Feasibility of Electronic Health Information and Surveillance System (eHISS) for disease symptom monitoring: A case of rural Ghana
The current surge of mobile phone use in many African countries creates the opportunity to provide caregivers with limited access to the health care system with vital health recommendations. At the same time such communication system can be utilised to collect tempero-spatial data on disease symptom...
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| Veröffentlicht in: | PloS one 2018-05, Vol.13 (5), p.e0197756-e0197756 |
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| creator | Mohammed, Aliyu Franke, Konstantin Boakye Okyere, Portia Brinkel, Johanna Bonačić Marinovic, Axel Kreuels, Benno Krumkamp, Ralf Fobil, Julius May, Jürgen Owusu-Dabo, Ellis |
| description | The current surge of mobile phone use in many African countries creates the opportunity to provide caregivers with limited access to the health care system with vital health recommendations. At the same time such communication system can be utilised to collect tempero-spatial data on disease symptoms.
We assessed the feasibility of an mHealth system among caregivers with children under-five years, designed as a health information and surveillance tool in a rural district of Ghana.
A mobile phone-based electronic health information and surveillance system was piloted from February to December 2015. Toll-free numbers were provided to 1446 caregivers, which they could call to receive health advice in case their children showed disease symptoms. The system was setup to evaluate the illness of a sick child. Symptoms reported via the system were evaluated and compared to clinician's report after follow-up. Cogency of the reported symptoms was assessed using Cohen's kappa coefficient.
A total of 169 children with disease symptoms were identified based on phone calls from caregivers. The predominant reported symptoms were fever (64%; n = 108), cough (55%; n = 93) and diarrhoea (33%; n = 55). Temporal pattern of symptomatic cases revealed a peak saturation in the month of September, with fever registering the highest number of symptoms observed. Reported symptoms and clinician's report revealed a very good agreement for fever (95%, kappa = 0.89); good for diarrhoea (87%, kappa = 0.73) and moderate for cough (76%, kappa = 0.49).
This pilot concept, has demonstrated the practicality of using mobile phones for assessing childhood disease symptoms and encouraging caregivers to seek early treatment for their children if needed. The strategy to use mobile phones in disease surveillance and treatment support is a promising strategy especially for areas with limited access to the health care system. |
| doi_str_mv | 10.1371/journal.pone.0197756 |
| format | Article |
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We assessed the feasibility of an mHealth system among caregivers with children under-five years, designed as a health information and surveillance tool in a rural district of Ghana.
A mobile phone-based electronic health information and surveillance system was piloted from February to December 2015. Toll-free numbers were provided to 1446 caregivers, which they could call to receive health advice in case their children showed disease symptoms. The system was setup to evaluate the illness of a sick child. Symptoms reported via the system were evaluated and compared to clinician's report after follow-up. Cogency of the reported symptoms was assessed using Cohen's kappa coefficient.
A total of 169 children with disease symptoms were identified based on phone calls from caregivers. The predominant reported symptoms were fever (64%; n = 108), cough (55%; n = 93) and diarrhoea (33%; n = 55). Temporal pattern of symptomatic cases revealed a peak saturation in the month of September, with fever registering the highest number of symptoms observed. Reported symptoms and clinician's report revealed a very good agreement for fever (95%, kappa = 0.89); good for diarrhoea (87%, kappa = 0.73) and moderate for cough (76%, kappa = 0.49).
