WHO SMART Guidelines - HIV
0.4.3 - ci-build
WHO SMART Guidelines - HIV - Local Development build (v0.4.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
This page describes the business processes included in the WHO Digital Adaptation Kit (DAK) HIV (link forthcoming). For full details, see the published DAK content.
A business process, or process, is a set of related activities or tasks performed together to achieve the objectives of the health programme area, such as registration, counselling, referrals. Workflows are a visual representation of the progression of activities (tasks, events, interactions) that are performed within the business process. The workflow provides a “story” for the business process being diagrammed and is used to enhance communication and collaboration among users, stakeholders and engineers.
The DAK for HIV focuses on key business processes insert content here.
The following table describes the workflows of the included processes.
| # | Process Name | Process ID | Personas | Objectives |
|---|---|---|---|---|
| A | Registration | HIV.A |
Client Clerk or health care provider (e.g., lay provider, nurse, clinician) |
To ensure that the client is located in the records system and personal details are updated or, if not located, entered into the system to be put into a queue awaiting counselling. |
| B | HIV Testing Services (HTS) | HIV.B |
Client Health care provider |
To diagnose individuals with HIV and facilitate their engagement in care and ART initiation as early as possible, as well as to counsel HIV-negative clients and link them to prevention and other services. |
| C | Pre-exposure Prophylaxis (PrEP) Visit | HIV.C |
Client Health care provider (e.g., nurse, clinician) |
To provide the client with PrEP as a prevention choice for people at substantial risk of HIV infection, as part of a combination of HIV prevention approaches. |
| D | Care and Treatment Clinical Visit | HIV.D |
Client Health care provider (e.g., nurse, clinician) |
To initiate ART and to provide HIV care, treatment, and integrated health services. |
| E | Prevention of Mother-to-Child Transmission (PMTCT) – Delivery and Postpartum Care | HIV.E |
Mother Infant or child Health care provider (e.g., nurse, midwife, clinician) |
To determine the newborn’s or infant’s HIV exposure and risk and the new mother’s HIV status (if not known) and to link both to treatment, prevention, or other services. |
| F | PMTCT – Infant Diagnosis and Final HIV Status | HIV.F |
Infant or child Caregiver Health care provider (e.g., nurse, clinician) |
To determine if HIV-exposed infants or children without a final diagnosis are HIV-positive, assess for HIV exposure if not known, and start them on ART or preventative care based on their status. |
| G | Diagnostics | HIV.G |
Client Health care provider (e.g., trained lay provider, nurse, clinician, on-site lab technician) Off-site lab technician |
To investigate and obtain results through on-site or off-site diagnostics. |
| H | Following Up and Contacting Clients | HIV.H |
Client Data clerk Facility staff and/or community health worker |
To follow up by contacting clients to ensure they are receiving the services they need and that records are updated; to increase retention and adherence and ultimately improve patient outcomes. |
| I | Referral | HIV.I |
Client Health care provider Referral facility |
To direct clients to services that are not available within the consultation facility. |
| J | Aggregate Reporting and Data Use | HIV.J |
Facility staff Facility-in-charge District health officer/staff |
To aggregate client-level data into validated reports, use these data, and submit reports from the facility level. |
The workflows that follow depict processes that have been generalized across different contexts and may not reflect the variability and nuances across different settings. The simplicity of the workflow may not adequately illustrate the nonlinear steps that may occur.
The business processes included in the DAK are shown in the following figure. Processes included in the DAK start with a letter (e.g. "A.") and are shown using the "Activity with sub-process" shape, which includes a plus sign.