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WWW
  Web based
Web Based Malaria
Disease Surveillance & Mapping Project

      Overview
       Problem
       Solution
   Technical Details
      Challenges
  Feedback & Results
Overview



CURRENTLY   PAPER BASED   REPORTS ARE   DATA CLERKS
 MALARIA     REPORTING     COLLECTED     ENTER DATA
 AFFECTS       SYSTEM       AND SENT    INTO SYSTEM
NORTHERN                    BACK TO         TO BE
 AREAS OF                 MOH AT THE    AGGREGATED
BOTSWANA                   END OF THE   & ANALYZED
                             MONTH
Slow turnaround time



Problem
              3 - 4 weeks

          Paper based system
             cumbersome
             & inefficient

             No immediate
             notifications of
               outbreaks
          Data entry, analysis and
                aggregation
          timely & expensive
Solution
 Forms developed for smartphone data entry


    Health workers trained how to enter &
       submit data using smartphone


 Web based tool developed to view data real-time
    DATA
                             SITE
                                        MAPPING OF         SMS
 BREAKDOWN    EXPORT TO                CASES & SITES   NOTIFICATIONS
                          REPORTING
    AND         EXCEL                    WITH CASE      OF REPORTED
                          STATISTICS
AGGREGATION                            INFORMATION         CASES
Screenshot of Mapping
Demo: Healthcare Workers
      Perspective
Technical Details

 Smartphone
   Forms

   Web based
aggregation and
  analysis tool
Smartphone
  Forms
Challenges
Feedback and Results



 Increased dialogue              Officials at MoH can
between users about
                                 immediately escalate
  how the reporting
process could work
                                    & investigate
       better                       reported cases


                 Dramatic increase
                turnaround time for
                data aggregation and
                      analysis
Overlaying case map with net distribution and
chemically treated site maps to gauge effectiveness
Partners

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Malaria 3 point_0h

  • 1. WWW Web based
  • 2. Web Based Malaria Disease Surveillance & Mapping Project Overview Problem Solution Technical Details Challenges Feedback & Results
  • 3. Overview CURRENTLY PAPER BASED REPORTS ARE DATA CLERKS MALARIA REPORTING COLLECTED ENTER DATA AFFECTS SYSTEM AND SENT INTO SYSTEM NORTHERN BACK TO TO BE AREAS OF MOH AT THE AGGREGATED BOTSWANA END OF THE & ANALYZED MONTH
  • 4.
  • 5. Slow turnaround time Problem 3 - 4 weeks Paper based system cumbersome & inefficient No immediate notifications of outbreaks Data entry, analysis and aggregation timely & expensive
  • 6. Solution Forms developed for smartphone data entry Health workers trained how to enter & submit data using smartphone Web based tool developed to view data real-time DATA SITE MAPPING OF SMS BREAKDOWN EXPORT TO CASES & SITES NOTIFICATIONS REPORTING AND EXCEL WITH CASE OF REPORTED STATISTICS AGGREGATION INFORMATION CASES
  • 7.
  • 8.
  • 11. Technical Details Smartphone Forms Web based aggregation and analysis tool
  • 14. Feedback and Results Increased dialogue Officials at MoH can between users about immediately escalate how the reporting process could work & investigate better reported cases Dramatic increase turnaround time for data aggregation and analysis
  • 15.
  • 16. Overlaying case map with net distribution and chemically treated site maps to gauge effectiveness

Editor's Notes

  1. - Ministry of Health wishes to to eliminate malaria completely by 2015- Ministry of Health has standard reporting forms that are filled out for weekly reports- When a positive case is reported another form is filled out with the individual case detailsDrivers come and collect forms every two weeks and deliver them to HQ in GaboroneData clerks constantly are entering data into spreadsheets which are then aggregated and analysis
  2. Human error from data entry or data cleaning is an extra burden-Other issues such as illegible handwriting. Picking up and delivering forms to HQ is time consuming and expensiveCurrent protocol requires a positive case to be called in. Often the calls are missed or never made at all.Full time Data clerks are employed
  3. - 3 forms were developed for the smartphones - weekly reporting - case investigation - immediate case followup- 90% of health workers in Chobe were trained on how to use the phones e.g nurses, doctors, lab technicians16 health facilities were issued with a smartphone-MoH officials can login to site to view data real time- web based system allows them to login from any location with a secure password
  4. -Recently a large public servant strikes caused some disruption in reporting. Some health workers were replaced. -Normally health workers are rotated once a year some some rotations have occurred which mean nurses will have to be trained-A couple users were irresponsible and using the phone to surf sites and download a lot of data which depleted the allotted data package which meant data couldn’t be uploaded -Some users experienced some difficulties with upload data but are located in remote locations. We will be doing a joint site visit in late OCT to resolve these issues.
  5. -Users feel more connected to the reporting process. They can also view data themselves from other sites as well-SMS notifications allow MoH officials to follow and call health workers about reported cases- Users have been providing feedback about how they would like the forms to be structured
  6. Expansion to 20 new sites in eastern Botswana with higher incidences ratesSMS announcements to health workers, individual SMSing to specific site-Overlaying case map with net distribution and chemically treated site maps to gauge effectiveness-Other notifiable disease include: MDR TB, Polio, Rabies, Ebola, Cholera, etc…
  7. HP have allowed us access to host the service on their secure cloud.