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Effectiveness of 24-h mobile reporting tool during a malaria outbreak in Mpumalanga Province, South Africa

BACKGROUND: As surveillance is a key strategy for malaria elimination in South Africa, ensuring strong surveillance systems is a National Department of Health priority. Historically, real time tracking of case trends and reporting within 24 h—a requirement in South Africa’s National surveillance gui...

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Autores principales: Davies, Craig, Graffy, Rebecca, Shandukani, Mbavhalelo, Baloyi, Ednah, Gast, Laura, Kok, Gerdalize, Mbokazi, Frans, Zita, Alpheus, Zwane, Mandla, Magagula, Ray, Mabuza, Aaron, Ramkrishna, Wayne, Morris, Natashia, Porteous, Jacqueline, Shirreff, George, Blumberg, Lucille, Misiani, Eunice, Moonasar, Devanand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385402/
https://www.ncbi.nlm.nih.gov/pubmed/30791909
http://dx.doi.org/10.1186/s12936-019-2683-4
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author Davies, Craig
Graffy, Rebecca
Shandukani, Mbavhalelo
Baloyi, Ednah
Gast, Laura
Kok, Gerdalize
Mbokazi, Frans
Zita, Alpheus
Zwane, Mandla
Magagula, Ray
Mabuza, Aaron
Ramkrishna, Wayne
Morris, Natashia
Porteous, Jacqueline
Shirreff, George
Blumberg, Lucille
Misiani, Eunice
Moonasar, Devanand
author_facet Davies, Craig
Graffy, Rebecca
Shandukani, Mbavhalelo
Baloyi, Ednah
Gast, Laura
Kok, Gerdalize
Mbokazi, Frans
Zita, Alpheus
Zwane, Mandla
Magagula, Ray
Mabuza, Aaron
Ramkrishna, Wayne
Morris, Natashia
Porteous, Jacqueline
Shirreff, George
Blumberg, Lucille
Misiani, Eunice
Moonasar, Devanand
author_sort Davies, Craig
collection PubMed
description BACKGROUND: As surveillance is a key strategy for malaria elimination in South Africa, ensuring strong surveillance systems is a National Department of Health priority. Historically, real time tracking of case trends and reporting within 24 h—a requirement in South Africa’s National surveillance guidelines—has not been possible. To enhance surveillance and response efficiency, a mobile surveillance tool, MalariaConnect, was developed using Unstructured Supplementary Service Data (USSD) technology. It was rolled out in health facilities in malaria endemic areas of South Africa to provide 24-h reporting of malaria cases. METHODS: To evaluate the efficiency of the mobile tool to detect an outbreak data were extracted from the paper based and MalariaConnect reporting systems in Bushbuckridge from 1 January to 18 June 2017. These data were subject to time series analyses to determine if MalariaConnect provided sufficient data reliably to detect increasing case trends reported through the paper system. The Chi squared test was used to determine goodness of fit between the following indicator data generated using MalariaConnect and paper reporting systems: timeliness, completeness, and precision. RESULTS: MalariaConnect adequately tracked case trends reported through the paper system. Timeliness of reporting increased significantly using MalariaConnect with 0.63 days to notification compared to 5.65 days using the paper-system (p < 0.05). The completeness of reporting was significantly higher for the paper system (100% completion; p < 0.05), compared to confirmed MalariaConnect cases (61%). There was a moderate association between data precision and the reporting system (p < 0.05). MalariaConnect provided an effective way of reliably and accurately identifying the onset of the malaria outbreak in Bushbuckridge. CONCLUSION: Timeliness significantly improved using MalariaConnect and in a malaria elimination setting, can be used to markedly improve case investigation and response activities within the recommended 72-h period. Although data completeness and precision were lower compared to paper reporting, MalariaConnect data can be used to trigger outbreak responses.
