> For the complete documentation index, see [llms.txt](https://guides.ohie.org/duc/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://guides.ohie.org/duc/hiv-treatment-continuity-technology-intervention-framework-tif/during-the-visit/proactive-adherence-counselling-interventions/ai-predictive-adherence-counseling-south-africa.md).

# AI Predictive Adherence Counseling (South Africa)

Palindrome and Right to Care, South Africa (September 2021)

### Countries: <img src="https://1575514074-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FFR98nnu9SeX7sIKAFohT%2Fuploads%2FRnI7ImHDhT8JjPihY0zC%2Fsouthafrica.png?alt=media&amp;token=df698e32-0bb6-4f37-9e9b-94193df964d1" alt="" data-size="line">South Africa

### Intervention Description &#x20;

Model that can predict whether a patient will miss their next scheduled appointment. Patient gets a tailored intervention based on the results.

Presenter: Tom Compton, Right to Care; Kieran Sharpey-Schafer, Palindrome

[DUC Meeting Recording](https://archive.org/details/2021.09.14-duc-community-meeting-recording)

### Intervention Details

|                                                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                                                    |
| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| <img src="https://1575514074-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FFR98nnu9SeX7sIKAFohT%2Fuploads%2F5Oz9uJYT7erFbszzGiiN%2Fpuzzle.svg?alt=media&amp;token=895bceaa-259c-49d6-8787-474902862892" alt="" data-size="line">Data Elements                                      | <p>Viral load </p><p>Demographics </p><p>Clinical data (age, gender, viral load history, visit pattern)</p>                                                                                                                        |
| <img src="https://1575514074-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FFR98nnu9SeX7sIKAFohT%2Fuploads%2Fkix73mziqADVyH90FIt7%2Fsearch-stock.svg?alt=media&amp;token=94c49098-bb40-4853-97b6-ae7d35f04787" alt="" data-size="line">Evidence                                     | <p>Compared to adherence scorecard Model performance:</p><p>Loss to follow up: </p><p>Accuracy – 66% </p><p>Specificity- 94% </p><p>Sensitivity -61% </p><p>Graphs were presented on tracking LTFU at different stages of care</p> |
| <img src="https://1575514074-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FFR98nnu9SeX7sIKAFohT%2Fuploads%2FzDGHe8ey7Uy5PglLQQPc%2Fcomputer%20(2).svg?alt=media&amp;token=7ef0bb3d-2320-4c4c-96d2-7f8338f66848" alt="" data-size="line">Technology Requirements / Interoperability | <p>Machine learning and AI </p><p>Patient risk score are used to assist workers in nudging towards intervention.</p>                                                                                                               |
| <img src="https://1575514074-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FFR98nnu9SeX7sIKAFohT%2Fuploads%2FtGco1SNvkNmrPdeKHizQ%2Fcalculator.svg?alt=media&amp;token=4d93ec8f-cad2-41ce-b775-ad4e81754268" alt="" data-size="line">Calculations / Algorithms                      | <p>Machine Learning Algorithm </p><p>Total Adherence Score</p>                                                                                                                                                                     |
| <img src="https://1575514074-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FFR98nnu9SeX7sIKAFohT%2Fuploads%2FtwIfXWcwhbsJ6dmqWWsP%2Fchart-growth.svg?alt=media&amp;token=43921c53-cc29-4985-8411-2aa9ac47053a" alt="" data-size="line">Factors to Scale                             |                                                                                                                                                                                                                                    |
| <img src="https://1575514074-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FFR98nnu9SeX7sIKAFohT%2Fuploads%2FSMTZCMIB4GROm12Ig28I%2Fimages.jpg?alt=media&amp;token=0554ec08-680b-445c-9507-7ada2c5fa7a2" alt="" data-size="line">Implementation Considerations                      | What are the impacts of telling someone they’re high risk?                                                                                                                                                                         |
| <img src="https://1575514074-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FFR98nnu9SeX7sIKAFohT%2Fuploads%2FIf0zgoJ7pi9owV4656SX%2Fgavel.svg?alt=media&amp;token=dfbcae0c-9825-40ae-9d5b-7f7f6f3bb0ea" alt="" data-size="line">Governance Considerations                           |                                                                                                                                                                                                                                    |