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

Globalization and Health

Susan A. Allen⁵  David Mark⁷  Trisha Finnegan⁸  Shawn Sarwar³  Nishant Kishore⁴  Sarah Anderson⁶  Hanzunga Halumamba²  Alex Tran⁵  T. Roice Fulton¹  Kalonde Malama⁹  Tyronza Sharkey²  Yuna Tiffany Hammond²  Linda Kimaru⁹  Mwaka Mchoongo²  Yi No Chen⁴  Mubiana Inambao⁹  William Kilembe²  Kristin M. Wall⁵ 

[1] Gavi, the Vaccine Alliance, Geneva, Switzerland;Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Lusaka, Zambia;Biometrac, Washington, DC, USA;Department of Epidemiology, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, GA, USA;Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, CNR 4011, Atlanta 30322, GA, USA;Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden;International AIDS Vaccine Initiative, New York, NY, USA;Biometrac, Louisville, KY, USA;Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Ndola, Zambia

关键词: Zambia;    Stigmatized populations;    Key populations;    Patient care;    HIV/AIDS;    Female sex workers;    Fingerprinting;    Biometric identification;   

Others  :  1220795
DOI  :  10.1186/s12992-015-0114-z

 received in 2014-12-04, accepted in 2015-06-17,  发布年份 2015

【 摘 要 】

Background

Patient 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).

Methods

Working 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.

Results

We 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.

Conclusions

Our 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.

【 授权许可】

   
2015 Wall et al.

【 图 表 】

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