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spelling pubmed-63854022019-03-01 Effectiveness of 24-h mobile reporting tool during a malaria outbreak in Mpumalanga Province, South Africa Davies, Craig Graffy, Rebecca Shandukani, Mbavhalelo Baloyi, Ednah Gast, Laura Kok, Gerdalize Mbokazi, Frans Zita, Alpheus Zwane, Mandla Magagula, Ray Mabuza, Aaron Ramkrishna, Wayne Morris, Natashia Porteous, Jacqueline Shirreff, George Blumberg, Lucille Misiani, Eunice Moonasar, Devanand Malar J Research BACKGROUND: As surveillance is a key strategy for malaria elimination in South Africa, ensuring strong surveillance systems is a National Department of Health priority. Historically, real time tracking of case trends and reporting within 24 h—a requirement in South Africa’s National surveillance guidelines—has not been possible. To enhance surveillance and response efficiency, a mobile surveillance tool, MalariaConnect, was developed using Unstructured Supplementary Service Data (USSD) technology. It was rolled out in health facilities in malaria endemic areas of South Africa to provide 24-h reporting of malaria cases. METHODS: To evaluate the efficiency of the mobile tool to detect an outbreak data were extracted from the paper based and MalariaConnect reporting systems in Bushbuckridge from 1 January to 18 June 2017. These data were subject to time series analyses to determine if MalariaConnect provided sufficient data reliably to detect increasing case trends reported through the paper system. The Chi squared test was used to determine goodness of fit between the following indicator data generated using MalariaConnect and paper reporting systems: timeliness, completeness, and precision. RESULTS: MalariaConnect adequately tracked case trends reported through the paper system. Timeliness of reporting increased significantly using MalariaConnect with 0.63 days to notification compared to 5.65 days using the paper-system (p < 0.05). The completeness of reporting was significantly higher for the paper system (100% completion; p < 0.05), compared to confirmed MalariaConnect cases (61%). There was a moderate association between data precision and the reporting system (p < 0.05). MalariaConnect provided an effective way of reliably and accurately identifying the onset of the malaria outbreak in Bushbuckridge. CONCLUSION: Timeliness significantly improved using MalariaConnect and in a malaria elimination setting, can be used to markedly improve case investigation and response activities within the recommended 72-h period. Although data completeness and precision were lower compared to paper reporting, MalariaConnect data can be used to trigger outbreak responses. BioMed Central 2019-02-21 /pmc/articles/PMC6385402/ /pubmed/30791909 http://dx.doi.org/10.1186/s12936-019-2683-4 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Davies, Craig
Graffy, Rebecca
Shandukani, Mbavhalelo
Baloyi, Ednah
Gast, Laura
Kok, Gerdalize
Mbokazi, Frans
Zita, Alpheus
Zwane, Mandla
Magagula, Ray
Mabuza, Aaron
Ramkrishna, Wayne
Morris, Natashia
Porteous, Jacqueline
Shirreff, George
Blumberg, Lucille
Misiani, Eunice
Moonasar, Devanand
Effectiveness of 24-h mobile reporting tool during a malaria outbreak in Mpumalanga Province, South Africa
title Effectiveness of 24-h mobile reporting tool during a malaria outbreak in Mpumalanga Province, South Africa
title_full Effectiveness of 24-h mobile reporting tool during a malaria outbreak in Mpumalanga Province, South Africa
title_fullStr Effectiveness of 24-h mobile reporting tool during a malaria outbreak in Mpumalanga Province, South Africa
title_full_unstemmed Effectiveness of 24-h mobile reporting tool during a malaria outbreak in Mpumalanga Province, South Africa
title_short Effectiveness of 24-h mobile reporting tool during a malaria outbreak in Mpumalanga Province, South Africa
title_sort effectiveness of 24-h mobile reporting tool during a malaria outbreak in mpumalanga province, south africa
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385402/
https://www.ncbi.nlm.nih.gov/pubmed/30791909
http://dx.doi.org/10.1186/s12936-019-2683-4
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