This pilot concept, has demonstrated the practicality of using mobile phones for assessing childhood disease symptoms and encouraging caregivers to seek early treatment for their children if needed. The strategy to use mobile phones in disease surveillance and treatment support is a promising strategy especially for areas with limited access to the health care system.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0197756</identifier><identifier>PMID: 29795626</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adult ; AIDS ; Alcohol ; Algorithms ; Automation ; Biology and Life Sciences ; Births ; Care and treatment ; Caregivers ; Cell Phone ; Cell phones ; Cellular telephones ; Child, Preschool ; Children ; Clinical trials ; Collaboration ; Communications systems ; Cough ; Cough - pathology ; Diabetes ; Diarrhea ; Diarrhea - pathology ; E-health ; Engineering and Technology ; Evaluation ; Feasibility Studies ; Female ; Fever ; Fever - pathology ; Ghana ; Health care ; Health facilities ; Health Information Systems ; HIV ; Hospitals ; Human immunodeficiency virus ; Humans ; Illnesses ; Infant ; Information systems ; Malaria ; Male ; Medical research ; Medical treatment ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Mortality ; Online health care information services ; Pediatric diseases ; People and Places ; Public health ; Rural areas ; Rural health ; Rural Population ; Spatial data ; Surveillance ; Systematic review ; Telemedicine ; Telephone calls ; Young Adult</subject><ispartof>PloS one, 2018-05, Vol.13 (5), p.e0197756-e0197756</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Mohammed et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Mohammed et al 2018 Mohammed et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-87c07774d2bf7983a09a2263a2213dca181d9ad36fbbb894c43f42355cc488163</citedby><cites>FETCH-LOGICAL-c593t-87c07774d2bf7983a09a2263a2213dca181d9ad36fbbb894c43f42355cc488163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5967752/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5967752/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29795626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Fernandez-Reyes, Delmiro</contributor><creatorcontrib>Mohammed, Aliyu</creatorcontrib><creatorcontrib>Franke, Konstantin</creatorcontrib><creatorcontrib>Boakye Okyere, Portia</creatorcontrib><creatorcontrib>Brinkel, Johanna</creatorcontrib><creatorcontrib>Bonačić Marinovic, Axel</creatorcontrib><creatorcontrib>Kreuels, Benno</creatorcontrib><creatorcontrib>Krumkamp, Ralf</creatorcontrib><creatorcontrib>Fobil, Julius</creatorcontrib><creatorcontrib>May, Jürgen</creatorcontrib><creatorcontrib>Owusu-Dabo, Ellis</creatorcontrib><title>Feasibility of Electronic Health Information and Surveillance System (eHISS) for disease symptom monitoring: A case of rural Ghana</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The current surge of mobile phone use in many African countries creates the opportunity to provide caregivers with limited access to the health care system with vital health recommendations. At the same time such communication system can be utilised to collect tempero-spatial data on disease symptoms.
We assessed the feasibility of an mHealth system among caregivers with children under-five years, designed as a health information and surveillance tool in a rural district of Ghana.
A mobile phone-based electronic health information and surveillance system was piloted from February to December 2015. Toll-free numbers were provided to 1446 caregivers, which they could call to receive health advice in case their children showed disease symptoms. The system was setup to evaluate the illness of a sick child. Symptoms reported via the system were evaluated and compared to clinician's report after follow-up. Cogency of the reported symptoms was assessed using Cohen's kappa coefficient.
A total of 169 children with disease symptoms were identified based on phone calls from caregivers. The predominant reported symptoms were fever (64%; n = 108), cough (55%; n = 93) and diarrhoea (33%; n = 55). Temporal pattern of symptomatic cases revealed a peak saturation in the month of September, with fever registering the highest number of symptoms observed. Reported symptoms and clinician's report revealed a very good agreement for fever (95%, kappa = 0.89); good for diarrhoea (87%, kappa = 0.73) and moderate for cough (76%, kappa = 0.49).
This pilot concept, has demonstrated the practicality of using mobile phones for assessing childhood disease symptoms and encouraging caregivers to seek early treatment for their children if needed. The strategy to use mobile phones in disease surveillance and treatment support is a promising strategy especially for areas with limited access to the health care system.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>AIDS</subject><subject>Alcohol</subject><subject>Algorithms</subject><subject>Automation</subject><subject>Biology and Life Sciences</subject><subject>Births</subject><subject>Care and treatment</subject><subject>Caregivers</subject><subject>Cell Phone</subject><subject>Cell phones</subject><subject>Cellular telephones</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Clinical trials</subject><subject>Collaboration</subject><subject>Communications systems</subject><subject>Cough</subject><subject>Cough - pathology</subject><subject>Diabetes</subject><subject>Diarrhea</subject><subject>Diarrhea - pathology</subject><subject>E-health</subject><subject>Engineering and Technology</subject><subject>Evaluation</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Fever</subject><subject>Fever - pathology</subject><subject>Ghana</subject><subject>Health care</subject><subject>Health facilities</subject><subject>Health Information Systems</subject><subject>HIV</subject><subject>Hospitals</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Infant</subject><subject>Information systems</subject><subject>Malaria</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Online health care information services</subject><subject>Pediatric diseases</subject><subject>People and Places</subject><subject>Public health</subject><subject>Rural areas</subject><subject>Rural health</subject><subject>Rural Population</subject><subject>Spatial