Developing a community-led SMS reporting tool for the rapid assessment of lymphatic filariasis morbidity burden: case studies from Malawi and Ghana
Identifieur interne : 001F15 ( Main/Exploration ); précédent : 001F14; suivant : 001F16Developing a community-led SMS reporting tool for the rapid assessment of lymphatic filariasis morbidity burden: case studies from Malawi and Ghana
Auteurs : Michelle C. Stanton [Royaume-Uni] ; Square Z. Mkwanda [Malawi] ; Alexander Y. Debrah [Ghana] ; Linda Batsa [Ghana] ; Nana-Kwadwo Biritwum [Ghana] ; Achim Hoerauf [Allemagne] ; Matthew Cliffe [Royaume-Uni] ; Abigail Best [Royaume-Uni] ; Andrew Molineux [Royaume-Uni] ; Louise A. Kelly-Hope [Royaume-Uni]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Agents de santé communautaire (psychologie), Enquêtes et questionnaires, Femelle, Filariose lymphatique (anatomopathologie), Filariose lymphatique (épidémiologie), Ghana (épidémiologie), Humains, Indice de gravité médicale, Jeune adulte, Logiciel, Malawi (épidémiologie), Morbidité, Mâle, Prévalence, Sujet âgé, Télémédecine.
- MESH :
- anatomopathologie : Filariose lymphatique.
- psychologie : Agents de santé communautaire.
- épidémiologie : Filariose lymphatique, Ghana, Malawi.
- Adolescent, Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Indice de gravité médicale, Jeune adulte, Logiciel, Morbidité, Mâle, Prévalence, Sujet âgé, Télémédecine.
- Wicri :
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Community Health Workers (psychology), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (pathology), Female, Ghana (epidemiology), Humans, Malawi (epidemiology), Male, Middle Aged, Morbidity, Prevalence, Severity of Illness Index, Software, Surveys and Questionnaires, Telemedicine, Young Adult.
- MESH :
- geographic , epidemiology : Ghana, Malawi.
- epidemiology : Elephantiasis, Filarial.
- pathology : Elephantiasis, Filarial.
- psychology : Community Health Workers.
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Morbidity, Prevalence, Severity of Illness Index, Software, Surveys and Questionnaires, Telemedicine, Young Adult.
Abstract
Lymphoedema and hydrocoele are the two most common clinical manifestations of lymphatic filariasis (LF). In order to effectively target morbidity management strategies, more information is rapidly needed on morbidity burden across all endemic countries. The purpose of this study was to develop and test an SMS tool (MeasureSMS) which enables trained community-based health workers to report basic information on all cases they identified.
The tool was trialled in Chikwawa district, Malawi and Ahanta West district, Ghana in 2014. Salaried health surveillance assistants (HSAs) identified and reported cases in Malawi whereas volunteer community health workers (CHWs) were used in Ghana. Health workers were trained in recognising lymphoedema and hydrocoeles and submitting individual case data using MeasureSMS, after which they undertook a LF morbidity survey. After the reporting period, a random sample of reported cases was visited by a physician to verify the health workers’ diagnoses. The proportion of correctly diagnosed cases
HSAs in Malawi successfully reported 256 unique cases by SMS from 107 communities (166 hydrocoele, 88 lymphoedema, 2 with both), resulting in an estimated adult prevalence of 17.7 per 10,000 and 33.0 per 10,000 for lymphoedema and hydrocoele respectively. In Ghana, despite being less experienced in using SMS, CHWs successfully reported 360 unique cases by SMS from 33 communities (169 hydrocoele, 185 lymphoedema, 6 with both), resulting in an estimated adult prevalence of 76.9 per 10,000 and 70.5 per 10,000 adults for lymphoedema and hydrocoele respectively. The verification exercise resulted in a PPV for lymphoedema and hydrocoele diagnosis of 90 % (n = 42, 95 % CI 76.5 – 96.9) and 92 % (n = 49, 95 % CI 79.5 – 97.4) in Malawi and 94 % (n = 34, 95 % CI 78.9 %–99.0 %) and 47 % (n = 59, 35.1 %–61.7 %) in Ghana, indicating that non-invasive methods for diagnosing hydrocoeles needed to be further emphasised.
