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Evaluation of the HIT System to improve early infant diagnosis outcomes in Kenya

of early infant diagnosis services in Kenya and other low resource settings are hampered by system and structural barriers. These include late presentation for care, long turnaround times for results to be returned to the hospital and communicated to mothers, poor retention of infants and delayed ART initiation for HIV-positive infants. In response to these issues, Brad Gautney, President of Global Health Innovations explored the potential of technology to mitigate many of the barriers to early infant diagnosis experienced in Kenya and other low resource countries. As former classmates at Hopkins, Gautney and Sarah Kessler teamed up to pilot a system-level intervention utilising internet and text messaging to improve infant outcomes. Their theory was that by strengthening channels of communication and accountability, standards of care could be raised to meet national guidelines. This, in turn, would prevent people from falling through the cracks in the system and thus save lives.