data</subject><subject>Surveillance</subject><subject>Systematic review</subject><subject>Telemedicine</subject><subject>Telephone calls</subject><subject>Young 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of Electronic Health Information and Surveillance System (eHISS) for disease symptom monitoring: A case of rural Ghana</title><author>Mohammed, Aliyu ; Franke, Konstantin ; Boakye Okyere, Portia ; Brinkel, Johanna ; Bonačić Marinovic, Axel ; Kreuels, Benno ; Krumkamp, Ralf ; Fobil, Julius ; May, Jürgen ; Owusu-Dabo, Ellis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-87c07774d2bf7983a09a2263a2213dca181d9ad36fbbb894c43f42355cc488163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adult</topic><topic>AIDS</topic><topic>Alcohol</topic><topic>Algorithms</topic><topic>Automation</topic><topic>Biology and Life Sciences</topic><topic>Births</topic><topic>Care and treatment</topic><topic>Caregivers</topic><topic>Cell Phone</topic><topic>Cell phones</topic><topic>Cellular telephones</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Clinical trials</topic><topic>Collaboration</topic><topic>Communications systems</topic><topic>Cough</topic><topic>Cough - pathology</topic><topic>Diabetes</topic><topic>Diarrhea</topic><topic>Diarrhea - pathology</topic><topic>E-health</topic><topic>Engineering and Technology</topic><topic>Evaluation</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Fever</topic><topic>Fever - pathology</topic><topic>Ghana</topic><topic>Health care</topic><topic>Health facilities</topic><topic>Health Information Systems</topic><topic>HIV</topic><topic>Hospitals</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Infant</topic><topic>Information systems</topic><topic>Malaria</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical treatment</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Middle 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Delmiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility of Electronic Health Information and Surveillance System (eHISS) for disease symptom monitoring: A case of rural Ghana</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-05-24</date><risdate>2018</risdate><volume>13</volume><issue>5</issue><spage>e0197756</spage><epage>e0197756</epage><pages>e0197756-e0197756</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The current surge of mobile phone use in many African countries creates the opportunity to provide caregivers with limited access to the health care system with vital health recommendations. At the same time such communication system can be utilised to collect tempero-spatial data on disease symptoms.
We assessed the feasibility of an mHealth system among caregivers with children under-five years, designed as a health information and surveillance tool in a rural district of Ghana.
A mobile phone-based electronic health information and surveillance system was piloted from February to December 2015. Toll-free numbers were provided to 1446 caregivers, which they could call to receive health advice in case their children showed disease symptoms. The system was setup to evaluate the illness of a sick child. Symptoms reported via the system were evaluated and compared to clinician's report after follow-up. Cogency of the reported symptoms was assessed using Cohen's kappa coefficient.
A total of 169 children with disease symptoms were identified based on phone calls from caregivers. The predominant reported symptoms were fever (64%; n = 108), cough (55%; n = 93) and diarrhoea (33%; n = 55). Temporal pattern of symptomatic cases revealed a peak saturation in the month of September, with fever registering the highest number of symptoms observed. Reported symptoms and clinician's report revealed a very good agreement for fever (95%, kappa = 0.89); good for diarrhoea (87%, kappa = 0.73) and moderate for cough (76%, kappa = 0.49).
This pilot concept, has demonstrated the practicality of using mobile phones for assessing childhood disease symptoms and encouraging caregivers to seek early treatment for their children if needed. The strategy to use mobile phones in disease surveillance and treatment support is a promising strategy especially for areas with limited access to the health care system.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29795626</pmid><doi>10.1371/journal.pone.0197756</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2018-05, Vol.13 (5), p.e0197756-e0197756 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2043738085 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome Adult AIDS Alcohol Algorithms Automation Biology and Life Sciences Births Care and treatment Caregivers Cell Phone Cell phones Cellular telephones Child, Preschool Children Clinical trials Collaboration Communications systems Cough Cough - pathology Diabetes Diarrhea Diarrhea - pathology E-health Engineering and Technology Evaluation Feasibility Studies Female Fever Fever - pathology Ghana Health care Health facilities Health Information Systems HIV Hospitals Human immunodeficiency virus Humans Illnesses Infant Information systems Malaria Male Medical research Medical treatment Medicine Medicine and Health Sciences Middle Aged Mortality Online health care information services Pediatric diseases People and Places Public health Rural areas Rural health Rural Population Spatial data Surveillance Systematic review Telemedicine Telephone calls Young Adult |
| title | Feasibility of Electronic Health Information and Surveillance System (eHISS) for disease symptom monitoring: A case of rural Ghana |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T09%3A23%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Feasibility%20of%20Electronic%20Health%20Information%20and%20Surveillance%20System%20(eHISS)%20for%20disease%20symptom%20monitoring:%20A%20case%20of%20rural%20Ghana&rft.jtitle=PloS%20one&rft.au=Mohammed,%20Aliyu&rft.date=2018-05-24&rft.volume=13&rft.issue=5&rft.spage=e0197756&rft.epage=e0197756&rft.pages=e0197756-e0197756&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0197756&rft_dat=%3Cgale_plos_%3EA540155674%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2043738085&rft_id=info:pmid/29795626&rft_galeid=A540155674&rft_doaj_id=oai_doaj_org_article_b03951bbe2424e5599f39596178023c3&rfr_iscdi=true |