The study concludes that given the appropriate education and tools, community-based health workers are exceptionally well-placed to participate in quantifying LF morbidity burden, and other NTDs with observable symptoms. This concept has the potential to enable national programmes to more effectively monitor their community impact in an efficient, timely and cost-effective way.
The online version of this article (doi:10.1186/s12879-015-0946-4) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12879-015-0946-4
PubMed: 25981497
PubMed Central: 4455607
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000C59
- to stream Pmc, to step Curation: 000C58
- to stream Pmc, to step Checkpoint: 001352
- to stream PubMed, to step Corpus: 000E88
- to stream PubMed, to step Curation: 000E88
- to stream PubMed, to step Checkpoint: 000E88
- to stream Ncbi, to step Merge: 007379
- to stream Ncbi, to step Curation: 007379
- to stream Ncbi, to step Checkpoint: 007379
- to stream Main, to step Merge: 001F18
- to stream Main, to step Curation: 001F15
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Developing a community-led SMS reporting tool for the rapid assessment of lymphatic filariasis morbidity burden: case studies from Malawi and Ghana</title>
<author><name sortKey="Stanton, Michelle C" sort="Stanton, Michelle C" uniqKey="Stanton M" first="Michelle C." last="Stanton">Michelle C. Stanton</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mkwanda, Square Z" sort="Mkwanda, Square Z" uniqKey="Mkwanda S" first="Square Z." last="Mkwanda">Square Z. Mkwanda</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">National Lymphatic Filariasis Elimination Programme, Ministry of Health, Lilongwe, Malawi</nlm:aff>
<country xml:lang="fr">Malawi</country>
<wicri:regionArea>National Lymphatic Filariasis Elimination Programme, Ministry of Health, Lilongwe</wicri:regionArea>
<wicri:noRegion>Lilongwe</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Debrah, Alexander Y" sort="Debrah, Alexander Y" uniqKey="Debrah A" first="Alexander Y." last="Debrah">Alexander Y. Debrah</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Batsa, Linda" sort="Batsa, Linda" uniqKey="Batsa L" first="Linda" last="Batsa">Linda Batsa</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Biritwum, Nana Kwadwo" sort="Biritwum, Nana Kwadwo" uniqKey="Biritwum N" first="Nana-Kwadwo" last="Biritwum">Nana-Kwadwo Biritwum</name>
<affiliation wicri:level="1"><nlm:aff id="Aff4">National Neglected Tropical Diseases Programme, Ghana Health Service, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>National Neglected Tropical Diseases Programme, Ghana Health Service, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hoerauf, Achim" sort="Hoerauf, Achim" uniqKey="Hoerauf A" first="Achim" last="Hoerauf">Achim Hoerauf</name>
<affiliation wicri:level="3"><nlm:aff id="Aff5">University of Bonn, Bonn, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>University of Bonn, Bonn</wicri:regionArea>
<placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region>
<region type="district" nuts="2">District de Cologne</region>
<settlement type="city">Bonn</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cliffe, Matthew" sort="Cliffe, Matthew" uniqKey="Cliffe M" first="Matthew" last="Cliffe">Matthew Cliffe</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Best, Abigail" sort="Best, Abigail" uniqKey="Best A" first="Abigail" last="Best">Abigail Best</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Molineux, Andrew" sort="Molineux, Andrew" uniqKey="Molineux A" first="Andrew" last="Molineux">Andrew Molineux</name>
<affiliation wicri:level="1"><nlm:aff id="Aff6">Tripod Software Ltd, Lancaster, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Tripod Software Ltd, Lancaster</wicri:regionArea>
