{"id":5053,"date":"2025-10-29T09:35:23","date_gmt":"2025-10-29T09:35:23","guid":{"rendered":"https:\/\/csaude.org.mz\/?p=5053"},"modified":"2025-10-29T10:23:34","modified_gmt":"2025-10-29T10:23:34","slug":"connecting-health-information-systems-improving-hiv-care","status":"publish","type":"post","link":"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/","title":{"rendered":"Conectando Sistemas de Informa\u00e7\u00e3o em Sa\u00fade \u2013 Melhorando os Cuidados para HIV"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"5053\" class=\"elementor elementor-5053\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a5f9b52 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"a5f9b52\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f177099 elementor-widget elementor-widget-text-editor\" data-id=\"f177099\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000000;\"><span style=\"font-size: 12pt; font-style: inherit; font-weight: inherit;\">\u201cAgora sei imediatamente se o meu tratamento est\u00e1 a funcionar. Isso d\u00e1-me for\u00e7a para continuar.\u201d \u2014 <\/span><i style=\"font-size: 12pt; font-weight: inherit;\">Filomena Vili, pessoa vivendo com HIV, Quelimane, Zamb\u00e9zia<\/i><\/span><\/p>\n<p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0371df4 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"0371df4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14a659a elementor-widget elementor-widget-image\" data-id=\"14a659a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-1024x683.jpg\" class=\"attachment-large size-large wp-image-5055\" alt=\"\" srcset=\"https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-1024x683.jpg 1024w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-300x200.jpg 300w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-768x512.jpg 768w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-1536x1024.jpg 1536w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-2048x1365.jpg 2048w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-18x12.jpg 18w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">L\u00facio Assis, T\u00e9cnico de Medicina no Centro de Sa\u00fade 24 de Julho, consulta os resultados da carga viral de Filomena Vili utilizando a aplica\u00e7\u00e3o m\u00f3vel Sum\u00e1rio Cl\u00ednico. A aplica\u00e7\u00e3o Sum\u00e1rio Cl\u00ednico \u00e9 uma ferramenta segura, ligada diretamente ao Sistema Eletr\u00f3nico de Seguimento de Pacientes da unidade sanit\u00e1ria, que permite aos profissionais de sa\u00fade aceder \u00e0s informa\u00e7\u00f5es dos pacientes, incluindo os resultados da carga viral, durante as consultas cl\u00ednicas.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-89f2e30 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"89f2e30\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f5825bc elementor-widget elementor-widget-text-editor\" data-id=\"f5825bc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000000;\">Durante muitos anos, o sistema de sa\u00fade de Mo\u00e7ambique enfrentou grandes desafios na gest\u00e3o e disponibiliza\u00e7\u00e3o atempada de resultados laboratoriais essenciais, como a carga viral, fundamentais para o seguimento cl\u00ednico das pessoas que vivem com HIV. O processo era lento e manual: os resultados gerados no Sistema de Informa\u00e7\u00e3o Laboratorial (DISA) precisavam ser impressos e entregues aos cl\u00ednicos, ou inseridos manualmente, um a um, no Sistema Eletr\u00f3nico de Seguimento de Pacientes (SESP). Erros de digita\u00e7\u00e3o, falta de informa\u00e7\u00e3o e longos tempos de espera faziam parte da rotina di\u00e1ria.<\/span><\/p><p><span style=\"color: #000000;\">Filomena Vili recorda os dias em que precisava regressar v\u00e1rias vezes \u00e0 unidade sanit\u00e1ria apenas para obter o resultado da sua carga viral. \u201cPor vezes voltava tr\u00eas vezes e ainda n\u00e3o havia resultado\u201d, conta. Hoje, tudo mudou. Assim que a sua amostra \u00e9 colhida, \u00e9 introduzida no sistema DISA e, uma vez processada num laborat\u00f3rio de refer\u00eancia, o t\u00e9cnico de medicina da sua unidade pode visualizar o resultado imediatamente no telem\u00f3vel.<\/span><\/p><p><span style=\"color: #000000;\">Para transformar esta realidade, o Minist\u00e9rio da Sa\u00fade de Mo\u00e7ambique, com o apoio do Governo dos Estados Unidos e do CDC, em parceria com a equipa de Sistemas de Informa\u00e7\u00e3o em Sa\u00fade da C-Sa\u00fade e outros parceiros de implementa\u00e7\u00e3o, investiu em solu\u00e7\u00f5es inovadoras de interoperabilidade digital. A liga\u00e7\u00e3o autom\u00e1tica entre o DISA e o SESP permite agora que os resultados laboratoriais sejam transmitidos eletr\u00f3nica e instantaneamente para o prontu\u00e1rio de cada paciente, gerando o e-Lab, um formul\u00e1rio laboratorial eletr\u00f3nico.