Oxford open digital health最新文献

{"title":"Using mobile phone survey paradata for process evaluations and improvements: best practices and lessons learned from nine surveys in seven sites.","authors":"Casey J Siesel, Juliette Lee, Rachael Phadnis, Stacy Davlin, Tobias Brevik, Veronica Lea","doi":"10.1093/oodh/oqaf003","DOIUrl":"https://doi.org/10.1093/oodh/oqaf003","url":null,"abstract":"<p><p>The use of mobile phone surveys (MPS) for regionally or nationally representative data allows for quick, efficient and affordable data collection for monitoring trends and generating results to guide action. By digitizing this process, data flows can be expanded to include metadata and paradata that allow survey administrators to evaluate and improve survey processes and parameters. Between 2017 and early 2022, the Centers for Disease Control and Prevention provided technical support to country partners to implement MPS gathering indicators on noncommunicable diseases within adult populations in seven countries. These surveys resulted in 37 591 completed interviews containing no personal identifiable information. When combined, these surveys result in over 25 million rows of paradata representing timestamped interactions between the data collection platform and each survey respondent. Using exploratory data analysis, five key metrics were identified which had implications on MPS process optimization: timing of engagement, question randomization, contacts to complete, errors and mode effect. The use of survey paradata allows for real-time process evaluations and identifies factors that can improve efficiency and effectiveness of MPS methods.</p>","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"3 ","pages":"oqaf003"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital health intervention reconnects war-affected people living with HIV to healthcare: Ukraine case study.","authors":"Hlib Aleksandrenko, Maryna Shevchenko, Olga Chervak","doi":"10.1093/oodh/oqaf001","DOIUrl":"https://doi.org/10.1093/oodh/oqaf001","url":null,"abstract":"<p><p>The unprovoked full-scale invasion of Ukraine in February 2022 severely damaged the national health system, disconnecting thousands of people living with human immunodeficiency virus (PLHIV) from essential health services. Digital health interventions (DHIs) offer the potential to reconnect war-affected PLHIV to healthcare and improve health system resilience in case of emergencies. This study aimed to present a comprehensive case study of the implementation and lessons learned from a DHI aimed at reconnecting Ukrainian PLHIV to healthcare in the context of war. A DHI called '#ARTporuch' was implemented in Ukraine in response to the war-related challenges for PLHIV. The case study methodology was used to present the DHI's life cycle, from creation to maintenance. Usage and geographic coverage data were analyzed descriptively. The multi-component DHI, consisting of a website, chatbot, database and information campaign, was implemented. The case study yielded pivotal insights into the DHI lifecycle, including rapid conceptualization, security considerations, agile implementation and continuous adaptation. The online advertising generated >10 million impressions within the information campaign. The website attracted 20 619 visitors, while the chatbot was activated by 2950 users. This case study underscores the potential of DHI as a crisis-response component to reconnect PLHIV to healthcare during wartime. While quantitative evidence of effectiveness is limited due to wartime constraints, the study provides insights into the implementation of DHI in conflict-affected or resource-constrained settings, contributing to the ongoing efforts to achieve universal health coverage and enhance health system resilience planning.</p>","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"3 ","pages":"oqaf001"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: A full-STAC remedy for global digital health transformation: open standards, technologies, architectures and content.","authors":"","doi":"10.1093/oodh/oqae048","DOIUrl":"https://doi.org/10.1093/oodh/oqae048","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/oodh/oqad018.].