<wicri:noRegion>Lancaster</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kelly Hope, Louise A" sort="Kelly Hope, Louise A" uniqKey="Kelly Hope L" first="Louise A." last="Kelly-Hope">Louise A. Kelly-Hope</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">25981497</idno>
<idno type="pmc">4455607</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4455607</idno>
<idno type="RBID">PMC:4455607</idno>
<idno type="doi">10.1186/s12879-015-0946-4</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000C59</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C59</idno>
<idno type="wicri:Area/Pmc/Curation">000C58</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C58</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001352</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001352</idno>
<idno type="wicri:source">PubMed</idno>
<idno type="wicri:Area/PubMed/Corpus">000E88</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000E88</idno>
<idno type="wicri:Area/PubMed/Curation">000E88</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000E88</idno>
<idno type="wicri:Area/PubMed/Checkpoint">000E88</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000E88</idno>
<idno type="wicri:Area/Ncbi/Merge">007379</idno>
<idno type="wicri:Area/Ncbi/Curation">007379</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">007379</idno>
<idno type="wicri:Area/Main/Merge">001F18</idno>
<idno type="wicri:Area/Main/Curation">001F15</idno>
<idno type="wicri:Area/Main/Exploration">001F15</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Developing a community-led SMS reporting tool for the rapid assessment of lymphatic filariasis morbidity burden: case studies from Malawi and Ghana</title>
<author><name sortKey="Stanton, Michelle C" sort="Stanton, Michelle C" uniqKey="Stanton M" first="Michelle C." last="Stanton">Michelle C. Stanton</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mkwanda, Square Z" sort="Mkwanda, Square Z" uniqKey="Mkwanda S" first="Square Z." last="Mkwanda">Square Z. Mkwanda</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">National Lymphatic Filariasis Elimination Programme, Ministry of Health, Lilongwe, Malawi</nlm:aff>
<country xml:lang="fr">Malawi</country>
<wicri:regionArea>National Lymphatic Filariasis Elimination Programme, Ministry of Health, Lilongwe</wicri:regionArea>
<wicri:noRegion>Lilongwe</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Debrah, Alexander Y" sort="Debrah, Alexander Y" uniqKey="Debrah A" first="Alexander Y." last="Debrah">Alexander Y. Debrah</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Batsa, Linda" sort="Batsa, Linda" uniqKey="Batsa L" first="Linda" last="Batsa">Linda Batsa</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Biritwum, Nana Kwadwo" sort="Biritwum, Nana Kwadwo" uniqKey="Biritwum N" first="Nana-Kwadwo" last="Biritwum">Nana-Kwadwo Biritwum</name>
<affiliation wicri:level="1"><nlm:aff id="Aff4">National Neglected Tropical Diseases Programme, Ghana Health Service, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>National Neglected Tropical Diseases Programme, Ghana Health Service, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hoerauf, Achim" sort="Hoerauf, Achim" uniqKey="Hoerauf A" first="Achim" last="Hoerauf">Achim Hoerauf</name>
<affiliation wicri:level="3"><nlm:aff id="Aff5">University of Bonn, Bonn, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>University of Bonn, Bonn</wicri:regionArea>
<placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region>
<region type="district" nuts="2">District de Cologne</region>
