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Indigenously developed digital handheld Android-based Geographic Information System (GIS)-tagged tablets (TABs) in malaria elimination programme in Mangaluru city, Karnataka, India.
Malaria Journal ( IF 2.4 ) Pub Date : 2019-12-26 , DOI: 10.1186/s12936-019-3080-8
B Shantharam Baliga 1 , Animesh Jain 1 , Naren Koduvattat 2 , B G Prakash Kumar 3 , Manu Kumar 4 , Arun Kumar 5 , Susanta K Ghosh 6
Affiliation  

BACKGROUND Under-reporting, delayed diagnosis, incomplete treatment and inadequate vector management are few among many factors responsible for uninterrupted transmission of malaria in India. Information technology (IT) and mobile apps can be utilized effectively to overcome these hurdles. Indigenously developed digital handheld geographic information system (GIS)-tagged Android-based tablets (TABs) has been designed especially for implementation of digitization protocol. This has changed the effectiveness of malaria surveillance and intervention strategies in a malaria endemic area of Mangaluru city, Karnataka, India. METHODS A software was developed and implemented for control measures to create a digital database of each malaria case. Secondary data analyses were carried out to determine and compare differences in malariometric indices between pre- and post-digitization years. With the introduction of this software active surveillance, information education and communication (IEC), and anti-vector measures were made 'incidence-centric'. This means that the entire control measures were carried out in the houses where the malaria cases (index cases) were reported and also in surrounding houses. RESULTS Annual blood examination rate (ABER) increased from 13.82 to 32.8%. Prompt reporting of new cases had improved (36% within 24 h and 80% within 72 h). Complete treatment and parasite clearance time were documented in 98% of cases. In the second post-digitization year untraceable cases reduced from 11.3 to 2.7%; contact blood smears collection also increased significantly (p < 0.001); Slide Positivity Rate (SPR) decreased from 15.5 to 10.48%; malaria cases reduced by 30%. CONCLUSIONS IT is very useful in translation of digitized surveillance to core interventions thereby effectively reduce incidence of malaria. This technology can be used effectively to translate smart surveillance to core interventions following the '1-3-7-14' strategy.

中文翻译:

在印度卡纳塔克邦的曼加罗尔市消除疟疾计划中,自主开发了基于Android的数字手持式地理信息系统(GIS)标签平板电脑(TAB)。

背景技术在印度,导致疟疾不间断传播的许多因素中,报告不足,诊断延迟,治疗不彻底和媒介管理不充分的情况很少。可以有效利用信息技术(IT)和移动应用程序来克服这些障碍。带有本地标记的数字手持地理信息系统(GIS)的基于Android的平板电脑(TAB)专门设计用于数字化协议的实现。这改变了印度卡纳塔克邦芒格鲁市的疟疾流行地区的疟疾监测和干预策略的有效性。方法开发并实施了用于控制措施的软件,以创建每个疟疾病例的数字数据库。进行了二次数据分析,以确定和比较数字化前后年份之间的疟疾计量指标差异。随着该软件的推出,主动监视,信息教育和通信(IEC)以及反媒介措施被定为“以事件为中心”。这意味着整个控制措施是在报告疟疾病例(指数病例)的房屋以及周围房屋中执行的。结果年度血液检查率(ABER)从13.82增加到32.8%。对新病例的及时报告有所改善(24小时内为36%,72小时内为80%)。在98%的病例中记录了完整的治疗方法和清除寄生虫的时间。在数字化后的第二年,无法追踪的案件从11.3下降到2.7%;接触血涂片收集也显着增加(p <0.001);滑坡阳性率(SPR)从15.5%降低至10.48%;疟疾病例减少了30%。结论IT在将数字化监控转换为核心干预措施方面非常有用,从而有效降低了疟疾的发病率。遵循“ 1-3-7-14”策略,可以有效地使用该技术将智能监控转换为核心干预措施。
更新日期:2019-12-27
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