</p>","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 ","pages":"oqae048"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the hype: a call for comprehensive evidence on the economic and health outcomes of digital and data technologies.","authors":"Laura Edison Kallen, Sarah Skye Yoden, Tara Herrick, Wuleta Lemma, Marelize Gorgens","doi":"10.1093/oodh/oqae041","DOIUrl":"https://doi.org/10.1093/oodh/oqae041","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Digital and data technologies are increasingly being implemented to meet a range of global health needs, including strengthening health systems, improving efficiency and advancing universal health coverage. However, there is limited quantitative evidence and few standardized methodologies for analyzing the health impact and cost-effectiveness of digital and data technologies in health systems in low- and middle-income countries. Without such evidence, development partners, patients, civil society and government leaders have a limited basis from which to incentivize, justify and allocate funding for sustained investments in digital and data technologies, which in turn impacts their sustainability. Dedicated funding and planning for such efforts can help decision-makers hold digital health providers accountable and improve the allocation of limited resources.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resumen: &lt;/strong&gt;Las tecnologías digitales y de datos se están implementando cada vez más para satisfacer distintas necesidades de salud a nivel global, incluyendo fortalecer los sistemas de salud, mejorar la eficiencia y propiciar la cobertura universal de salud. Sin embargo, hay evidencia cuantitativa limitada y pocas metodologías estandarizadas para analizar el efecto en la salud y la efectividad de costos de las tecnologías digitales y de datos en los sistemas de salud en países de ingresos bajos y medios. Sin tal evidencia, los socios de desarrollo, los pacientes, la sociedad civil y los líderes gubernamentales tienen una base limitada para crear incentivos, justificar y asignar fondos para inversiones continuas en tecnologías digitales y de datos, lo cual a su vez afecta su sustentabilidad. La asignación de fondos y la planificación dirigidas para tales esfuerzos pueden ayudar a las personas encargadas de tomar decisiones a confiar la responsabilidad a los proveedores de salud digital y a mejorar la asignación de recursos limitados.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resumo: &lt;/strong&gt;As tecnologias digitais e de dados estão a ser cada vez mais implementadas para responder a uma série de necessidades globais de saúde, incluindo o reforço dos sistemas de saúde, a melhoria da eficiência e o avanço da cobertura universal de saúde. No entanto, existem poucos dados quantitativos e poucas metodologias normalizadas para analisar o impacto na saúde e a relação custo-eficácia das tecnologias digitais e de dados nos sistemas de saúde dos países de baixo e médio rendimento. Sem essas provas, os parceiros de desenvolvimento, os doentes, a sociedade civil e os líderes governamentais têm uma base limitada para incentivar, justificar e atribuir financiamento para investimentos sustentados em tecnologias digitais e de dados, o que, por sua vez, afeta a sua sustentabilidade. O financiamento e o planeamento dedicados a esses esforços podem ajudar os decisores a responsabilizar os fornecedores de saúde digital e a melhorar a afetação de recursos limitados.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Résumé: &lt;/strong&gt;Les technologies num","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 2","pages":"ii4-ii8"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of digital clinical decision support on quality of care and antibiotic stewardship for children under five in South-Central Somalia.","authors":"Eveline Hürlimann, Marco Landi, Alli Miikkulainen, Camille Renner, Capucine Musard, Hassan Hussein Mohamed, Hassan Abdullahi Ali, Omar Sheik Mohamud, Abdifatah Ahmed Mohamed, Talia Salzmann, Fenella Beynon, Anja Junker","doi":"10.1093/oodh/oqae029","DOIUrl":"https://doi.org/10.1093/oodh/oqae029","url":null,"abstract":"&lt;p&gt;&lt;p&gt;In the context of protracted conflict, severe droughts and health system constraints, children under-five in Somalia face one of the highest mortality rates in the world. The WHO Integrated Management of Childhood Illness (IMCI) guidance targets the main causes of morbidity and mortality, but adherence is low. We implemented the ALgorithm for the MANAgement of CHildhood illness (ALMANACH), a digital clinical decision support system, with the aim of improving IMCI adherence whilst promoting antibiotic stewardship in South-Central Somalia. Alongside, we evaluated health service delivery and ALMANACH acceptability and impact to inform design and roll-out. A pre-post assessment involving direct observation of consultations with sick children (2-59 months) based on the Demographic and Health Surveys Service Provision Assessment, complemented by exit interviews with caregivers and feedback from healthcare staff and stakeholders. Over 600 consultations were observed in each assessment period, in seven health