<settlement type="city">Bonn</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cliffe, Matthew" sort="Cliffe, Matthew" uniqKey="Cliffe M" first="Matthew" last="Cliffe">Matthew Cliffe</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Best, Abigail" sort="Best, Abigail" uniqKey="Best A" first="Abigail" last="Best">Abigail Best</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Molineux, Andrew" sort="Molineux, Andrew" uniqKey="Molineux A" first="Andrew" last="Molineux">Andrew Molineux</name>
<affiliation wicri:level="1"><nlm:aff id="Aff6">Tripod Software Ltd, Lancaster, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Tripod Software Ltd, Lancaster</wicri:regionArea>
<wicri:noRegion>Lancaster</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kelly Hope, Louise A" sort="Kelly Hope, Louise A" uniqKey="Kelly Hope L" first="Louise A." last="Kelly-Hope">Louise A. Kelly-Hope</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">BMC Infectious Diseases</title>
<idno type="eISSN">1471-2334</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Community Health Workers (psychology)</term>
<term>Elephantiasis, Filarial (epidemiology)</term>
<term>Elephantiasis, Filarial (pathology)</term>
<term>Female</term>
<term>Ghana (epidemiology)</term>
<term>Humans</term>
<term>Malawi (epidemiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Morbidity</term>
<term>Prevalence</term>
<term>Severity of Illness Index</term>
<term>Software</term>
<term>Surveys and Questionnaires</term>
<term>Telemedicine</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Agents de santé communautaire (psychologie)</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Filariose lymphatique (anatomopathologie)</term>
<term>Filariose lymphatique (épidémiologie)</term>
<term>Ghana (épidémiologie)</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Jeune adulte</term>
<term>Logiciel</term>
<term>Malawi (épidémiologie)</term>
<term>Morbidité</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Télémédecine</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term>
<term>Malawi</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Filariose lymphatique</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Elephantiasis, Filarial</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Agents de santé communautaire</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Community Health Workers</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term>
<term>Ghana</term>
<term>Malawi</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Morbidity</term>
<term>Prevalence</term>
<term>Severity of Illness Index</term>
<term>Software</term>
<term>Surveys and Questionnaires</term>
<term>Telemedicine</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Jeune adulte</term>
<term>Logiciel</term>
<term>Morbidité</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Télémédecine</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term>
<term>Malawi</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Lymphoedema and hydrocoele are the two most common clinical manifestations of lymphatic filariasis (LF). In order to effectively target morbidity management strategies, more information is rapidly needed on morbidity burden across all endemic countries. The purpose of this study was to develop and test an SMS tool (MeasureSMS) which enables trained community-based health workers to report basic information on all cases they identified.</p>
</sec>
<sec><title>Methods</title>
<p>The tool was trialled in Chikwawa district, Malawi and Ahanta West district, Ghana in 2014. Salaried health surveillance assistants (HSAs) identified and reported cases in Malawi whereas volunteer community health workers (CHWs) were used in Ghana. Health workers were trained in recognising lymphoedema and hydrocoeles and submitting individual case data using MeasureSMS, after which they undertook a LF morbidity survey. After the reporting period, a random sample of reported cases was visited by a physician to verify the health workers’ diagnoses. The proportion of correctly diagnosed cases <italic>i.e.</italic>
