Evidence map›Paper›PMID 29631631›Full record

ArticleBMC health services research2018

Evaluation of the reinforced integrated disease surveillance and response strategy using short message service data transmission in two southern regions of Madagascar, 2014-15.

Rado Randriamiarana, Grégoire Raminosoa, Nikaria Vonjitsara, Rivo Randrianasolo, Harena Rasamoelina, Harimahefa Razafimandimby, Arthur Lamina Rakotonjanabelo, Richard Lepec, Loïc Flachet, Ariane Halm

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Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rado RandriamiaranaIndian Ocean Field Epidemiology Training Programme, SEGA One Health Network, Indian Ocean Commission, Ebène, Mauritius.
Grégoire RaminosoaEpidemiological Surveillance Department, Ministry of Health, Antananarivo, Madagascar.
Nikaria VonjitsaraEpidemiological Surveillance Department, Ministry of Health, Antananarivo, Madagascar.
Rivo RandrianasoloEpidemiological Surveillance Department, Ministry of Health, Antananarivo, Madagascar.
Harena RasamoelinaHealth Surveillance Unit, SEGA One Health Network, Indian Ocean Commission, Ebène, Mauritius.
Harimahefa RazafimandimbyHealth Surveillance Unit, SEGA One Health Network, Indian Ocean Commission, Ebène, Mauritius.
Arthur Lamina RakotonjanabeloSurveillance Unit, World Health Organisation, Antananarivo, Madagascar.
Richard LepecHealth Surveillance Unit, SEGA One Health Network, Indian Ocean Commission, Ebène, Mauritius.
Loïc FlachetHealth Surveillance Unit, SEGA One Health Network, Indian Ocean Commission, Ebène, Mauritius.
Ariane HalmHealth Surveillance Unit, SEGA One Health Network, Indian Ocean Commission, Ebène, Mauritius. arianehalm@gmail.com.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe Integrated Disease Surveillance and Response (IDSR) strategy was introduced in Madagascar in 2007. Information was collected by Healthcare structures (HS) on paper forms and transferred to the central level by post or email. Completeness of data reporting was around 20% in 2009-10. From 2011, in two southern regions data were transmitted through short messages service using one telephone provider. We evaluated the system in 2014-15 to determine its performance before changing or expanding it.

methodsWe randomly selected 80 HS and interviewed their representatives face-to-face (42) or by telephone (38). We evaluated knowledge of surveillance activities and selected case definitions, number of SMS with erroneous or missing information among the last ten transferred SMS, proportion of weekly reports received in the last 4 weeks and of the last four health alerts notified within 48 h, as well as mobile phone network coverage.

resultsSixty-four percent of 80 interviewed HS representatives didn't know their terms of reference, 83% were familiar with the malaria case definition and 32% with that of dengue. Ninety percent (37/41) of visited HS had five or more errors and 47% had missing data in the last ten SMS they transferred. The average time needed for weekly IDSR data compilation was 24 min in the Southern and 47 in the South-eastern region. Of 320 expected SMS 232 (73%) were received, 136 (43%) of them in time. Out of 38 alerts detected, four were notified on time. Nine percent (7/80) of HS had no telephone network with the current provider.

conclusionsSMS transfer has improved IDSR data completeness, but timeliness and data quality remain a problem. Healthcare staff needs training on guidelines and case definitions. From 2016, data are collected and managed electronically to reduce errors and improve the system's performance.

Indexed as

Text MessagingCell PhoneDisease OutbreaksEvaluation Studies as TopicHealth Information SystemsHealth Services ResearchHumansMadagascarPopulation SurveillanceBasic healthcareInfectious diseasesIntegrated disease surveillance and response IDSRMadagascarSurveillance

Identifiers

PMID29631631
PMCPMC5891931

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.