AI Predictive Adherence Counseling (South Africa)

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

Intervention Description

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

Intervention Details

Viral load

Demographics

Clinical data (age, gender, viral load history, visit pattern)

Compared to adherence scorecard Model performance:

Loss to follow up:

Accuracy – 66%

Specificity- 94%

Sensitivity -61%

Graphs were presented on tracking LTFU at different stages of care

Machine learning and AI

Patient risk score are used to assist workers in nudging towards intervention.

Machine Learning Algorithm

Total Adherence Score

What are the impacts of telling someone they’re high risk?

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