<\/span><\/p><p><span style=\"color: #000000;\">Atualmente, assim que o exame \u00e9 conclu\u00eddo no laborat\u00f3rio de refer\u00eancia, geralmente a centenas de quil\u00f3metros da unidade sanit\u00e1ria, os cl\u00ednicos podem aceder aos resultados em tempo real.<\/span><\/p><p><span style=\"color: #000000;\">\u201cBefore, we used to wait for days; now, on the same day, I can counsel the patient and make clinical decisions based on up-to-date information,\u201d explains L\u00facio Assis, a Clinical Officer at 24 de Julho Health Center.<\/span><\/p><p><span style=\"color: #000000;\">O impacto \u00e9 vis\u00edvel: o tempo de espera entre a colheita da amostra e a rece\u00e7\u00e3o dos resultados foi reduzido de semanas para dias, refor\u00e7ando a qualidade dos cuidados prestados. A qualidade e a integridade dos dados tamb\u00e9m melhoraram, gra\u00e7as \u00e0 utiliza\u00e7\u00e3o de aplica\u00e7\u00f5es que seguem padr\u00f5es globais, como o HL7, que previnem duplica\u00e7\u00f5es e permitem a corre\u00e7\u00e3o de discrep\u00e2ncias identificadas. A integra\u00e7\u00e3o com o SESP possibilita ainda o rastreio de cada resultado, garantindo que nenhuma informa\u00e7\u00e3o se perca.<\/span><\/p><p><span style=\"color: #000000;\">Em Quelimane, L\u00facio acrescenta: \u201cA interoperabilidade mudou completamente o nosso trabalho. Hoje tratamos as pessoas com mais confian\u00e7a \u2014 sabemos que o sistema est\u00e1 a trabalhar connosco, e n\u00e3o contra n\u00f3s.\u201d<\/span><\/p><p><span style=\"color: #000000;\">Mais do que um avan\u00e7o tecnol\u00f3gico, esta integra\u00e7\u00e3o representa um passo estrat\u00e9gico rumo ao alcance das metas 95-95-95: garantir que 95% das pessoas que vivem com HIV conhe\u00e7am o seu estado serol\u00f3gico, 95% estejam em tratamento e 95% alcancem a supress\u00e3o viral.<\/span><\/p><p><span style=\"color: #000000;\">Inicialmente lan\u00e7ada na prov\u00edncia da Zamb\u00e9zia, com 144 unidades sanit\u00e1rias sincronizadas, a plataforma de interoperabilidade expandiu-se e atualmente abrange todas as prov\u00edncias do pa\u00eds, com mais de 500 unidades sanit\u00e1rias a utilizar o sistema e mais de um milh\u00e3o de resultados de carga viral transmitidos ao SESP nos \u00faltimos 12 meses. A equipa de interoperabilidade da C-Sa\u00fade desempenhou um papel fundamental no desenho e desenvolvimento da solu\u00e7\u00e3o, bem como na presta\u00e7\u00e3o de apoio t\u00e9cnico aos parceiros cl\u00ednicos de implementa\u00e7\u00e3o em todo o pa\u00eds para a sua operacionaliza\u00e7\u00e3o.<\/span><\/p><p><span style=\"color: #000000;\">A interoperabilidade DISA\u2013SESP \u00e9 um s\u00edmbolo de colabora\u00e7\u00e3o e vis\u00e3o \u2014 uma conquista coletiva do Minist\u00e9rio da Sa\u00fade, da C-Sa\u00fade, do Governo dos Estados Unidos, dos profissionais de sa\u00fade dedicados e de todas as pessoas em tratamento antirretroviral, que agora recebem os seus resultados no momento certo.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-053c37a e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"053c37a\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-70a4908 elementor-widget elementor-widget-image\" data-id=\"70a4908\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-4.-Elton-Januario-Digitador-de-Amostras-Biologicas-do-Centro-de-saude-24-de-Julho-durante-a-insercao-de-dados-no-DISA-1024x683.jpg\" class=\"attachment-large size-large wp-image-5056\" alt=\"\" srcset=\"https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-4.-Elton-Januario-Digitador-de-Amostras-Biologicas-do-Centro-de-saude-24-de-Julho-durante-a-insercao-de-dados-no-DISA-1024x683.jpg 1024w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-4.-Elton-Januario-Digitador-de-Amostras-Biologicas-do-Centro-de-saude-24-de-Julho-durante-a-insercao-de-dados-no-DISA-300x200.jpg 300w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-4.-Elton-Januario-Digitador-de-Amostras-Biologicas-do-Centro-de-saude-24-de-Julho-durante-a-insercao-de-dados-no-DISA-768x512.jpg 768w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-4.-Elton-Januario-Digitador-de-Amostras-Biologicas-do-Centro-de-saude-24-de-Julho-durante-a-insercao-de-dados-no-DISA-1536x1024.jpg 1536w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-4.