Using a mobile application to improve pediatric presumptive TB identification in western Kenya

Szkwarko, Daria; Amisi, James Akiruga; Peterson, Dawn Taylor; Burudi, S.; Angala, Patrick; Carter, E. J.

doi:10.5588/ijtld.20.0890

Cited by 7 publications

(8 citation statements)

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“…The hospital TB clinic cares for 200 patients with active TB annually. More than 1500 children are seen monthly in the pediatric outpatient clinics (nutrition, maternal child health, acute care)” [ 37 ].…”

Section: Explanation and Elaboration Of Icheck-dhmentioning

confidence: 99%

iCHECK-DH: Guidelines and Checklist for the Reporting on Digital Health Implementations

Perrin¹,

Babington-Ashaye²,

Dietrich³

et al. 2023

J Med Internet Res

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Background Implementation of digital health technologies has grown rapidly, but many remain limited to pilot studies due to challenges, such as a lack of evidence or barriers to implementation. Overcoming these challenges requires learning from previous implementations and systematically documenting implementation processes to better understand the real-world impact of a technology and identify effective strategies for future implementation. Objective A group of global experts, facilitated by the Geneva Digital Health Hub, developed the Guidelines and Checklist for the Reporting on Digital Health Implementations (iCHECK-DH, pronounced “I checked”) to improve the completeness of reporting on digital health implementations. Methods A guideline development group was convened to define key considerations and criteria for reporting on digital health implementations. To ensure the practicality and effectiveness of the checklist, it was pilot-tested by applying it to several real-world digital health implementations, and adjustments were made based on the feedback received. The guiding principle for the development of iCHECK-DH was to identify the minimum set of information needed to comprehensively define a digital health implementation, to support the identification of key factors for success and failure, and to enable others to replicate it in different settings. Results The result was a 20-item checklist with detailed explanations and examples in this paper. The authors anticipate that widespread adoption will standardize the quality of reporting and, indirectly, improve implementation standards and best practices. Conclusions Guidelines for reporting on digital health implementations are important to ensure the accuracy, completeness, and consistency of reported information. This allows for meaningful comparison and evaluation of results, transparency, and accountability and informs stakeholder decision-making. i-CHECK-DH facilitates standardization of the way information is collected and reported, improving systematic documentation and knowledge transfer that can lead to the development of more effective digital health interventions and better health outcomes.

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Section: Explanation and Elaboration Of Icheck-dhmentioning

confidence: 99%

iCHECK-DH: Guidelines and Checklist for the Reporting on Digital Health Implementations

Perrin¹,

Babington-Ashaye²,

Dietrich³

et al. 2023

J Med Internet Res

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“…1 ). We identified 27 published comparative studies 19 – 45 and one unpublished data set. 46 Many studies described multifaceted interventions and interventions were heterogeneous ( Table 1 ; available at: https://www.who.int/publications/journals/bulletin/ ).…”

Section: Resultsmentioning

confidence: 99%

“…46 Many studies described multifaceted interventions and interventions were heterogeneous ( Table 1 ; available at: https://www.who.int/publications/journals/bulletin/ ). The primary intervention was decentralization for 23 studies, 19 – 39 , 44 , 46 integration for three studies 40 , 41 , 45 and family-centred care for two studies. 42 , 43 Because of the small number of studies of integrated and family-centred care models, we incorporated into the evidence synthesis 19 additional studies without comparative outcomes (six studies reporting on integrated models 47 – 52 and 13 studies reporting family-centred models; 53 – 65 Table 2 ; available at: https://www.who.int/publications/journals/bulletin/ ).…”

Section: Resultsmentioning

confidence: 99%

“…We identified three comparative studies where integration was the primary intervention ( Table 4 ). 40 , 41 , 45 A stepped-wedge trial in Ethiopia showed that screening in integrated maternal, neonatal and child illnesses clinics increased tuberculosis diagnoses among children (0.5; 95% CI: 0.2–0.7; additional cases per clinic per 4-month period). 41 A pre-post study from Zambia showed that having antiretroviral services and tuberculosis services in the same health facilities led to increased case notifications in the 0–14 year age group (IRR: 2.67; 95% CI: 1.05–6.76).…”

Section: Resultsmentioning

confidence: 99%

“… 40 A pre-post study from Kenya showed that screening in the maternal–child health, nutrition and acute care departments of a hospital did not significantly increase tuberculosis treatment registrations in the 0–14 year age group (IRR: 0.88; 95% CI: 0.44–1.77). 45 …”

Section: Resultsmentioning

confidence: 99%

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Tuberculosis care models for children and adolescents: a scoping review

Yuen¹,

Szkwarko²,

Dubois³

et al. 2022

Bull World Health Org

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Objective To map which tuberculosis care models are best suited for children and adolescents. Methods We conducted a scoping review to assess the impact of decentralized, integrated and family-centred care on child and adolescent tuberculosis-related outcomes, describe approaches for these care models and identify key knowledge gaps. We searched seven literature databases on 5 February 2021 (updated 16 February 2022), searched the references of 18 published reviews and requested data from ongoing studies. We included studies from countries with a high tuberculosis burden that used a care model of interest and reported tuberculosis diagnostic, treatment or prevention outcomes for an age group < 20 years old. Findings We identified 28 studies with a comparator group for the impact assessment and added 19 non-comparative studies to a qualitative analysis of care delivery approaches. Approaches included strengthening capacity in primary-level facilities, providing services in communities, screening for tuberculosis in other health services, co-locating tuberculosis and human immunodeficiency virus treatment, offering a choice of treatment location and providing social or economic support. Strengthening both decentralized diagnostic services and community linkages led to one-to-sevenfold increases in case detection across nine studies and improved prevention outcomes. We identified only five comparative studies on integrated or family-centred care, but 11 non-comparative studies reported successful treatment outcomes for at least 71% of children and adolescents. Conclusion Strengthening decentralized services in facilities and communities can improve tuberculosis outcomes for children and adolescents. Further research is needed to identify optimal integrated and family-centred care approaches.

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Improving Tuberculosis Case Detection in Children: Summary of Innovations and Findings From 18 Countries

Rahman

Malik

Amanullah

et al. 2022

Journal of the Pediatric Infectious Diseases Society

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Despite a growing focus on the plight of tuberculosis (TB) among children, 56% of the 1.2 million children who develop TB annually are not detected and notified. TB REACH is a platform of the Stop TB Partnership that supports innovative interventions to improve TB case detection and preventative treatment. We present summary findings from 27 TB REACH-supported projects in 18 countries. Interventions were designed around intensified case-finding approaches (facility-based systematic screening and contact investigation), capacity building (including decentralized care delivery and supported decision making), and improving diagnostic methods (i.e., introduction of alternative respiratory specimens and new tools to aid the diagnosis). These interventions were evaluated on how they worked to identify children with TB, prevent further transmission of TB among children, and strengthen the health system involved with childhood TB care. Overall, 13,715 children were detected with TB, improving case notifications by 34%. In addition, nearly 5,000 eligible contacts were enrolled on TB preventive treatment through these interventions. Focusing efforts and funding on childhood TB can produce marked improvements in case detection.

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Using a mobile application to improve pediatric presumptive TB identification in western Kenya

Cited by 7 publications

References 0 publications

iCHECK-DH: Guidelines and Checklist for the Reporting on Digital Health Implementations

iCHECK-DH: Guidelines and Checklist for the Reporting on Digital Health Implementations

Tuberculosis care models for children and adolescents: a scoping review

Improving Tuberculosis Case Detection in Children: Summary of Innovations and Findings From 18 Countries

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