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MoSQuIT. Mobile based Surveillance Quest using IT. Collaborator: ICMR/RMRC. Objectives. Track, monitor the status of malaria in the community Detect changes in trend, distribution of malaria in order to initiate investigative, control measures
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MoSQuIT Mobile based Surveillance Quest using IT Collaborator: ICMR/RMRC
Objectives • Track, monitor the status of malaria in the community • Detect changes in trend, distribution of malaria in order to initiate investigative, control measures • Measure the effectiveness of antimalaria programme • Prevention & control
Thrust on Malaria UN-Millenium Development Goals (MDG) MOHFW National Health Programs, India • National Vector Borne Disease Control Programme (NVBDCP) • Prevention & Control of Non Communicable Diseases • Pilot Programme on Prevention and Control of Diabetes, CVD and Stroke • National Programme for Prevention and Control of Deafness • Universal Immuization Programme • National Cancer Control Programme • National Aids Control Programme • National Mental Health Programme • National Iodine Deficiency Disorders Control Programme • National Programme for Control of Blindness • Revised National TB Control Programme • National Leprosy Eradication Programme • National Filaria Control Programme • National Tobacco Control Program
Trend of Malaria Cases and Deaths 2001-2009 http://nvbdcp.gov.in/malaria3.html
Surveillance • Surveillance as per WHO is the systematic process of collection, transmission, analysis and feedback of public health data for decision-making
Conventional Malaria Surveillance flow Epidemiological Analysis takes 2-3 years Data transfer takes 15 days to one month
Benefits Mobile based Conventional Vs • Prevents delay in dissemination of data from field to decision-makers • Early diagnosis reduces morbidity and mortality • Early detection of epidemic situation • Fast reporting, close to real time • Improves accuracy of decision making • Facilitates better treatment and care of patients
Data Analysis • Statistical analysis based on Malaria indicators (Annual Blood Examination Rate, Annual Parasite Incidence, Annual Falciparum Incidence...) • Trend analysis based on Person, Place, Time • Outbreak analysis, Predictive analysis • Efficiency analysis to measure time-lag in various system components
Deployment Architecture Mobile based Data collection Epidemiological studies GSM modem Data Transformation J2ME based s/w Collect data(M1, M2) Health worker ASP.NET based Webservice Store data (local) Data Analysis Transfer data Researcher Mechanism (any one is used) ASP.NET based Computation eng., PostgreSQL DB GPRS SMS Direct load Lab result updation (M2) Data validation Alerts Data transfer – SMS (2) Supervisor, Lab technician (PHC) Data transfer – GPRS (1) Physical Data load (3) Mobile Service provider Mobile Data validation
Mobile Selection Parameters • Low price • Mobile Hardware Requirement/Specifications for MoSQuIT application- • Real QWERTY keypad • Long Lasting Battery backup • Expandable Memory Card • Robust Design • Wider Screen Size • Bluetooth • GPRS Enabled • Data Cable • Software Requirement of mobile for MoSQuIT- • J2me enabled • Provision to enable /disable file Access Permission • Service centre availability in NE • Mobiles within the price range of Rs.10000 tested while finalizing- • LG KP 500, Samsung Champ, Samsung Chat, Blackberry Curve 852, Motorokr E6, Nokia 5130, Nokia 5350, Nokia 5223, Nokia C3 • Mobile satisfying all the parameters- Nokia C3
Stakeholders • Master Data Entry • User Registration: Rights allocation • Admin: Data Back up • Alerts, Login, Data Mart • Reports: Cases,Stock, Lab, Epidemiological indices, • Case analysis: Predefined queries, queries • Trend, Predictive Analysis • Case, Stock info, Slide dispatch • Epidemic alert • Lab report • Data Transfer: GPRS, SMS, Manual • Update record: Treatment info • Delete record • Reports: Cases, Lab, Stock • Data validation • Modify/Update data • Information about death of patient • Reports: Stock related data, Case, Lab, Epidemiological indices, • Data entry (Lab) • Send report to HW • Reports: Lab
Future Plan Key Partner: ICMR • Replication in several other states • Enhance to cover surveillance of more diseases (eg. Diarrhea, Tuberculosis, ...) in line with nation's health programme thrust areas