-Elton-Januario-Digitador-de-Amostras-Biologicas-do-Centro-de-saude-24-de-Julho-durante-a-insercao-de-dados-no-DISA-2048x1365.jpg 2048w, https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-4.-Elton-Januario-Digitador-de-Amostras-Biologicas-do-Centro-de-saude-24-de-Julho-durante-a-insercao-de-dados-no-DISA-18x12.jpg 18w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Elton Janu\u00e1rio, Digitador de Amostras Biol\u00f3gicas no Centro de Sa\u00fade 24 de Julho, insere no sistema laboratorial DISA os dados das amostras rec\u00e9m-colhidas. Assim que as amostras s\u00e3o processadas no laborat\u00f3rio de refer\u00eancia, os resultados ficam dispon\u00edveis nos telem\u00f3veis dos cl\u00ednicos.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>\u201cNow I immediately know if my treatment is working. That gives me strength to keep going.\u201d \u2014 Filomena Vili, person living with HIV, Quelimane, Zamb\u00e9zia \u00a0 L\u00facio Assis, a Clinical Officer at the 24 de Julho Health Center, consulting the viral load results of Filomena Vili, using the Clinical Summary app on his phone. The Clinical Summary app is a secure, mobile application directly linked to the health facility\u00b4s Electronic Patient Tracking System, allowing clinicians to access patient information including viral load results during clinical consultations. For many years, Mozambique\u2019s health system faced major challenges in managing and providing timely access to essential laboratory results, such as viral load, that are crucial for the clinical follow-up of people living with HIV. The process was slow and manual: results generated in the Laboratory Information System (DISA) had to be printed and handed over to the clinicians or entered one by one into the Electronic Patient Tracking System (SESP). Typing errors, missing information, and long waiting times were part of the daily routine. Filomena Vili recalls the days when she had to return to the health facility multiple times just to get her viral load result. \u201cSometimes I would come back three times, and still there was no result,\u201d she says. Today, things have changed. As soon as her sample is collected, it is entered in the DISA system and once processed at a referral laboratory, the clinical officer at her facility can immediately see the result directly on his phone. To transform this reality, the Ministry of Health of Mozambique, with support from the U.S. Government and CDC, in partnership with C-Sa\u00fade Health Information Systems team and other implementing partners, invested in innovative digital interoperability solutions. The automatic connection between DISA and SESP now allows laboratory results to be transmitted electronically and instantly to each patient\u2019s medical record, generating the e-Lab, an electronic laboratory form. Today, once a test is completed at the referral laboratory, usually hundreds of miles away from the health facility, clinicians can access the results in real time. \u201cBefore, we used to wait for days; now, on the same day, I can counsel the patient and make clinical decisions based on up-to-date information,\u201d explains L\u00facio Assis, a Clinical Officer at 24 de Julho Health Center. The impact is visible: waiting times from sample collection to receiving the results have been reduced from weeks to days, strengthening the quality of care provided. Data quality and integrity have also improved thanks to the employment of applications that use global standards, such as HL7, which prevent duplication and enable the correction of identified discrepancies. The integration with SESP also makes it possible to track each result and ensure that no information is lost. In Quelimane, L\u00facio adds: \u201cInteroperability has completely changed our work. Today, we treat people with more confidence\u2014we know the system is working with us, not against us.