SMS/GIS Integration for HIV Surveillance and Health Care Delivery

用于艾滋病毒监测和医疗保健服务的 SMS/GIS 集成

• 批准号: 8723888
• 负责人: DEBORAH THOMAS
• 金额: $ 21.75万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8723888
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adherence; Africa; Africa South of the Sahara; African; Anti-Retroviral Agents; Area; CD4 Lymphocyte Count; Car Phone; Caring; Cells; Cellular Phone; Child Care; Client; Clinic; Collaborations; Continuity of Patient Care; Counseling; Data; Data Collection; Developing Countries; Diagnosis; Diffusion of Innovation; District Hospitals; Elements; Ensure; Evaluation; Female; Female of child bearing age; Geographic Information Systems; Goals; HIV; HIV Infections; HIV Seropositivity; HIV diagnosis; Health; Health care facility; Human Resources; Human immunodeficiency virus test; Infant; Infection; Information Systems; Maps; Modeling; Mothers; Outcome; Patient Monitoring; Patients; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Pregnant Women; Prevalence; Prevention; Process; Quality of Care; Randomized Controlled Trials; Reaction Time; Relative (related person); Reporting; Research; Research Design; Resources; Rural; Services; South Africa; System; Systems Integration; Tanzania; Technology; Testing; Text; Time; Update; Vertical Disease Transmission; Woman; Work; base; care delivery; efficacy testing; efficacy trial; experience; follow-up; health care delivery; health information technology; improved; mHealth; programs; public health relevance; response; rural area; scale up; surveillance data; theories; tool

DESCRIPTION (provided by applicant): The goal of the proposed pilot project is to better understand how geographic information systems (GIS) integrated with SMS cell-phone technology can facilitate improvements in linkage to Prevention of Mother to Child Transmission of HIV (PMTCT) and reduce time between diagnosis and consistent treatment with antiretrovirals (ARV) in a rural setting in Tanzania. While promising improvements in PMTCT have occurred, there remains varied access to HIV counseling and testing and subsequent access to antiretroviral treatment for mothers testing positive for HIV. Research is emerging that underscores the potential for mobile phones to improve HIV diagnosis, prevention, and adherence to treatment throughout Sub-Saharan Africa and additional evidence illustrates the utility of using geographic information systems (GIS) in HIV care. Through combining these technologies, the interactive and dynamic system can be used to: facilitate real-time responses to delivery of care, to establish HIV VCT in areas with emergent infections, to increase referrals to the District Hospital, and to inform the distribution of additional medication and treatment for mothers and infants for facilitation of PMTCT. Guided by the Diffusion of Innovation (DI) Theory, the proposed pilot project will achieve a baseline for a subsequent randomized controlled trial that will test the efficacy of a culturally sensitive, technologically relevant PMTCT program for Misungwi, Tanzania. The pilot will develop and test a mobile phone-based record keeping system that will interface with existing GIS resource maps to facilitate and document delivery of PMTCT and VCT in Misungwi. The system will be implemented in the district over a 3-month period in order to establish how well the system works. The implementation phase will be followed by evaluation of the system with respect to the HIV treatment cascade, including whether an increased number of new HIV infections are identified, if the time is reduced between HIV diagnosis and start of treatment for women of childbearing age, and whether increased adherence to medication among female clients of HW using the mobile phone based tools occurs. We anticipate that this interactive and dynamic system will contribute to best practices in PMTCT by facilitating improved responses to delivery of care in these rural settings, assisting in locating additional HIV PMTCT programs in areas with emergent infections, and informing the distribution of additional medication and treatment for mothers. The explicit design of the study provides a model that could be scaled up in Tanzania and other East African settings. Additionally, if successful, the proposed approach holds great potential for replication to other priority populations for HIV and other health outcomes.

描述（由申请人提供）：拟议的试点项目的目标是更好地了解地理信息系统（GIS）与手机短信技术相结合，可以促进改善与预防母婴传播艾滋病毒（PMTCT）的联系，并减少诊断和抗逆转录病毒（ARV）治疗之间的时间在坦桑尼亚的农村环境。虽然在防止母婴传播方面取得了令人鼓舞的进展，但获得艾滋病毒咨询和检测的机会以及艾滋病毒检测呈阳性的母亲随后获得抗逆转录病毒治疗的机会仍然各不相同。正在出现的研究强调了移动的手机在整个撒哈拉以南非洲地区改善艾滋病毒诊断、预防和治疗依从性的潜力，更多的证据表明了在艾滋病毒护理中使用地理信息系统（GIS）的效用。通过结合这些技术，互动和动态系统可用于：促进对提供护理的实时反应，在紧急感染地区建立艾滋病毒自愿咨询和检测，增加向地区医院转诊的机会，并为艾滋病毒感染者提供额外药物和治疗的分配信息。 促进防止母婴传播。在创新扩散（DI）理论的指导下，拟议的试点项目将为随后的随机对照试验提供基线，该试验将测试坦桑尼亚米松维文化敏感、技术相关的PMTCT计划的功效。该试点项目将开发和测试一个移动的电话记录保存系统，该系统将与现有的地理信息系统资源地图连接，以便利和记录在米松圭进行的预防母婴传播和自愿咨询和检测。该系统将在该地区实施3个月，以确定该系统的运作情况。在实施阶段之后，将对该系统的艾滋病毒治疗级联进行评价，包括是否发现新的艾滋病毒感染人数增加，育龄妇女从艾滋病毒诊断到开始治疗之间的时间是否缩短，以及保健中心使用移动的电话工具的女性客户是否增加了服药依从性。我们预计，这一互动和动态的系统将有助于最佳做法，在预防母婴传播，促进改善响应提供护理，在这些农村地区，协助定位额外的艾滋病毒预防母婴传播计划在紧急感染的地区，并通知额外的药物和治疗的母亲的分配。这项研究的明确设计提供了一个可以在坦桑尼亚和其他东非环境中推广的模式。此外，如果取得成功，拟议的方法具有很大的潜力，可推广到其他艾滋病毒和其他健康成果的优先人群。

项目成果

Health Worker mHealth Utilization: A Systematic Review.

• DOI: 10.1097/cin.0000000000000231
• 发表时间: 2016-05
• 期刊: Computers, informatics, nursing : CIN
• 作者: White A;Thomas DS;Ezeanochie N;Bull S
• 通讯作者: Bull S