Drones are increasingly being used globally for the support of healthcare programmes. Madagascar, Malawi and Senegal are among a group of early adopters piloting the use of bi-directional transport drones for health systems in sub-Saharan Africa. This article presents the experiences as well as the strengths, weaknesses, opportunities and threats (SWOT analysis) of these country projects. Methods for addressing regulatory, feasibility, acceptability, and monitoring and evaluation issues are presented to guide future implementations. Main recommendations for governments, implementers, drone providers and funders include (1) developing more reliable technologies, (2) thorough vetting of drone providers’ capabilities during the selection process, (3) using and strengthening local capacity, (4) building in-country markets and businesses to maintain drone operations locally, (5) coordinating efforts among all stakeholders under government leadership, (6) implementing and identifying funding for long-term projects beyond pilots, and (7) evaluating impacts via standardised indicators. Sharing experiences and evidence from ongoing projects is needed to advance the use of drones for healthcare.
Carla Blauvelt and colleagues describe a multisectoral collaboration that enabled the scale up of a health advice telephone service and its transition to government in Malawi
Drones are increasingly used to transport health products, but life-saving interventions can be stalled if local community concerns and preferences are not assessed and addressed. In order to inform the introduction of drones in new contexts, this paper analyzed similarities and differences in community perceptions of medical delivery drones in Malawi, Mozambique, the Democratic Republic of the Congo (DRC) and the Dominican Republic (DR). Community perceptions were assessed using focus group discussions (FGDs) and key informant interviews (KIIs) conducted with stakeholders at the national level, at health facilities and in communities. Data were collected on respondents’ familiarity with drones, perceptions of benefits and risks of drones, advice on drone operations and recommendations on sharing information with the community. The comparative analysis found similar perceptions around the potential benefits of using drones, as well as important differences in the perceived risks of flying drones and culturally appropriate communication mechanisms based on the local context. Because community perceptions are heavily influenced by culture and local experiences, a similar assessment should be conducted before introducing drone activities in new areas and two-way feedback channels should be established once drone operations are established in an area. The extent to which a community understands and supports the use of drones to transport health products will ultimately play a critical role in the success or failure of the drone’s ability to bring life-saving products to those who need them.
There are many challenges that impact the current referral network for Tuberculosis (TB) sputum specimens in Mozambique. In some cases, health facilities are remote and the road infrastructure is poor and at times impassable, leading to delays in laboratory specimen transportation and long turn-around times for results. Drone transportation is a promising solution to reduce transportation time and improve access to laboratory diagnostics if the sample quality is not compromised during transport. This study evaluated the impact of drone transportation on the quality of TB sputum specimens with suspected Mycobacterium tuberculosis. 156 specimens were collected at five (5) health centers and sent to the Instituto Nacional de Saúde (INS) National TB Reference Laboratory. Specimens were then equally divided into two aliquots; one to be transported on land and the other by air using a drone. Control and study group specimens were processed using the NALC-NaOH method. Agreement between sample and control specimens was acceptable, indicating that drone transportation did not affect the quality of TB specimens. The authors recommend additional studies to validate drone transportation of TB specimens over a longer period of time to give further confidence in the adoption of drone delivery in Mozambique.
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