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Idea Treatment compliance software for MDR/XDR TB

By Shelly Batra, MD | 09 Dec, 2014

Idea submitted by: Shelly Batra

Operation ASHA has developed and implemented an innovative and low-cost solution to turn the tap off on MDR/XDR TB with the use of biometric technology. eCompliance was developed in collaboration with the Research Lab of Microsoft and Innovators in International Health, Boston, USA.

eCompliance tracks every dose taken by every patient. This is a necessity because of the tedious and difficult regimen prescribed under the DOTS therapy in which a TB patient must take up to 75 doses under observation (prescribed by WHO). The eCompliance software is loaded on a seven inch tablet, which has a SIM card. This connects the tablet to a server through internet or text messages. The tablet updates the server every 20 minutes.
                                                                                                                                                                          eCompliance tracks every activity required to deliver high quality TB treatment. It advises the health worker to carry out pre-treatment counseling. Simultaneously, the patient is also registered with her fingerprints in the eCompliance system. Then the first dose is dispensed. Thereafter, every time the patient has to take the medication, both counselor and the patient have to give their fingerprints simultaneously. This generates irrevocable evidence that the meeting took place, every time, and the medicine was taken under observation.

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A/Prof. Terry HANNAN Advisor Replied at 6:35 PM, 9 Dec 2014

Shelly, this is a very positive posting and demonstrates the effective use of low cost technologies. The following two short videos (< 4 mins) support your approaches and how existing low costs technologies can be very effective in these regions and with these diseases.

1. IRDResearch Data visualization using Google Earth: http://www.youtube.com/watch?v=v-3lqG3hSYM
2. MDRTB Pakistan: http://www.youtube.com/watch?v=1N8236ReWnM

Also the work done by Hamish Fraser and Joaquin Blaya in Peru in TB is a great learning resource on how to use e-technologies effectively in low and middle income nations as you have also done.

1. Blaya JA, Cohen T, Rodriguez P, Kim J, Fraser HS. Personal digital assistants to collect tuberculosis bacteriology data in Peru reduce delays, errors, and workload, and are acceptable to users: cluster randomized controlled trial. Int J Infect Dis. 2009;13(3):410-8. Epub 2008/12/23.
2. Blaya JA, Shin SS, Yagui MJ, Yale G, Suarez C, Asencios L, et al. Assessing effects of the e-Chasqui laboratory information system on accuracy and timeliness of bacteriology results in the Peruvian tuberculosis program. AMIA Annu Symp Proc. 2007:873. Epub 2008/08/13.
3. Blaya JA, Shin SS, Yagui MJ, Yale G, Suarez CZ, Asencios LL, et al. A web-based laboratory information system to improve quality of care of tuberculosis patients in Peru: functional requirements, implementation and usage statistics. BMC Med Inform Decis Mak. 2007;7:33. Epub 2007/10/30.
4. Fraser HS, Blaya J, Choi SS, Bonilla C, Jazayeri D. Evaluating the impact and costs of deploying an electronic medical record system to support TB treatment in Peru. AMIA Annu Symp Proc. 2006:264-8. Epub 2007/01/24.

This Community is Archived.

While this community is no longer active, we invite you to review and recommend past posts and resources. Membership for this community is closed, but we hope you'll join us in one of the many other communities on GHDonline.

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