SIDATRAT: informatics to improve HIV/AIDS care

Area of Science:

• Public Health
• Infectious Diseases
• Health Informatics

Background:

• The Caribbean faces a high HIV/AIDS burden, with Cuba demonstrating exceptionally low prevalence (0.1% in ages 15-49).
• By 2010, 5,692 Cuban patients were receiving antiretroviral therapy (ART).
• Effective monitoring is crucial for managing HIV/AIDS and ensuring ART efficacy.

Purpose of the Study:

• To describe the development and function of SIDATRAT, an informatics system for monitoring HIV/AIDS patients on ART in Cuba.
• To evaluate SIDATRAT's effectiveness in supporting patient care and treatment decisions.

Main Methods:

• Development of SIDATRAT, a web-based informatics system using Apache, PHP, and MySQL.
• System records comprehensive patient data including demographics, laboratory results (CD4, viral load), clinical information, treatment regimens, and outcomes.
• Client-server architecture enables secure, network-wide access for authorized users across Cuba.

Main Results:

• SIDATRAT effectively compiles extensive patient data, facilitating comprehensive monitoring and follow-up.
• The system supports informed decision-making regarding patient health and therapeutic interventions.
• It has proven effective in supporting quality care and universal access to ART.

Conclusions:

• The SIDATRAT informatics system is a valuable tool for managing HIV/AIDS care in Cuba.
• It enhances the monitoring of antiretroviral therapy and supports informed clinical decisions.
• SIDATRAT's model is suitable for adaptation and implementation in other developing countries.