facilities. ALMANACH had a significant impact on antibiotic prescription (reduction from 58.1% pre- to 16.0% post-implementation). This was particularly pronounced among certain conditions such as upper respiratory tract infections (30-fold reduction, RR = 0.03). Large differences in guideline adherence were observed (danger signs: 1.3% pre- to 99% post-implementation; counselling on follow-up: 12% pre- to 94% post-; and Vitamin A supplementation need checked: 19.9% pre- to 96.1% post-implementation). ALMANACH was found to be acceptable to caregivers, healthcare providers and stakeholders, with reports of positive impact on perceived quality of care. Implementation of ALMANACH in primary healthcare in Somalia significantly improved quality of care and guideline adherence, supporting the use of ALMANACH and similar tools to improve healthcare in fragile and resource-constrained settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resumen: &lt;/strong&gt;En un contexto de conflicto prolongado, sequías severas, y limitaciones en el sistema de salud, los niños menores de 5 años en Somalia sufren una de las tasas de mortalidad más altas del mundo. La estrategia Atención Integrada a las Enfermedades Prevalentes de la Infancia (AIEPI) de la OMS incluye recomendaciones alrededor de las causas principales de morbilidad y mortalidad, pero la adherencia a esta guía es pobre. Implementamos el algoritmo para la gestión de enfermedades de la infancia ALMANACH (ALgorithm for the MANAgement of CHildhood illness), un sistema digital de apoyo para las decisiones clínicas, a fin de mejorar el cumplimiento de la AIEPI durante un esfuerzo de promoción de la correcta administración de antibióticos en el centro-sur de Somalia. De manera paralela, evaluamos la prestación de servicios de salud, y la aceptabilidad e impacto de ALMANACH, para informar su diseño y lanzamiento. Evaluación antes-después de la implementación del algoritmo, derivada de la observación directa de consultas médicas para niños en","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 2","pages":"ii32-ii44"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How much could health worker absenteeism impact health outcomes? A modeling study of malaria in Kenya.","authors":"Amy Finnegan, Janet Muriuki, Olivia Velez","doi":"10.1093/oodh/oqae031","DOIUrl":"https://doi.org/10.1093/oodh/oqae031","url":null,"abstract":"&lt;p&gt;&lt;p&gt;When health workers are not at their posts, health care does not happen. Health worker absenteeism in Kenya was 53.8% in 2018 according to the World Bank Service Delivery Indicators Survey. Absenteeism is especially impactful for treatment of malaria where delays in treatment can lead to deadly consequences especially among the most vulnerable. Human resources management and development strengthening interventions using digital tools like iHRIS, IntraHealth International's open-source, human resource information system, can enable data-driven decision making to plan and budget for health workers and dynamically redistribute them. These promising approaches can reduce systemic absenteeism, but little is known how much impact reduced absenteeism can have on health outcomes. In this study, the Spectrum Malaria tool, a dynamic malaria transmission model developed by Avenir Health, was used to test three scenarios of reduced absenteeism (5, 10 and 15%) to quantify the potential impact of absenteeism on malaria cases and deaths averted and &lt;i&gt;Plasmodium falciparum (P. falciparum)&lt;/i&gt; prevalence among children ages 2-9 years in Kenya between 2023 and 2030. A small, 5% increase in effective coverage of treatment of uncomplicated cases of malaria with artemisinin combination therapy could result in a 12% decrease in uncomplicated cases, a 15% reduction in severe cases, and a 13% reduction in deaths among the population and a 24% reduction in &lt;i&gt;P. falciparum&lt;/i&gt; prevalence among children aged 2-9 years. Stemming health worker absenteeism is a critical intervention in the fight against malaria and digital tools like iHRIS for health workforce planning can help reduce absenteeism.