patient tracking and data collection system was feasible in this relatively resource-limited setting (false fingerprint matching rate of 1/1000 and false rejection rate of <1/10,000) and was acceptable among FSWs in a clinic setting (2 % refusals). However, our data indicate that less than half of FSWs are comfortable providing an electronic fingerprint when recruited while they are working. The most common reasons cited for not providing a fingerprint (lack of privacy/confidentiality issues while at work, typically at bars or lodges) could be addressed by recruiting women during less busy hours, in their own homes, in the presence of “Queen Mothers” (FSW organizers), or in the presence of a FSW that has already been fingerprinted.ConclusionsOur findings have major implications for key population research and improved health services provision. However, more work needs to be done to increase the acceptability of the electronic fingerprint-linked data capture system during field recruitment. This study indicated several potential avenues that will be explored to increase acceptability. More... »

PAGES

27

References to SciGraph publications

  • 2013-03-01. Combination Prevention: New Hope for Stopping the Epidemic in CURRENT HIV/AIDS REPORTS
  • 2011-04-18. Utilisation of sexual health services by female sex workers in Nepal in BMC HEALTH SERVICES RESEARCH
  • 2007-02. A Call for Qualitative Power Analyses in QUALITY & QUANTITY
  • 2008. Primary Care Information SystemPrimary care information system in ENCYCLOPEDIA OF PUBLIC HEALTH
  • 2013-06-06. Patient Identification in PATIENT SAFETY
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    http://scigraph.springernature.com/pub.10.1186/s12992-015-0114-z

    DOI

    http://dx.doi.org/10.1186/s12992-015-0114-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1038010791

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26115656


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    21 schema:description BackgroundPatient identification within and between health services is an operational challenge in many resource-limited settings. When following HIV risk groups for service provision and in the context of vaccine trials, patient misidentification can harm patient care and bias trial outcomes. Electronic fingerprinting has been proposed to identify patients over time and link patient data between health services. The objective of this study was to determine 1) the feasibility of implementing an electronic-fingerprint linked data capture system in Zambia and 2) the acceptability of this system among a key HIV risk group: female sex workers (FSWs).MethodsWorking with Biometrac, a US-based company providing biometric-linked healthcare platforms, an electronic fingerprint-linked data capture system was developed for use by field recruiters among Zambian FSWs. We evaluated the technical feasibility of the system for use in the field in Zambia and conducted a pilot study to determine the acceptability of the system, as well as barriers to uptake, among FSWs.ResultsWe found that implementation of an electronic fingerprint-linked patient tracking and data collection system was feasible in this relatively resource-limited setting (false fingerprint matching rate of 1/1000 and false rejection rate of <1/10,000) and was acceptable among FSWs in a clinic setting (2 % refusals). However, our data indicate that less than half of FSWs are comfortable providing an electronic fingerprint when recruited while they are working. The most common reasons cited for not providing a fingerprint (lack of privacy/confidentiality issues while at work, typically at bars or lodges) could be addressed by recruiting women during less busy hours, in their own homes, in the presence of “Queen Mothers” (FSW organizers), or in the presence of a FSW that has already been fingerprinted.ConclusionsOur findings have major implications for key population research and improved health services provision. However, more work needs to be done to increase the acceptability of the electronic fingerprint-linked data capture system during field recruitment. This study indicated several potential avenues that will be explored to increase acceptability.
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