Evidence map›Paper›PMID 30386418›Full record

ArticleConflict and health2018

SMS-based smartphone application for disease surveillance has doubled completeness and timeliness in a limited-resource setting - evaluation of a 15-week pilot program in Central African Republic (CAR).

Ziad El-Khatib, Maya Shah, Samuel N Zallappa, Pierre Nabeth, José Guerra, Casimir T Manengu, Michel Yao, Aline Philibert, Lazare Massina, Claes-Philip Staiger and 13 more

Abstract read
In one paragraph

Article in Conflict and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Scoping review of health information technology usability methods leveraged in Africa.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

23 authors.

Ziad El-Khatib1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Maya Shah1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Samuel N ZallappaMinistry of Health, Bangui, Central African Republic.
Pierre Nabeth5Country Health Emergency Preparedness & IHR (CPI), WHO Health Emergencies Programme (WHE), WHO, Lyon, France.
José Guerra5Country Health Emergency Preparedness & IHR (CPI), WHO Health Emergencies Programme (WHE), WHO, Lyon, France.
Casimir T ManenguWorld Health Organization (WHO), Bangui, Central African Republic.
Michel YaoWorld Health Organization (WHO), Bangui, Central African Republic.
Aline Philibert1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Lazare MassinaMinistry of Health, Bangui, Central African Republic.
Claes-Philip StaigerMédecins Sans Frontières (MSF), Stockholm, Sweden.
Raphael MbailaoMinistry of Health, Bangui, Central African Republic.
Jean-Pierre Kouli1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Hippolyte Mboma1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Geraldine Duc1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Dago Inagbe1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Alpha Boubaca Barry1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Thierry Dumont1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Philippe Cavailler1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Michel Quere1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Brian Willett1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Souheil Reaiche1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Hervé de Ribaucourt1Médecins Sans Frontières (MSF), Geneva, Switzerland.
Bruce Reeder1Médecins Sans Frontières (MSF), Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIt is a challenge in low-resource settings to ensure the availability of complete, timely disease surveillance information. Smartphone applications (apps) have the potential to enhance surveillance data transmission.

methodsThe Central African Republic (CAR) Ministry of Health and Médecins Sans Frontières (MSF) conducted a 15-week pilot project to test a disease surveillance app, Argus, for 20 conditions in 21 health centers in Mambéré Kadéi district (MK 2016). Results were compared to the usual paper-based surveillance in MK the year prior (MK 2015) and simultaneously in an adjacent health district, Nana-Mambére (NM 2016). Wilcoxon rank sum and Kaplan-Meier analyses compared report completeness and timeliness; the cost of the app, and users' perceptions of its usability were assessed.

resultsTwo hundred seventy-one weekly reports sent by app identified 3403 cases and 63 deaths; 15 alerts identified 28 cases and 4 deaths. Median completeness (IQR) for MK 2016, 81% (81-86%), was significantly higher than in MK 2015 (31% (24-36%)), and NM 2016 (52% (48-57)) (

conclusionsThe app-based data transmission system more than doubled the completeness and timeliness of disease surveillance reports. This simple, low-cost intervention may permit the early detection of disease outbreaks in similar low-resource settings elsewhere.

Indexed as

Innovation and healthLimited resource settingsmHealthSurveillance

Identifiers

PMID30386418
PMCPMC6199707

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.