the positive predictive value (PPV) was then calculated.</p>
</sec>
<sec><title>Results</title>
<p>HSAs in Malawi successfully reported 256 unique cases by SMS from 107 communities (166 hydrocoele, 88 lymphoedema, 2 with both), resulting in an estimated adult prevalence of 17.7 per 10,000 and 33.0 per 10,000 for lymphoedema and hydrocoele respectively. In Ghana, despite being less experienced in using SMS, CHWs successfully reported 360 unique cases by SMS from 33 communities (169 hydrocoele, 185 lymphoedema, 6 with both), resulting in an estimated adult prevalence of 76.9 per 10,000 and 70.5 per 10,000 adults for lymphoedema and hydrocoele respectively. The verification exercise resulted in a PPV for lymphoedema and hydrocoele diagnosis of 90 % (n = 42, 95 % CI 76.5 – 96.9) and 92 % (n = 49, 95 % CI 79.5 – 97.4) in Malawi and 94 % (n = 34, 95 % CI 78.9 %–99.0 %) and 47 % (n = 59, 35.1 %–61.7 %) in Ghana, indicating that non-invasive methods for diagnosing hydrocoeles needed to be further emphasised.</p>
</sec>
<sec><title>Conclusions</title>
<p>The study concludes that given the appropriate education and tools, community-based health workers are exceptionally well-placed to participate in quantifying LF morbidity burden, and other NTDs with observable symptoms. This concept has the potential to enable national programmes to more effectively monitor their community impact in an efficient, timely and cost-effective way.</p>
</sec>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s12879-015-0946-4) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Smith, El" uniqKey="Smith E">EL Smith</name>
</author>
<author><name sortKey="Mkwanda, Sz" uniqKey="Mkwanda S">SZ Mkwanda</name>
</author>
<author><name sortKey="Martindale, S" uniqKey="Martindale S">S Martindale</name>
</author>
<author><name sortKey="Kelly Hope, La" uniqKey="Kelly Hope L">LA Kelly-Hope</name>
</author>
<author><name sortKey="Stanton, Mc" uniqKey="Stanton M">MC Stanton</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Atkinson, J A" uniqKey="Atkinson J">J-A Atkinson</name>
</author>
<author><name sortKey="Vallely, A" uniqKey="Vallely A">A Vallely</name>
</author>
<author><name sortKey="Fitzgerald, L" uniqKey="Fitzgerald L">L Fitzgerald</name>
</author>
<author><name sortKey="Whittaker, M" uniqKey="Whittaker M">M Whittaker</name>
</author>
<author><name sortKey="Tanner, M" uniqKey="Tanner M">M Tanner</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Katabarwa, Mn" uniqKey="Katabarwa M">MN Katabarwa</name>
</author>
<author><name sortKey="Richards, Fo" uniqKey="Richards F">FO Richards</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Homeida, M" uniqKey="Homeida M">M Homeida</name>
</author>
<author><name sortKey="Braide, E" uniqKey="Braide E">E Braide</name>
</author>
<author><name sortKey="Elhassan, E" uniqKey="Elhassan E">E Elhassan</name>
</author>
<author><name sortKey="Amazigo, Uv" uniqKey="Amazigo U">UV Amazigo</name>
</author>
<author><name sortKey="Liese, B" uniqKey="Liese B">B Liese</name>
</author>
<author><name sortKey="Benton, B" uniqKey="Benton B">B Benton</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Dil, Y" uniqKey="Dil Y">Y Dil</name>
</author>
<author><name sortKey="Strachan, D" uniqKey="Strachan D">D Strachan</name>
</author>
<author><name sortKey="Cairncross, S" uniqKey="Cairncross S">S Cairncross</name>
</author>
<author><name sortKey="Korkor, As" uniqKey="Korkor A">AS Korkor</name>
</author>
<author><name sortKey="Hill, Z" uniqKey="Hill Z">Z Hill</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Perry, Hb" uniqKey="Perry H">HB Perry</name>
</author>
<author><name sortKey="Zulliger, R" uniqKey="Zulliger R">R Zulliger</name>
</author>