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resumen: &lt;/strong&gt;Cuando los prestadores de salud no están en sus puestos, el cuidado de la salud no ocurre. El ausentismo entre los prestadores de salud en Kenia fue de 53.8% en 2018, según las encuestas de los Indicadores de Prestación de Servicios (IPS) del Banco Mundial. Ausentismo como este entraña un impacto especialmente fuerte en el tratamiento de la malaria, donde la demora puede tener consecuencias letales, especialmente entre los más vulnerables. Intervenciones con herramientas digitales que fortalecen la gestión y desarrollo de recursos humanos, como iHRIS (el sistema de información de recursos humanos de código abierto de IntraHealth International), hacen posible tomar decisiones basadas en datos en torno a la planificación y presupuestación de la fuerza laboral de prestadores de salud y a cómo distribuirla de forma dinámica. Estos prometedores enfoques pueden reducir el ausentismo sistémico, pero se sabe poco acerca del tamaño del impacto que esta reducción puede tener en los resultados de salud. En este estudio usamos Spectrum-Malaria (un modelo dinámico de transmisión de la malaria, desarrollado por Avenir Health) como herramienta para examinar tres escenarios de ausentismo reducido (del 5, 10, y 15%) a fin de cuantificar el impacto potencial de","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 2","pages":"ii18-ii24"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-effectiveness analysis of a two-way texting (2wT) intervention to improve ART retention among newly-initiated antiretroviral therapy clients in Malawi.","authors":"Christine Kiruthu-Kamamia, Hiwot Weldemariam, Mirriam Chipanda, Jacqueline Huwa, Johnnie Seyani, Harrison Chirwa, Aubrey Kudzala, Agnes Thawani, Joseph Chintedza, Odala Sande, Geldert Chiwaya, Hannock Tweya, Milena Pavlova, Wim Groot, Caryl Feldacker","doi":"10.1093/oodh/oqae030","DOIUrl":"10.1093/oodh/oqae030","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Retention in HIV care is crucial for improved health outcomes. Malawi has a high HIV prevalence and struggles with retention despite significant progress in controlling the epidemic. Mobile health (mHealth) interventions, such as two-way texting (2wT), have shown promise in improving antiretroviral therapy (ART) retention. We explore the cost-effectiveness of a 2wT intervention in Lighthouse Trust's Martin Preuss Center (MPC) in Lilongwe, Malawi, that sends automated SMS visit reminders, weekly motivational messages, and supports direct communication between clients and healthcare workers. Costs and retention (in care at 12 months) rates were compared between 468 2wT and 468 standard of care (SOC) clients. Incremental cost-effectiveness ratios were calculated. Scenario analyses were conducted to estimate costs if 2wT expanded. The 2wT group had higher retention (79%) than SOC (67%) at 12 months post-ART initiation. For 468 clients, the annual costs for 2wT were $36 670.38 compared to SOC's $33 458.72, with an ICER of $24 705 per additional percent of clients retained. With small populations, 2wT is costlier but more effective. However, expanding 2wT to all new ART clients at MPC would save $105 315 per additional percent of clients retained at 12 months. Scaling-up 2wT to four other high-burden facilities (2901 clients) could save $723 739 per additional percent of clients retained in care, suggesting significant potential cost savings. 2wT appears cost-effective to improve 12-month retention among new ART initiates in this setting. Despite potential limitations, mHealth interventions improve client outcomes and save costs, supporting their integration into HIV care programs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resumen: &lt;/strong&gt;La retención de pacientes dentro del sistema de salud es crucial en la atención del VIH para obtener mejores resultados de salud. Malaui tiene una alta tasa de prevalencia de VIH y tiene problemas con la retención, a pesar de haber progresado de manera significativa en el control de la epidemia. Intervenciones de salud móvil (mSalud), como los sistemas de mensajes de texto bidireccionales o de doble vía (2wT), han mostrado promesa en términos de aumentar retención en terapia antirretroviral (TAR). Aquí exploramos la relación costo-efectividad de una intervención 2wT en el centro médico Lighthouse Trust's Martin Preuss Center (MPC), en Lilongwe, Malaui, que manda con mensajes SMS recordatorios automatizados de visita, frases motivadoras semanales, y apoya la comunicación directa entre clientes y prestadores de salud. Se compararon los costos y las tasas de retención (aún bajo cuidado tras 12 meses) entre 468 clientes con la intervención 2wT y 468 clientes con el estándar de atención. Se calcularon las relaciones de costo-efectividad incremental (RCEI). Se condujeron análisis de escenarios para estimar el costo de expandir la intervención 2wT. El grupo con 2wT presentó mayor retención (79%) que el de atención estándar (67%), a 12 meses de ","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 2","pages":"ii45-ii55"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building the evidence base for the economic value of digital health interventions: examples of methods and metrics and opportunities for future