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Overcoming the challenges of Clinical Data Management
in low and middle-income countries
A context-adapted Data Management Plan and Lifecycle
ASTMH conference, New Orleans, 5th Nov 2014
Yves Claeys (Institute of Tropical Medicine, Belgium) James Smedley (Liverpool School of Tropical Medicine)
1
Introduction • Data Management has always been part of clinical research
• Activity
• Regulation and Standards • GCP, CFR21Part11 • Data integrity • Anonymous, Transparency • ‘In control’ over your data
• Advanced solutions • Electronic data capture (EDC) • Mobile devices • Complex edit checks • Central servers
• Young Discipline Isolation Harmonisation?!?
Real time data validation
Discipline
2
ADMIT - Association for Data Management In the Tropics
3
ADMIT - History
Workshop 1 Antwerp
Belgian Development Cooperation (DGD)
Challenges & Knowledge exchange
“Switching the Poles Clinical Research Network”
DGD
EDCTP Ethiopia & ECTMIH
Barcelona
• Infrastructure Internet and power
• Tools and solutions EDC, GIS
• Regulation and standards GCP, CFR21-11
• Low profile • Time constraints
4
2010 2011 2012 2013 2014 2015 2016
ADMIT - History 2010 2011 2012 2013 2014 2015 2016
Workshop 1 Antwerp
Belgian Development Cooperation (DGD)
Challenges & Knowledge exchange
“Switching the Poles Clinical Research Network”
Workshop 2 Antwerp
Workshop 3 Varanasi
DM Training Prince 2
Define future WP
SOP Harmonisation
Website admit.tghn.org
>800 subscribers
Discussion Forum
SOP’s DM Plan Lifecycle
ASTMH New Orleans
DGD
EDCTP Ethiopia & ECTMIH
Barcelona
5
SOP development
DM plan Lifecycle Harmonisation Peer review Authorship DM processes
6
SOP authors Anish
Bhattarai
BP Koirala Institute
of Health Sciences
Nepal Mary
Thiongo
International Centre for
Reproductive Health
Kenya
Yves
Claeys
Institute of Tropical
Medicine
Belgium Harry
van Loen
Institute of Tropical Medicine Belgium
Robert
Meester
Amsterdam Medical
Centre
Netherlands Arouna
Woukeu
London School of Hygiene and
Tropical Medicine
UK
Hercule
Kalonji
University of
Kinshasa
D.R. Congo Paritosh
Malaviya
Banaras Hindu University,
Varanasi
India
David
Mwakazanga
Tropical Diseases
Research Centre
Zambia
Sun
Sokleng
The National Center for HIV/AIDS,
Dematology and STD
Cambodja
Sayouba
Ouedraogo
IRSS/Centre Muraz Burkina Faso Hiwot
Debalke
Armauer Hansen Research
Institute
Ethiopia
James
Smedley
Liverpool School of
Tropical Medicine
UK Martin
Omello
INTERACT Programme Uganda
Sopheak Sok Sihanouk Hospital
Centre of Hope
Cambodia
7
Site Staff
Statistics Study Coordinator
Data Management
Project Stakeholders
DATA MANAGEMENT PLAN
REGULATIONS AND STANDARDS
STUDY PROTOCOL
8
LIFECYCLE
Benefits of the lifecycle approach
Project
Collaboration Data Sharing
9
ADMIT - Future 2010 2011 2012 2013 2014 2015 2016
Workshop 1 Antwerp
Belgian Development Cooperation (DGD)
Challenges & Knowledge exchange
“Switching the Poles Clinical Research Network”
Workshop 2 Antwerp
Workshop 3 Varanasi
Work Packages
>800 subscribers
Discussion Forum
Organogram
Data sharing,…
New website admitnetwork.org
ADMIT revamp
Restructure Work packages
Workshop 4 Antwerp
ASTMH New Orleans
DGD
EDCTP Ethiopia & ECTMIH
Barcelona
Grant Publications
Training
10
DM Training Prince 2
Define future WP
SOP Harmonisation
Website admit.tghn.org
SOP’s DM Plan Lifecycle
Acknowledgements
11