<author><name sortKey="Rogers, Mm" uniqKey="Rogers M">MM Rogers</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Sime, H" uniqKey="Sime H">H Sime</name>
</author>
<author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name>
</author>
<author><name sortKey="Assefa, A" uniqKey="Assefa A">A Assefa</name>
</author>
<author><name sortKey="Newport, Mj" uniqKey="Newport M">MJ Newport</name>
</author>
<author><name sortKey="Enquselassie, F" uniqKey="Enquselassie F">F Enquselassie</name>
</author>
<author><name sortKey="Gebretsadik, A" uniqKey="Gebretsadik A">A Gebretsadik</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="King, Jd" uniqKey="King J">JD King</name>
</author>
<author><name sortKey="Buolamwini, J" uniqKey="Buolamwini J">J Buolamwini</name>
</author>
<author><name sortKey="Cromwell, Ea" uniqKey="Cromwell E">EA Cromwell</name>
</author>
<author><name sortKey="Panfel, A" uniqKey="Panfel A">A Panfel</name>
</author>
<author><name sortKey="Teferi, T" uniqKey="Teferi T">T Teferi</name>
</author>
<author><name sortKey="Zerihun, M" uniqKey="Zerihun M">M Zerihun</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Deglise, C" uniqKey="Deglise C">C Déglise</name>
</author>
<author><name sortKey="Suggs, Ls" uniqKey="Suggs L">LS Suggs</name>
</author>
<author><name sortKey="Odermatt, P" uniqKey="Odermatt P">P Odermatt</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Lwin, Mo" uniqKey="Lwin M">MO Lwin</name>
</author>
<author><name sortKey="Vijaykumar, S" uniqKey="Vijaykumar S">S Vijaykumar</name>
</author>
<author><name sortKey="Fernando, Onn" uniqKey="Fernando O">ONN Fernando</name>
</author>
<author><name sortKey="Cheong, Sa" uniqKey="Cheong S">SA Cheong</name>
</author>
<author><name sortKey="Rathnayake, Vs" uniqKey="Rathnayake V">VS Rathnayake</name>
</author>
<author><name sortKey="Lim, G" uniqKey="Lim G">G Lim</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Barrington, J" uniqKey="Barrington J">J Barrington</name>
</author>
<author><name sortKey="Wereko Brobby, O" uniqKey="Wereko Brobby O">O Wereko-Brobby</name>
</author>
<author><name sortKey="Ward, P" uniqKey="Ward P">P Ward</name>
</author>
<author><name sortKey="Mwafongo, W" uniqKey="Mwafongo W">W Mwafongo</name>
</author>
<author><name sortKey="Kungulwe, S" uniqKey="Kungulwe S">S Kungulwe</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Chang, Lw" uniqKey="Chang L">LW Chang</name>
</author>
<author><name sortKey="Kagaayi, J" uniqKey="Kagaayi J">J Kagaayi</name>
</author>
<author><name sortKey="Arem, H" uniqKey="Arem H">H Arem</name>
</author>
<author><name sortKey="Nakigozi, G" uniqKey="Nakigozi G">G Nakigozi</name>
</author>
<author><name sortKey="Ssempijja, V" uniqKey="Ssempijja V">V Ssempijja</name>
</author>
<author><name sortKey="Serwadda, D" uniqKey="Serwadda D">D Serwadda</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Githinji, S" uniqKey="Githinji S">S Githinji</name>
</author>
<author><name sortKey="Kigen, S" uniqKey="Kigen S">S Kigen</name>
</author>
<author><name sortKey="Memusi, D" uniqKey="Memusi D">D Memusi</name>
</author>
<author><name sortKey="Nyandigisi, A" uniqKey="Nyandigisi A">A Nyandigisi</name>
</author>
<author><name sortKey="Mbithi, Am" uniqKey="Mbithi A">AM Mbithi</name>
</author>
<author><name sortKey="Wamari, A" uniqKey="Wamari A">A Wamari</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="K Llander, K" uniqKey="K Llander K">K Källander</name>
</author>
<author><name sortKey="Tibenderana, Jk" uniqKey="Tibenderana J">JK Tibenderana</name>
</author>
<author><name sortKey="Akpogheneta, Oj" uniqKey="Akpogheneta O">OJ Akpogheneta</name>
</author>
<author><name sortKey="Strachan, Dl" uniqKey="Strachan D">DL Strachan</name>
</author>
<author><name sortKey="Hill, Z" uniqKey="Hill Z">Z Hill</name>
</author>
<author><name sortKey="Ten Asbroek, Aha" uniqKey="Ten Asbroek A">AHA ten Asbroek</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mahmud, N" uniqKey="Mahmud N">N Mahmud</name>
