Monitoring 32, 468 patients receiving free
antiretroviral treatment in Mexico
with the information system "SALVAR"
E. Rodriguez-Nolasco, E. Bravo-Garcia, R. Niño-Vargas, C. Magis-Rodriguez
National Center for Prevention and Control of HIV/AIDS (CENSIDA). Mexico, Operational Research, Mexico, Mexico
2003, there are universal accesses to antiretroviral treatment against HIV/AIDS
The Ministry of Health acquires and provides free drugs to people without
social security. In 2007 it was created the System of Administration, Logistics
and Security ARV (SALVAR), which is a computer system operated via the Internet
throughout the country, for the registration and monitoring of all patients in
treatment (http://www. salvar.salud.gob.mx).
Methods: The SALVAR
system was programmed in PHP and stored in a SQL database Postgress. Using the
security certificate 128-bit (SSL) ensures confidentiality and security of
patient information. Those responsible for operating the system were trained in
a National Workshop in Mexico City
and a new version came into operation in May 2008.
31 December 2009, it has a record total of 32.468 patients receiving ARV in 134
medical units of the Ministry of Health. The 70.5% of patients are treated in
hospitals and 29.5% in ambulatory care centers called CAPASITS. Of the total of
registered patients found that 75.1% are male and 24.9% are women. Four of five
patients have already registered recent values of CD4 testing and viral load,
and of these 62.6% recorded as undetectable viral load. The average annual drug
cost per patient was $ 3870 USD.
Conclusions: The SALVAR
has built the first national database of patients with ARV in Mexico and is
implemented in all medical units of the Ministry of Health. The SALVAR allows
monitoring of patient outcomes, controlling inventory and purchasing schedule
appropriately to ensure a timely supply of medicines.
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