Evidence map›Paper›PMID 34663306›Full record

ArticleBMC medical informatics and decision making2021

Sustainability of a mobile phone application-based data reporting system in Myanmar's malaria elimination program: a qualitative study.

Win Han Oo, Kaung Myat Thu, Julia C Cutts, Win Htike, Kyawt Mon Win, May Chan Oo, Naw Hkawng Galau, Paul A Agius, Pyae Phyo Htoon, Ellen Kearney and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
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

10 citing papers in PubMed, 9 citations in OpenAlex.

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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

17 authors at 5 institutions in 2 countries.

Win Han Oo *Disease Elimination Program, Burnet Institute, Melbourne, Australia. winhan.oo@burnet.edu.au.
Kaung Myat Thu *Health Security Program, Burnet Institute Myanmar, Yangon, Myanmar.
Julia C CuttsDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Win HtikeHealth Security Program, Burnet Institute Myanmar, Yangon, Myanmar.
Kyawt Mon WinNational Malaria Control Program, Ministry of Health and Sports, Nay Pyi Taw, Myanmar.
May Chan OoHealth Security Program, Burnet Institute Myanmar, Yangon, Myanmar.
Naw Hkawng GalauHealth Security Program, Burnet Institute Myanmar, Yangon, Myanmar.
Paul A AgiusDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Pyae Phyo HtoonSave the Children International, Yangon, Myanmar.
Ellen KearneyDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Aung ThiNational Malaria Control Program, Ministry of Health and Sports, Nay Pyi Taw, Myanmar.
Ye Win AungHealth Security Program, Burnet Institute Myanmar, Yangon, Myanmar.
Min Min TheinSave the Children International, Yangon, Myanmar.
Kathryn RosecransSave the Children International, Yangon, Myanmar.
Kyi Tun LwinSave the Children International, Yangon, Myanmar.
Aung Kyi MinSave the Children International, Yangon, Myanmar.
Freya J I FowkesDisease Elimination Program, Burnet Institute, Melbourne, Australia. freya.fowkes@burnet.edu.au.
Yangon Children's Hospital · MMBurnet Institute · AUMinistry of Health and Sports · MMUniversity of Melbourne · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStrengthening surveillance systems to collect near-real-time case-based data plays a fundamental role in achieving malaria elimination in the Greater Mekong Subregion (GMS). With the advanced and widespread use of digital technology, mHealth is increasingly taking a prominent role in malaria surveillance systems in GMS countries, including Myanmar. In Myanmar's malaria elimination program, an mHealth system called Malaria Case-based Reporting (MCBR) has been applied for case-based reporting of malaria data by integrated community malaria volunteers (ICMVs). However, the sustainability of such mHealth systems in the context of existing malaria elimination programs in Myanmar is unknown.

methodsFocus group discussions were conducted with ICMVs and semi-structured in-depth interviews were conducted with malaria program stakeholders from Myanmar's Ministry of Health and Sports and its malaria program implementing partners. Thematic (deductive followed by inductive) analysis was undertaken using a qualitative descriptive approach.

resultsTechnological and financial constraints such as inadequate internet access, software errors, and insufficient financial resources to support mobile phone-related costs have hampered users' access to MCBR. Poor system integrity, unpredictable reporting outcomes, inadequate human resources for system management, and inefficient user support undermined the perceived quality of the system and user satisfaction, and hence its sustainability. Furthermore, multiple parallel systems with functions overlapping those of MCBR were in use.

conclusionsDespite its effectiveness and efficiency in malaria surveillance, the sustainability of nationwide implementation of MCBR is uncertain. To make it sustainable, stakeholders should deploy a dedicated human workforce with the necessary technical and technological capacities; secure sustainable, long-term funding for implementation of MCBR; find an alternative cost-effective plan for ensuring sustainable system access by ICMVs, such as using volunteer-owned mobile phones for reporting rather than supporting new mobile phones to them; and find a solution to the burden of multiple parallel systems.

trial registrationNot applicable.

Indexed as

Cell PhoneMalariaMobile ApplicationsHumansMyanmarResearch DesigneHealthMalariamHealthMyanmarSurveillanceSustainability

Identifiers

PMID34663306
PMCPMC8521268
OpenAlexW3191791051

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.