\u201d More than just a technological advancement, this integration represents a strategic step toward achieving the 95-95-95 targets: ensuring that 95% of people living with HIV know their status, 95% are on treatment, and 95% achieve viral suppression. Initially launched in Zamb\u00e9zia Province with 144 synchronized health facilities, the interoperability platform has now expanded to cover all provinces across the country with more than 500 health facilities implementing the system, and a million plus viral load results transmitted to SESP in the past 12 months. C-Sa\u00fade\u2019s interoperability team has been instrumental in the design and development of the solution, along with technical support to clinical implementing partners throughout the country to implement the solution. The DISA\u2013SESP interoperability stands as a symbol of collaboration and vision\u2014a collective achievement of the Ministry of Health, C-Sa\u00fade, the U.S. Government, dedicated health professionals, and every person on antiretroviral treatment, who now receives their results at the right time. . Elton Janu\u00e1rio, a Biological Samples Data Clerk at the 24 de Julho Health Center, entering data regarding newly collected samples into the Laboratory DISA system. As soon as the samples are processed at the referral laboratory the results are available at clinicians\u2019 phones.<\/p>","protected":false},"author":2,"featured_media":5055,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[5],"tags":[],"class_list":["post-5053","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-historias-de-sucesso"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Connecting Health Information Systems \u2013 Improving HIV Care - C-Sa\u00fade<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Connecting Health Information Systems \u2013 Improving HIV Care - C-Sa\u00fade\" \/>\n<meta property=\"og:description\" content=\"\u201cNow I immediately know if my treatment is working. That gives me strength to keep going.\u201d \u2014 Filomena Vili, person living with HIV, Quelimane, Zamb\u00e9zia \u00a0 L\u00facio Assis, a Clinical Officer at the 24 de Julho Health Center, consulting the viral load results of Filomena Vili, using the Clinical Summary app on his phone. The Clinical Summary app is a secure, mobile application directly linked to the health facility\u00b4s Electronic Patient Tracking System, allowing clinicians to access patient information including viral load results during clinical consultations. For many years, Mozambique\u2019s health system faced major challenges in managing and providing timely access to essential laboratory results, such as viral load, that are crucial for the clinical follow-up of people living with HIV. The process was slow and manual: results generated in the Laboratory Information System (DISA) had to be printed and handed over to the clinicians or entered one by one into the Electronic Patient Tracking System (SESP). Typing errors, missing information, and long waiting times were part of the daily routine. Filomena Vili recalls the days when she had to return to the health facility multiple times just to get her viral load result. \u201cSometimes I would come back three times, and still there was no result,\u201d she says. Today, things have changed. As soon as her sample is collected, it is entered in the DISA system and once processed at a referral laboratory, the clinical officer at her facility can immediately see the result directly on his phone. To transform this reality, the Ministry of Health of Mozambique, with support from the U.S. Government and CDC, in partnership with C-Sa\u00fade Health Information Systems team and other implementing partners, invested in innovative digital interoperability solutions. The automatic connection between DISA and SESP now allows laboratory results to be transmitted electronically and instantly to each patient\u2019s medical record, generating the e-Lab, an electronic laboratory form. Today, once a test is completed at the referral laboratory, usually hundreds of miles away from the health facility, clinicians can access the results in real time. \u201cBefore, we used to wait for days; now, on the same day, I can counsel the patient and make clinical decisions based on up-to-date information,\u201d explains L\u00facio Assis, a Clinical Officer at 24 de Julho Health Center. The impact is visible: waiting times from sample collection to receiving the results have been reduced from weeks to days, strengthening the quality of care provided. Data quality and integrity have also improved thanks to the employment of applications that use global standards, such as HL7, which prevent duplication and enable the correction of identified discrepancies. The integration with SESP also makes it possible to track each result and ensure that no information is lost. In Quelimane, L\u00facio adds: \u201cInteroperability has completely changed our work. Today, we treat people with more confidence\u2014we know the system is working with us, not against us.