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Experiences, Lessons, and Challenges With Adapting REDCap for COVID-19 Laboratory Data Management in a

Kagiso Ndlovu1, Kabelo Leonard Mauco2, Onalenna Makhura1

  • 1Department of Computer Science, University of Botswana, Gaborone, Botswana.

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|April 16, 2024
PubMed
Summary
This summary is machine-generated.

Integrating Research Electronic Data Capture (REDCap) and District Health Information System version 2 (DHIS2) enabled timely COVID-19 data sharing in Botswana. This digital health innovation facilitated centralized reporting for informed national decision-making.

Keywords:
BotswanaCOVID-19DHIS2National Health LaboratoryREDCapdata managementeHealthinteroperability

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Area of Science:

  • Digital Health
  • Public Health Informatics
  • Health Data Management

Background:

  • The COVID-19 pandemic necessitated rapid and reliable health data sharing for national decision-making.
  • Botswana faced challenges in timely COVID-19 data collection and reporting.
  • Integration of REDCap and DHIS2 platforms was explored to address these data management needs.

Purpose of the Study:

  • To report on the experiences, challenges, and lessons learned from adapting and implementing REDCap and DHIS2.
  • To support COVID-19 data management at the National Health Laboratory (NHL) in Botswana.
  • To establish an effective COVID-19 data flow for centralized reporting.

Main Methods:

  • A participatory design approach guided the customization and implementation of REDCap.
  • Involved 29 NHL and 4 Ministry of Health (MOH) personnel from March to June 2020.
  • Thematic analysis of challenges and resolutions was conducted using NVivo 11, categorized into infrastructure, capacity development, platform constraints, and interoperability.

Main Results:

  • REDCap successfully met most technical and non-technical requirements for COVID-19 data management at the NHL.
  • Implementation challenges were addressed through strategies like procuring mobile routers, senior management engagement, continuous training, and developing a third-party web application.
  • Lessons learned informed future refinements of the REDCap platform.

Conclusions:

  • Implementing REDCap for COVID-19 data collection and integration with DHIS2 was feasible, even under pandemic urgency.
  • A centralized reporting system for COVID-19 cases was achieved, enabling timely national decision-making.
  • Identified challenges provided valuable lessons for sustainable digital health innovation in resource-limited settings.