Introducing field digital data collection systems into seasonal malaria chemoprevention campaigns: opportunities for robust evidence development and national e-health strategies

Balla, Kanda; Malm, Kezia; Njie, Ousman; Ogouyemi, Aurore Hounto; Uhomoibhi, Perpetua; Poku-Awuku, Abena; Tchouatieu, André-Marie; Aïkpon, Rock; Bah, Alieu; Kolley, Olimatou; Ogbulafor, Nnenna; Oppong, Samuel A.; Adomako, Kofi; Houndjo, William; Jah, Huja; Banerji, Jaya; Nikau, Jamilu; Affoukou, Cyriaque; Egwu, Elijah; Houtohossou, Camille; Hulle, Suzanne Van

doi:10.1136/bmjgh-2021-007899

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…For instance, in seasonal malaria chemoprevention campaigns in Africa's Sahel region, digital data collection reduced working time and costs compared to paper-based tools. 21 Similarly, a study from Zanzibar found that direct data entry via personal digital assistants was faster and cheaper than the paper-based system, while also avoiding common errors associated with the manual process. 22 …”

Section: Discussionmentioning

confidence: 99%

Developing and assessing the efficiency of VOSER software in recording dental caries according to WHO's criteria 2013

Nguyen,

Doan,

Hoang

et al. 2023

Journal of Dental Sciences

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Section: Discussionmentioning

confidence: 99%

Developing and assessing the efficiency of VOSER software in recording dental caries according to WHO's criteria 2013

Nguyen,

Doan,

Hoang

et al. 2023

Journal of Dental Sciences

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“…During the 2020 campaigns, three countries used digital data collection, The Gambia, Ghana and Benin. In 2021, a further three countries piloted digitalisation, Nigeria, Burkina Faso and Guinea [ 2 ], with other countries expressing interest of using these tools for future campaigns. Therefore, the lack of smartphones/tablets should not be seen as a long-term barrier to uptake, as video resources can increasingly be viewed on tools provided by the SMC campaign.…”

Section: Discussionmentioning

confidence: 99%

“…Community health worker (CHW) programmes rely on effective training and supervision [ 1 ]. The increasing use of mobile devices by community health programmes in Africa [ 2 ], and increasing personal ownership of smartphones [ 3 ], creates opportunities to use video to explain complex tasks during pre-service training and for community health workers to refer to as job-aids. However, although mobile phones have been used in primary health programmes [ 4 , 5 ], the use of video job-aids has not yet been widely exploited or evaluated in this context.…”

Section: Introductionmentioning

confidence: 99%

“…In some countries, distributors or other community volunteers return on the second and third day to ensure that all the doses are administered and to treat any eligible children who had been missed in earlier visits. Treatments are recorded on a record card retained by the caregiver, and on tally sheets and in a register, however increasingly countries are replacing paper records with electronic recording on android devices [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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The use of video job-aids to improve the quality of seasonal malaria chemoprevention delivery

et al. 2022

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Mobile phones are increasingly used in community health programmes, but the use of video job-aids that can be displayed on smart phones has not been widely exploited. We investigated the use of video job-aids to support the delivery of seasonal malaria chemoprevention (SMC) in countries in West and Central Africa. The study was prompted by the need for training tools that could be used in a socially distanced manner during the COVID-19 pandemic. Animated videos were developed in English, French, Portuguese, Fula and Hausa, illustrating key steps for administering SMC safely, including wearing masks, washing hands, and social distancing. Through a consultative process with the national malaria programmes of countries using SMC, successive versions of the script and videos were reviewed to ensure accurate and relevant content. Online workshops were held with programme managers to plan how to use the videos in SMC staff training and supervision, and the use of the videos was evaluated in Guinea through focus groups and in-depth interviews with drug distributors and other staff involved in SMC delivery and through direct observations of SMC administration. Programme managers found the videos useful as they reinforce messages, can be viewed at any time and repeatedly, and when used during training sessions, provide a focus of discussion and support for trainers and help retain messages. Managers requested that local specificities of SMC delivery in their setting be included in tailored versions of the video for their country, and videos were required to be narrated in a variety of local languages. In Guinea, SMC drug distributors found the video covered the all the essential steps and found the video easy to understand. However, not all key messages were followed as some of the safety measures, social distancing and wearing masks, were perceived by some as creating mistrust amongst communities. Video job-aids can potentially provide an efficient means of reaching large numbers of drug distributors with guidance for safe and effective distribution of SMC. Not all distributors use android phones, but SMC programmes are increasingly providing drug distributors with android devices to track delivery, and personal ownership of smartphones in sub-Saharan Africa is growing. The use of video job-aids for community health workers to improve the quality delivery of SMC, or of other primary health care interventions, should be more widely evaluated.