\u201d More than just a technological advancement, this integration represents a strategic step toward achieving the 95-95-95 targets: ensuring that 95% of people living with HIV know their status, 95% are on treatment, and 95% achieve viral suppression. Initially launched in Zamb\u00e9zia Province with 144 synchronized health facilities, the interoperability platform has now expanded to cover all provinces across the country with more than 500 health facilities implementing the system, and a million plus viral load results transmitted to SESP in the past 12 months. C-Sa\u00fade\u2019s interoperability team has been instrumental in the design and development of the solution, along with technical support to clinical implementing partners throughout the country to implement the solution. The DISA\u2013SESP interoperability stands as a symbol of collaboration and vision\u2014a collective achievement of the Ministry of Health, C-Sa\u00fade, the U.S. Government, dedicated health professionals, and every person on antiretroviral treatment, who now receives their results at the right time. . Elton Janu\u00e1rio, a Biological Samples Data Clerk at the 24 de Julho Health Center, entering data regarding newly collected samples into the Laboratory DISA system. As soon as the samples are processed at the referral laboratory the results are available at clinicians\u2019 phones.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/\" \/>\n<meta property=\"og:site_name\" content=\"C-Sa\u00fade\" \/>\n<meta property=\"article:published_time\" content=\"2025-10-29T09:35:23+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-29T10:23:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1706\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"CSAUDE Mozambique\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"CSAUDE Mozambique\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tempo estimado de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/\"},\"author\":{\"name\":\"CSAUDE Mozambique\",\"@id\":\"https:\/\/csaude.org.mz\/#\/schema\/person\/21f8c5706602baf376339aa34c5d4efa\"},\"headline\":\"Connecting Health Information Systems \u2013 Improving HIV Care\",\"datePublished\":\"2025-10-29T09:35:23+00:00\",\"dateModified\":\"2025-10-29T10:23:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/\"},\"wordCount\":691,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/csaude.org.mz\/#organization\"},\"image\":{\"@id\":\"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-scaled.jpg\",\"articleSection\":[\"Success Stories\"],\"inLanguage\":\"pt-PT\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/\",\"url\":\"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/\",\"name\":\"Connecting Health Information Systems \u2013 Improving HIV Care - 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C-Sa\u00fade","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/","og_locale":"pt_PT","og_type":"article","og_title":"Connecting Health Information Systems \u2013 Improving HIV Care - C-Sa\u00fade","og_description":"\u201cNow I immediately know if my treatment is working. That gives me strength to keep going.\u201d \u2014 Filomena Vili, person living with HIV, Quelimane, Zamb\u00e9zia \u00a0 L\u00facio Assis, a Clinical Officer at the 24 de Julho Health Center, consulting the viral load results of Filomena Vili, using the Clinical Summary app on his phone. The Clinical Summary app is a secure, mobile application directly linked to the health facility\u00b4s Electronic Patient Tracking System, allowing clinicians to access patient information including viral load results during clinical consultations. For many years, Mozambique\u2019s health system faced major challenges in managing and providing timely access to essential laboratory results, such as viral load, that are crucial for the clinical follow-up of people living with HIV. The process was slow and manual: results generated in the Laboratory Information System (DISA) had to be printed and handed over to the clinicians or entered one by one into the Electronic Patient Tracking System (SESP). Typing errors, missing information, and long waiting times were part of the daily routine. Filomena Vili recalls the days when she had to return to the health facility multiple times just to get her viral load result. \u201cSometimes I would come back three times, and still there was no result,\u201d she says. Today, things have changed. As soon as her sample is collected, it is entered in the DISA system and once processed at a referral laboratory, the clinical officer at her facility can immediately see the result directly on his phone. To transform this reality, the Ministry of Health of Mozambique, with support from the U.S. Government and