</author>
<author><name sortKey="Rodriguez, J" uniqKey="Rodriguez J">J Rodriguez</name>
</author>
<author><name sortKey="Nesbit, J" uniqKey="Nesbit J">J Nesbit</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Msyamboza, K" uniqKey="Msyamboza K">K Msyamboza</name>
</author>
<author><name sortKey="Ngwira, B" uniqKey="Ngwira B">B Ngwira</name>
</author>
<author><name sortKey="Banda, R" uniqKey="Banda R">R Banda</name>
</author>
<author><name sortKey="Mkwanda, S" uniqKey="Mkwanda S">S Mkwanda</name>
</author>
<author><name sortKey="Brabin, B" uniqKey="Brabin B">B Brabin</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gyapong, Jo" uniqKey="Gyapong J">JO Gyapong</name>
</author>
<author><name sortKey="Adjei, S" uniqKey="Adjei S">S Adjei</name>
</author>
<author><name sortKey="Sackey, So" uniqKey="Sackey S">SO Sackey</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Dunyo, Sk" uniqKey="Dunyo S">SK Dunyo</name>
</author>
<author><name sortKey="Appawu, M" uniqKey="Appawu M">M Appawu</name>
</author>
<author><name sortKey="Nkrumah, Fk" uniqKey="Nkrumah F">FK Nkrumah</name>
</author>
<author><name sortKey="Baffoe Wilmot, A" uniqKey="Baffoe Wilmot A">A Baffoe-Wilmot</name>
</author>
<author><name sortKey="Pedersen, Em" uniqKey="Pedersen E">EM Pedersen</name>
</author>
<author><name sortKey="Simonsen, Pe" uniqKey="Simonsen P">PE Simonsen</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gyapong, Jo" uniqKey="Gyapong J">JO Gyapong</name>
</author>
<author><name sortKey="Webber, Rh" uniqKey="Webber R">RH Webber</name>
</author>
<author><name sortKey="Morris, J" uniqKey="Morris J">J Morris</name>
</author>
<author><name sortKey="Bennett, S" uniqKey="Bennett S">S Bennett</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mand, S" uniqKey="Mand S">S Mand</name>
</author>
<author><name sortKey="Debrah, Ay" uniqKey="Debrah A">AY Debrah</name>
</author>
<author><name sortKey="Klarmann, U" uniqKey="Klarmann U">U Klarmann</name>
</author>
<author><name sortKey="Batsa, L" uniqKey="Batsa L">L Batsa</name>
</author>
<author><name sortKey="Marfo Debrekyei, Y" uniqKey="Marfo Debrekyei Y">Y Marfo-Debrekyei</name>
</author>
<author><name sortKey="Kwarteng, A" uniqKey="Kwarteng A">A Kwarteng</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mcpherson, T" uniqKey="Mcpherson T">T McPherson</name>
</author>
<author><name sortKey="Fay, Mp" uniqKey="Fay M">MP Fay</name>
</author>
<author><name sortKey="Singh, S" uniqKey="Singh S">S Singh</name>
</author>
<author><name sortKey="Penzer, R" uniqKey="Penzer R">R Penzer</name>
</author>
<author><name sortKey="Hay, R" uniqKey="Hay R">R Hay</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Dreyer, G" uniqKey="Dreyer G">G Dreyer</name>
</author>
<author><name sortKey="Nor Es, J" uniqKey="Nor Es J">J Norões</name>
</author>
<author><name sortKey="Figueredo Silva, J" uniqKey="Figueredo Silva J">J Figueredo-Silva</name>
</author>
<author><name sortKey="Piessens, Wf" uniqKey="Piessens W">WF Piessens</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Addiss, Dg" uniqKey="Addiss D">DG Addiss</name>
</author>
<author><name sortKey="Dimock, Ka" uniqKey="Dimock K">KA Dimock</name>
</author>
<author><name sortKey="Eberhard, Ml" uniqKey="Eberhard M">ML Eberhard</name>
</author>
<author><name sortKey="Lammie, Pj" uniqKey="Lammie P">PJ Lammie</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Cohen, J" uniqKey="Cohen J">J Cohen</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Debrah, Ay" uniqKey="Debrah A">AY Debrah</name>
</author>
<author><name sortKey="Mand, S" uniqKey="Mand S">S Mand</name>
</author>
<author><name sortKey="Marfo Debrekyei, Y" uniqKey="Marfo Debrekyei Y">Y Marfo-Debrekyei</name>
</author>
