The intention of this blog is to share the user requirements captured during the business analysis phase of the real time biosurveillance program. The state of Tamil Nadu and Sri Lankan business cases are documented in the report. Any changes can be discussed in this blog itself.
The village Health Nurse (VHN) is a rural last mile primary health care worker – duties ranging from holding medical camps in schools to running a Health Service Center (HSC) in the village providing primary health care to walking door-to-door providing antenatal and post natal care. These mobile services require proper documentation; the paper work is later converted to statistics that is reviewed by the district and state Health Officials. An idea Sir Gee is to replace the 2 heavy bags with a 100gram mobile phone with built in applets to capture the same data. The Real Time Biosurveillance Program, an m-Health pilot carried out by Indian Institute of Technology Madras’s Rural Technology and Business Incubator in the Thirupathur block, to begin with, will be field testing the mobile concept of capturing the necessary and sufficient morbidity data for aggregate reports and disease surveillance. Lessons from this pilot will provide enough insight to develop the remaining applets to replace the heavy bags.
As a trial the State of Tamil Nadu, in India, is piloting the use of mobile phones with Village Health Nurses (VHN) to talk with the Deputy Director of Health Service (DDHS) and Public Health Center (PHC) staff as and when they need. Indian Institute of Technology in Madras (IITM) will add on a m-Health Survey application to add value to the mobile phones for the VHN to share patient disease and syndrome information. Besides digitizing health records, the VHN are eager to learn other communcation features such as SMS, WWW (GPRS), and Email. Team of Researchers from IITM’s Rural Technology and Buisness Incubator (RTBI) visited with the Thirupathur Block VHNs to outline the Real-Time Biosurveillance Program, a pilot project carried out in India and Sri Lanka. The meeting is documented in the “IITM VHN meeting report“.
Several of the pilot projects presented at the 2nd Pan Asian evidence-based e-Health adoptation and application (in short form – Panacea), were m-Health projects. One of the Panacea projects THIRRA and LIRNEasia lead RTBP share some aspects one being working on disease information communication in Sri Lanka; however, differs in the goals where THIRRA aims to digitize the H-544 health form at the Public Health Inspector’s point of service – at the patient’s home. On the other hand, RTBP will digitize minimal set of parameters: location (postal code), disease (ICD Code), symptom, sign, age, and gender collected from health provider facilities. Some of the other m-Health projects; especially in Philippines, involved Filipino rural community health care workers strictly using SMS with prearranged formatted strings for communicating field data to a central database. Prof.
The design of the Real-Time Biosurveillance Program pilot (termed as the m-Health project) and findings from the Last-Mile Hazard Information Dissemination pilot (termed as the HazInfo projects) involvoing the Common Alerting Protocol (CAP) were presented, yesterday, at the CAP Implementers Workshop organized by the World Meteorological Organization (WMO). First Talk – The m-Health RTBP will be evaluating CAP or EDXL (Emergency Data Exchange Language) as means for disseminating health risk information to local health officials and community health care workers. Currently, the National Epidemiology Unit, in Sri Lanka, publishes a “Weekly Epidemiological Report” on the world wide web, a pdf file that can only be viewed on a personal computer. Paper copies of the same are delivered via postal mail to the relevant health officials. The latency in gathering the epidemiological data, analyzing, publishing, and disseminating is delayed as much as up to 3 weeks.
The Sarvodaya Suwadana Center Volunteers (Community Healthcare Workers) assembled at the Medical Officer of Health office in Kuliyapitya (Kurunegala District, Sri Lanka). This was a workshop organized by Sarvodaya and LIRNEasia as part of the Real-Time Biosurveillance Program (RTBP), launched in July this year – evidence based healthcare research aiming to evaluate the use of mobile phones for collecting health data and applying statistical data mining software programs for detecting emerging diseases outbreaks. This initiative is to complement the existing national disease surveillance and notification system.
This past week, our friends from the Rural Technology and Business Incubator (RTBI) of the Indian Institute of Technology showcased the Real-Time Biosurveillance Program (RTBP) at the Connect 2008 exhibition hosted in Chennai, India from September 11-13. The theme of this year’s event, which is the 8th episode, is – Global Competitiveness and Equitable Growth-Driven by Innovation”. The action research: Evaluating a real-time Biosurveillance program, being pilot tested in the state of Tamil Nadu, India and the District of Kurunegala, Sri Lanka over the next 2 years to come is an innovation emphasizing m-Health. The two ladies: Geetha G (left) and Suma Prashanth (right) in the news articel are managing the RTBP project in India, which includes developing the technology and piloting the ICT system with Village Health Nurses in rural Tamil Nadu. At present, the technology partners RTBI, Auton Lab (USA), and Lanka Software Foundation (Sri Lanka) are jointly working on developing the end-to-end disease surveillance and notification software applications.