CDC, in partnership with C-Sa\u00fade Health Information Systems team and other implementing partners, invested in innovative digital interoperability solutions. The automatic connection between DISA and SESP now allows laboratory results to be transmitted electronically and instantly to each patient\u2019s medical record, generating the e-Lab, an electronic laboratory form. Today, once a test is completed at the referral laboratory, usually hundreds of miles away from the health facility, clinicians can access the results in real time. \u201cBefore, we used to wait for days; now, on the same day, I can counsel the patient and make clinical decisions based on up-to-date information,\u201d explains L\u00facio Assis, a Clinical Officer at 24 de Julho Health Center. The impact is visible: waiting times from sample collection to receiving the results have been reduced from weeks to days, strengthening the quality of care provided. Data quality and integrity have also improved thanks to the employment of applications that use global standards, such as HL7, which prevent duplication and enable the correction of identified discrepancies. The integration with SESP also makes it possible to track each result and ensure that no information is lost. In Quelimane, L\u00facio adds: \u201cInteroperability has completely changed our work. Today, we treat people with more confidence\u2014we know the system is working with us, not against us.\u201d More than just a technological advancement, this integration represents a strategic step toward achieving the 95-95-95 targets: ensuring that 95% of people living with HIV know their status, 95% are on treatment, and 95% achieve viral suppression. Initially launched in Zamb\u00e9zia Province with 144 synchronized health facilities, the interoperability platform has now expanded to cover all provinces across the country with more than 500 health facilities implementing the system, and a million plus viral load results transmitted to SESP in the past 12 months. C-Sa\u00fade\u2019s interoperability team has been instrumental in the design and development of the solution, along with technical support to clinical implementing partners throughout the country to implement the solution. The DISA\u2013SESP interoperability stands as a symbol of collaboration and vision\u2014a collective achievement of the Ministry of Health, C-Sa\u00fade, the U.S. Government, dedicated health professionals, and every person on antiretroviral treatment, who now receives their results at the right time. . Elton Janu\u00e1rio, a Biological Samples Data Clerk at the 24 de Julho Health Center, entering data regarding newly collected samples into the Laboratory DISA system. As soon as the samples are processed at the referral laboratory the results are available at clinicians\u2019 phones.","og_url":"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/","og_site_name":"C-Sa\u00fade","article_published_time":"2025-10-29T09:35:23+00:00","article_modified_time":"2025-10-29T10:23:34+00:00","og_image":[{"width":2560,"height":1706,"url":"https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-scaled.jpg","type":"image\/jpeg"}],"author":"CSAUDE Mozambique","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"CSAUDE Mozambique","Tempo estimado de leitura":"4 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/#article","isPartOf":{"@id":"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/"},"author":{"name":"CSAUDE Mozambique","@id":"https:\/\/csaude.org.mz\/#\/schema\/person\/21f8c5706602baf376339aa34c5d4efa"},"headline":"Connecting Health Information Systems \u2013 Improving HIV Care","datePublished":"2025-10-29T09:35:23+00:00","dateModified":"2025-10-29T10:23:34+00:00","mainEntityOfPage":{"@id":"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/"},"wordCount":691,"commentCount":0,"publisher":{"@id":"https:\/\/csaude.org.mz\/#organization"},"image":{"@id":"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/#primaryimage"},"thumbnailUrl":"https:\/\/csaude.org.mz\/wp-content\/uploads\/2025\/10\/Foto-3.-Lucio-Assis-Tecnico-do-Centro-de-Saude-24-de-julho-consultando-o-sumario-clinico-da-paciente-Filomena-Vili-para-aceder-aos-resul-1-scaled.jpg","articleSection":["Success Stories"],"inLanguage":"pt-PT","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/","url":"https:\/\/csaude.org.mz\/pt\/2025\/10\/29\/connecting-health-information-systems-improving-hiv-care\/","name":"Connecting Health Information Systems \u2013 Improving HIV Care - 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