Timelier notification and action with mobile phones–towards malaria elimination in South Africa

Malaria Journal

Research

Anette Hulth¹  Lucille Blumberg²  Vanessa Quan²  Gerdalize Kok³ 

[1] Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden;Division of Public Health Surveillance and Response, National Institute for Communicable Diseases (NICD) of the National Health Laboratory Service, Private Bag X4, Sandringham 2131, Gauteng, South Africa;School of Pathology, University of the Witwatersrand, Johannesburg, South Africa;Malaria Control Programme, Mpumalanga, South Africa;

关键词: Malaria surveillance;    Elimination;    Evaluation;    Mobile phone;    SMS notification;    South Africa;    Rural;   

DOI  :  10.1186/1475-2875-13-151

 received in 2014-02-12, accepted in 2014-04-13,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundSurveillance with timely follow-up of diagnosed cases is a key component of the malaria elimination strategy in South Africa. The strategy requires each malaria case to be reported within 24 hours, and a case should be followed up within 48 hours. However, reporting delays are common in rural parts of the country.MethodsA technical framework was implemented and for eight months a nurse was hired to use a smartphone to report malaria cases to the provincial malaria control programme, from selected primary health care clinics in a rural, malaria-endemic area in South Africa. In addition, a short text message (SMS) notification was sent to the local malaria case investigator for each positive case. The objective was to assess whether reporting over the smartphone led to timelier notification and follow-up of the cases. An evaluation on the simplicity, flexibility, stability, acceptability, and usability of the framework was conducted.ResultsUsing mobile reporting, 18 of 23 cases had basic information entered into the provincial malaria information system within 24 hours. For the study period, the complete case information was entered two to three weeks earlier with the mobile reporting than from other clinics. A major improvement was seen in the number of positive cases being followed up within 48 hours. In 2011/2012, only one case out of 22 reported from the same study clinics was followed up within this timeframe. During the study period in 2012/2013, 15 cases out of 23 were followed up within two days. For the other clinics in the area, only a small improvement was seen between the two periods, in the proportion of cases that was followed up within 48 hours.ConclusionsSMS notification for each diagnosed malaria case improved the timeliness of data transmission, was acceptable to users and was technically feasible in this rural area. For the malaria case investigations, time to follow-up improved compared to other clinics. Although malaria case numbers in the study were small, the results of the qualitative and quantitative evaluations are convincing and consideration should be given to larger-scale use within the national malaria control programme.

【 授权许可】

CC BY   
© Quan et al.; licensee BioMed Central Ltd. 2014