mobile tools in disease surveillance in low income countries - astmh 2012 presentation
DESCRIPTION
Data From the Field - ASTMH 2012 PresentationTRANSCRIPT
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“New tools in LDCs using IT”
Mobile tools for disease surveillance in low income countries Ed Jezierski, ND*
CTO, InSTEDD@edjez
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Tradeoffs
Timely
Complete
High Quality
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You can’t have it all!
Timely
Complete
High Quality
?
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Balanced portfolio
Timely
Complete
High Quality
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Mobiles give unprecedented opportunity
Complete
Timely
High Quality
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But also new challenges
• Usability• “Reach vs. Rich” – Voice, SMS, smartphone, J2ME, USSD
• Bad designs• Training costs• Working with operators• Pilots, pilots everywhere! that can never scale• Community health worker (dis)incentives• …
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Knowledge Action
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Supporting group collaboration
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As Storm Ketsana struck Thailand, health workers using InSTEDD GeoChat alerted each other of floods, how to avoid injuries and rescuing villagers
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Information technology doesn’t need to be digital – at InSTEDD we’ve had to work on tools that simplify data reporting and interpretation across the literacy gap
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Machine to Machine communicatione.g. Cepheid GeneXpert
Cepheid GeneXpert
Usage and issue monitoringDisease trending for all testsAggregate data for reportsGranular data for analysis
No patient data uploaded
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Population InteractionScreening and referral with PopCouncil BabyMonitor
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System … or archipelago?
The Other Ministry of Health App That Only Keeps Running Because WHO pays perdiems
for support
Some useful Ministry of Health SMS App
The SMS app used that has been piloted in ___
district ONLY over the last 3 years
The expensive SMS and IVR solution some vendor did but
no one can get to the data
Remember that summer when there
was this intern that was Mary’s nephew and he was kind of a geek and
he programmed a system and then he left but then a supervisor
blah blah blah
That data reporting app that was built by the university CS
intern; no one knows who uses it but they sure tweet about it!
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Bringing it back together
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Bringing it back together
Global
Household
Village
District
Province
National
Regional
Events Indicators
Outcomes?
Incentives?
Sharing Policy?
Data Quality?
Technology?
Challenges for Integration:
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International Data (MBDS Regional Network)Spatiotemporal visualizations and analysis
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Tracking H1N1 in Real Time
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Client Registry
Shared Health Record
Facility Registry
Provider Registry
Terminology Service
Health Process Integration
Medical Record Systems
Lab Mobile
Health Information Systemsas health surveillance enabler
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• Resource constrained environments can foster efficient, creative, leapfrog approaches
• Effective surveillance starts with clear goals
• Mobile tools are just one part of a portfolio
• Mobiles bring unprecedented opportunities for disease surveillance – if done well
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Cloud-based Aggregator
Sifting, cleanup and 1st phase of
analytics
WWW
ICD9
Prescriptions
Essence
2nd Phase Analytics
Early SensitizationContext
Prevalence UI &
DB
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will bring 365 opportunitiesOur field reports show 2013 to make the right choices