<author><name sortKey="Batsa, L" uniqKey="Batsa L">L Batsa</name>
</author>
<author><name sortKey="Albers, A" uniqKey="Albers A">A Albers</name>
</author>
<author><name sortKey="Specht, S" uniqKey="Specht S">S Specht</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Batsa, L" uniqKey="Batsa L">L Batsa</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Brady, M" uniqKey="Brady M">M Brady</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gyapong, Jo" uniqKey="Gyapong J">JO Gyapong</name>
</author>
<author><name sortKey="Dollimore, N" uniqKey="Dollimore N">N Dollimore</name>
</author>
<author><name sortKey="Binka, Fn" uniqKey="Binka F">FN Binka</name>
</author>
<author><name sortKey="Ross, Da" uniqKey="Ross D">DA Ross</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gyapong, Jo" uniqKey="Gyapong J">JO Gyapong</name>
</author>
<author><name sortKey="Webber, Rh" uniqKey="Webber R">RH Webber</name>
</author>
<author><name sortKey="Bennett, S" uniqKey="Bennett S">S Bennett</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Medhanyie, A" uniqKey="Medhanyie A">A Medhanyie</name>
</author>
<author><name sortKey="Little, A" uniqKey="Little A">A Little</name>
</author>
<author><name sortKey="Yebyo, H" uniqKey="Yebyo H">H Yebyo</name>
</author>
<author><name sortKey="Spigt, M" uniqKey="Spigt M">M Spigt</name>
</author>
<author><name sortKey="Tadesse, K" uniqKey="Tadesse K">K Tadesse</name>
</author>
<author><name sortKey="Blanco, R" uniqKey="Blanco R">R Blanco</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Ghana</li>
<li>Malawi</li>
<li>Royaume-Uni</li>
</country>
<region><li>District de Cologne</li>
<li>Rhénanie-du-Nord-Westphalie</li>
</region>
<settlement><li>Bonn</li>
</settlement>
</list>
<tree><country name="Royaume-Uni"><noRegion><name sortKey="Stanton, Michelle C" sort="Stanton, Michelle C" uniqKey="Stanton M" first="Michelle C." last="Stanton">Michelle C. Stanton</name>
</noRegion>
<name sortKey="Best, Abigail" sort="Best, Abigail" uniqKey="Best A" first="Abigail" last="Best">Abigail Best</name>
<name sortKey="Cliffe, Matthew" sort="Cliffe, Matthew" uniqKey="Cliffe M" first="Matthew" last="Cliffe">Matthew Cliffe</name>
<name sortKey="Kelly Hope, Louise A" sort="Kelly Hope, Louise A" uniqKey="Kelly Hope L" first="Louise A." last="Kelly-Hope">Louise A. Kelly-Hope</name>
<name sortKey="Molineux, Andrew" sort="Molineux, Andrew" uniqKey="Molineux A" first="Andrew" last="Molineux">Andrew Molineux</name>
</country>
<country name="Malawi"><noRegion><name sortKey="Mkwanda, Square Z" sort="Mkwanda, Square Z" uniqKey="Mkwanda S" first="Square Z." last="Mkwanda">Square Z. Mkwanda</name>
</noRegion>
</country>
<country name="Ghana"><noRegion><name sortKey="Debrah, Alexander Y" sort="Debrah, Alexander Y" uniqKey="Debrah A" first="Alexander Y." last="Debrah">Alexander Y. Debrah</name>
</noRegion>
<name sortKey="Batsa, Linda" sort="Batsa, Linda" uniqKey="Batsa L" first="Linda" last="Batsa">Linda Batsa</name>
<name sortKey="Biritwum, Nana Kwadwo" sort="Biritwum, Nana Kwadwo" uniqKey="Biritwum N" first="Nana-Kwadwo" last="Biritwum">Nana-Kwadwo Biritwum</name>
</country>
<country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Hoerauf, Achim" sort="Hoerauf, Achim" uniqKey="Hoerauf A" first="Achim" last="Hoerauf">Achim Hoerauf</name>
</region>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001F15 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001F15 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Exploration |type= RBID |clé= PMC:4455607 |texte= Developing a community-led SMS reporting tool for the rapid assessment of lymphatic filariasis morbidity burden: case studies from Malawi and Ghana }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:25981497" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
This area was generated with Dilib version V0.6.31. |