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“…Findings indicated that routine microscopy or RDT would miss a large portion of subclinical malaria infections. In addition, the use of intermittent preventative treatment in pregnancy (IPTp) in this very low prevalence of subclinical malaria setting in Myanmar is less advantageous compared to an Africa setting where prevalence of malaria infection is higher in pregnant women and ITPp is a proven method for prevention of malaria in pregnancy due [42][43][44]. However, the burden of subclinical malaria in Asia should not be neglected as adverse pregnancy outcomes associated with malaria infection are still a concern.…”

Section: Factors Associated With Subclinical Malaria Among Pregnant W...mentioning

confidence: 99%

Heterogeneity in the prevalence of subclinical malaria, other co-infections and anemia among pregnant women in rural areas of Myanmar: A community-based longitudinal study

Aung

Han²,

Groot

et al. 2023

Preprint

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Background: Due to the low prevalence of clinical malaria of 1-2 % among pregnant women in Myanmar, little is known about its impact on mothers and newborns. Helminth and HIV co-infections may cause anaemia and other adverse health outcomes for both mother and child. This study assessed the prevalence of subclinical malaria and co-infections among pregnant women, and their association with adverse outcomes of pregnancy in the presence of infection. Methods: A prospective longitudinal study was conducted in 12 villages in two townships in Myanmar between 2013 to 2015. A total of 752 pregnant women, with mean age of 27 years, were enrolled and followed up once a month, until six weeks after the delivery. Results: About 84% of women were asymptomatic and 40% were primigravid at the time of enrolment. The prevalence of subclinical malaria as measured by nested PCR was 5.7% for either P. falciparum or P. vivax, with 2.7% prevalence of P. falciparum and 2.8% prevalence of P. vivax. Helminth infections were prevalent in 17% of women, and one woman with a HIV infection was found in our study. The burden of anemia was high, with an overall prevalence of 37% with or without helminth infection, 42% of the women were malaria positive and 43% had dual infections (both malaria and helminth). Only 11 abnormal pregnancy outcomes (7 stillbirth, 2 premature, 2 twins) were identified. Poisson regression showed that women in their first trimester had a 2.9 times higher rate of subclinical malaria compared to women in the third trimester (PR:2.9, 95%CI: 1.19, 7.31, p=0.019), women who were enrolled during the wet season were 2.5 times more likely to be malaria positive than the women enrolled in the dry season (PR: 2.5, 95%CI: 1.27, 4.88, p=0.008), and the malaria positivity rate decreased by 5% when increased in one year of woman’s age (PR:0.95, 95%CI: 0.91, 0.99, p=0.02). In the multivariable regression, the age of respondents was the only significant factor associated with subclinical malaria in pregnancy. Conclusions: The low prevalence of heterogenous subclinical malaria among pregnant women should not be neglected when targeting malaria elimination.

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Introducing field digital data collection systems into seasonal malaria chemoprevention campaigns: opportunities for robust evidence development and national e-health strategies

Cited by 5 publications

References 18 publications

Developing and assessing the efficiency of VOSER software in recording dental caries according to WHO's criteria 2013

Developing and assessing the efficiency of VOSER software in recording dental caries according to WHO's criteria 2013

The use of video job-aids to improve the quality of seasonal malaria chemoprevention delivery

Heterogeneity in the prevalence of subclinical malaria, other co-infections and anemia among pregnant women in rural areas of Myanmar: A community-based longitudinal study

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