development and implementation of sms disease surveillance system in mukdahan, thailand and...

8/14/2019 Development and Implementation of SMS Disease Surveillance System in Mukdahan, Thailand and Savannakhet, Lao PDR

1/23

Development and Implementation of SMS Disease Surveillance System

in Mukdahan, Thailand and Savannakhet, Lao PDR

Dr. Prapas Weerapol, Mukdahan

MBDS Associate Province Coordinator,

Mukdahan Health Office, Thailand


2/23

Rational

- Mudahan - Savarnnakhet is an

important area of Mekong Basin Disease

Surveillance.

- Mukdahan is one of cross border point

be connected to Laos, Vietnam

- Mukdahan - Savarnnakhat have been

developed ICT schema for Bio-

Surviellance


3/23

Objectives

1.! To improve the effectiveness in epidemiology report2.! To build a network of local health officials in using disease surveillance

system to help control the epidemiology locally and internationally.


4/23

Implementation process

Public Health Office in Mukdahan province, the ICT for Development Program of

the Thai Health Promotion Foundation and InSTEDD organization has initiated the use

of SMS for disease surveillance system in Mukdahan Savannakhet, Lao PDR under

the Mekong Basin Disease Surveillance project (MBDS) project.


5/23

Implementation Process

1. Build a network of public health officials in Lao PDR and Thailand who will be

using the Geo Chat system.


6/23

Group Communication in GeoChat system

when group member send a message

i.e. Field visit at Nong Sung Vill.today

Everyone in group will get message

Field visit at Nong Sung Vill.today

The message Field visit at Nong Sung

Vill.today will be added to groups

page in Geochat

Mr.Somsak

Mr.Samarn

Ms.SumangMr.Somjai

Mr.Samran

Field visit at NongSung Vill. today


7/23

The Geochats web display

The groups

messagesThe geographical

position in online

mapping


8/23

Geochat Training


9/23


10/23

Mukdahan Province

DidtrictMuang 23Members

CS

SS

S

DidtrictNikom

15

CS

SS

S DidtrictDontan

13

CS

SS

S

DidtrictDonglung

15

CS

SS

S

DidtrictNongsung

10

CS

SS

S

DidtrictKumchi-e

15

CS

SS

S

DidtrictWanyai

10

CS

SS

S

Mukdahan STTR Group Administration07/08/09


11/23

Head of District sends

announcements and

alerts to health

centers in the district.

Head of District sends

announcements and

alerts to health

centers in the district.

PHD sends messages to

Heads of Districts

Head of District

sends messages

to the province

level and report

important or

summarized

cases

Health centers reports cases and

discuss issues with colleagues.

Messages are received by all

members of the district and by the

Head of District .

Provincial Group

Messages can besent through SMS ,

Web or Email .

Operational District

Group

(

% % % % % % % %% % % % % % % % %

% % % % % % % %% % % % % % %


12/23

12

ILI Case Reporting from Subdistrict

Subdistrict

Every Friday

5..10 subdistricts

District

District SRRT Member

Number of ILI cases

Per district: chatroom group (e.g. muk02) with

All heads of subdistrict HC

District SRRT members

Head of

subdistrict

health center


13/23

13

ILI Case Reporting to Province

District Hospital

SRRT Member

Every Monday and Thursday

7 districts

Mukdahan

Provincial PH Office

Ms.Punchawee

Number of ILI cases

For Mukdahan: chatroom group (muk) with

All heads of District SRRT

Suyai, Punchawee & Boonchok


14/23

14

H1N1 Suspect Case

District Hospital

SRRT Member

After doctor diagnoses H1N1

H1N1 suspect warning All subdistricts

Formal Confirmation (paper)

+ SMS notification

Lab


Ms.Punchawee

Formal Alert SMS (today call)

Confirmation of H1N1Notify that response

team will be sent to

investigate

2

1

3

4

5


15/23

15

Reportable DiseasesIf case comes from same district

District A Hospital

SRRT Member

When doctor confirms disease

5..10 subdistricts

Notify subdistricts


Ms.Punchawee


16/23

16

Reportable DiseasesIf case comes from different district

Wanyai Hospital

SRRT Member

When doctor confirms disease from district

B

5..10 subdistricts of Wanyai

Notify subdistricts


Ms.Punchawee

Nikom Hospital

Notify that response team will

be sent to investigate


17/23

17


18/23

18


19/23

19


20/23

The current status of the project


21/23

Number of SMS sent categorized by types of report33%

31%

36%

ILI case and ILI screening reports

Outbreak, disease screening and control notifications

General notifications and invitations

S


22/23

SummaryMembers in the network see the necessity and value of the system. Their feedbacks

are as followings:

1. They found that they could spread out health report to everyone in such speedy yet effective method. Diseases

under surveillance that have been found and reported include H1N1 and dengue fever.

2. This cost-effective real-time report system informs the location of where the disease is found. The program and

the structure are user-friendly. And the analysis gives a collective data to Public Health Department officials and

allows them to have a better decision making for disease control.

3. Members in the network receive real-time report and notifications from either top-down or bottom-up levels. The

system has proved to have high satisfaction rate from user members.

4. Members are able to analyze data and then send the report to the public health headquarter as soon as the

disease is found. The system definitely contributes to the increase in effectiveness of disease outbreak control of

the SRRT team.

5. The system help stimulate and facilitate real-time report.

6. Public health executives are able to keep tracked of the outbreak as well as to see the big picture of the

situation.


23/23

Suggestions! 1. Members from the pilot group agreed that the SMS disease surveillance systemshould also be implemented in other remote areas not only for health-related report but

also any social security issue such as illegal drug, environment or dangerous areas.

Volunteers from local communities, Local Live Stock Department officials and/or people

with high potential to be infected are to be involved.

! 2. The Thai Health Promotion Foundation and InSTEED are working together todevelop the program to be able to analyze the data using computer programs so that

the report can be submitted to the public health executives as speedy as possible.

! 3. The program should be implemented in other local communities as well as in theinternational level.

development and implementation of sms disease surveillance system in mukdahan, thailand and...

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