Mobile Device Support for Sickle Cell Disease Care in Nigeria

摘要 尼日利亚是撒哈拉以南非洲人口最多的国家， 非洲的电话市场，拥有超过1亿条电话线，超过85%的城市居民至少拥有一条电话线。 私人电话。这些电话线被广泛部署，用于进行金融交易，浏览 互联网和记录日常活动。然而，在利用这项技术方面仍然存在巨大差距 改善人民的医疗保健。 据估计，每年有超过15万名患有镰状细胞病（SCD）的新生儿出生， 尼日利亚是全球受这种疾病影响的儿童人数最多的国家。在本申请中， 我们建议使用移动的电子平台，以改善诊断和跟踪儿童与 SCD发生在该国疾病负担最高的地区。 根据我们已建立的幼儿严重细菌感染监测平台， 证实了SCD对该地区发病率和死亡率的影响。利用这个平台，我们将 通过将结果数字传输到中央数据库来评估新的护理点诊断， 用于受试者跟踪的手机，以缩短诊断、专科诊所登记的周转时间 和主题跟踪的最终目标是提供一个平台，可以扩大规模， 国家SCD监测计划。

ABSTRACT Nigeria is the most populous country in sub Saharan Africa and provides the largest telecommunication market in Africa, with over 100 million phone lines and over 85% of urban dwellers having at least one personal phone. These phone lines are widely deployed for making financial transactions, browsing the internet and recording daily activities. There remains, however, a huge gap in harnessing this technology for improving health care of the population. With an estimated annual delivery of over 150, 000 newborn babies with Sickle Cell Disease (SCD), Nigeria is home to the largest number of children affected by this condition, globally. In this application, we propose the use of mobile electronic platforms to improve diagnosis and tracking of children with SCD at a location with the highest disease burden in the country. From our established platform for surveillance for serious bacterial infections in young children, we have confirmed the contribution of SCD to morbidity and mortality at this location. Using this platform we will evaluate a new point-of-care diagnostic with digital transmission of results to a central database and cellphones for subject tracking to improve the turnaround time for diagnosis, specialist clinic registration and subject tracking with the ultimate goal of providing a platform that can be scaled up for a robust national surveillance program for SCD care.