Foreword

Blumberg, Lucille; Moonasar, Devanand

doi:10.7196/samj.7401

Cited by 1 publication

(1 citation statement)

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“…According to the malaria pre-elimination phase criteria set out by the World Health Organization of five cases per 1,000 population at risk, South Africa has been earmarked to achieve malaria elimination [2]. South Africa is one of 34 malaria-endemic countries currently targeting elimination of the disease (that is, no local malaria transmission in a defined geographical area), with the goal to achieve elimination by 2018 [3]. Active surveillance is a key component of the elimination strategy in order to break the chain of transmission, through timely diagnosis and treatment of parasitaemic, but often asymptomatic, household or community contacts of a confirmed malaria case.…”

Section: Introductionmentioning

confidence: 99%

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

Quan

Hulth

Kok

2014

Malar J

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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.

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Section: Introductionmentioning

confidence: 99%