directions.","authors":"Tara Herrick, Peder Digre, Sarah Skye Yoden","doi":"10.1093/oodh/oqae042","DOIUrl":"https://doi.org/10.1093/oodh/oqae042","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Quantifying the costs, impact and cost-effectiveness of digital health interventions (DHIs) presents both technical and logistical challenges, largely due to unclear causal pathways to health impact and the tendency of DHIs to be implemented as just one component of an intervention. Few publications provide peer-reviewed estimates of these metrics for DHIs, especially in low- and middle-income countries (LMICs). Yet decision-makers need this evidence to make informed decisions and investments about DHIs. The special collection outlined here offers seven practical and diverse examples of how digital health implementers have assessed the costs and impacts of DHIs in LMICs. These examples can serve as building blocks to inform and guide the development of critically needed methodological approaches for measuring the cost, impact and value of DHIs in a standardized way.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resumen: &lt;/strong&gt;Cuantificar los costos, el efecto y la efectividad de costos de las intervenciones digitales de salud (DHI, por sus siglas en inglés) representa desafíos tanto técnicos como logísticos, en gran medida debido a la falta de claridad respecto a las secuencias causales para el efecto sobre la salud y la tendencia de las DHI para implementarse como solo un componente de una intervención. Pocas publicaciones ofrecen estimados con revisión por pares de estas métricas para las DHI, especialmente en países de ingresos bajos y medios (LMIC, por sus siglas en inglés). Pero las personas encargadas de tomar decisiones necesitan esta evidencia para tomar decisiones informadas y hacer inversiones relacionadas con las DHI. La colección especial aquí descrita ofrece siete ejemplos prácticos y diversos sobre cómo los ejecutores de salud digital han evaluado los costos y los efectos de las DHI en LMIC. Estos ejemplos pueden usarse como bloques de construcción para informar y guiar el desarrollo de enfoques metodológicos altamente necesarios para medir el costo, el efecto y el valor de las DHI de manera estandarizada.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resumo: &lt;/strong&gt;Quantificar os custos, o impacto e a relação custo-eficácia das intervenções de saúde digitais (ISD) apresenta desafios técnicos e logísticos, em grande parte devido a vias causais pouco claras para o impacto na saúde e à tendência das ISD para serem implementadas como apenas um componente de uma intervenção. Poucas publicações fornecem estimativas revistas por pares destas métricas para as IDS, especialmente nos países de baixo e médio rendimento (PBMR). No entanto, os decisores precisam destas provas para tomar decisões e investimentos informados sobre as ISD. A coleção especial aqui delineada oferece sete exemplos práticos e diversificados de como os implementadores de saúde digital avaliaram os custos e os impactos das ISD nos PBMR. Estes exemplos podem servir como blocos de construção para informar e orientar o desenvolvimento de abordagens metodológicas extremamente necessárias para medir o custo, o impacto e o valor","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 2","pages":"ii1-ii3"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost and cost effectiveness of geospatial planning and delivery tools added to standard health campaigns in Luapula Province, Zambia.","authors":"Anna Winters, Christina Riley, Livashan Soobramoney, Derek Pollard, Elizabeth Jere, Frazer Bwalya, Kafula Silumbe, Busiku Hamainza","doi":"10.1093/oodh/oqae040","DOIUrl":"https://doi.org/10.1093/oodh/oqae040","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Geospatial tools are used to map populations to support microplanning and delivery of health campaigns. Although the value of geospatial tooling has been described, their costs and cost effectiveness is largely unknown. This study details the results of a cost-effectiveness analysis of a digital geospatial tool ('Reveal') added to a 2017 malaria control campaign [indoor residual spraying (IRS)] in Zambia. An economic evaluation of the costs for digital geospatial tooling to microplan and deliver IRS for malaria in Luapula Province, Zambia, was conducted using primary data collection methods in line with a recently developed methodology termed 'Total Cost of Ownership'. A cost-effectiveness estimate was calculated for adding the geospatial tooling to standard IRS scaling over 5 years. Results indicate that use of Reveal attributed an average 21% reduction in cost per case averted (Ca) compared to IRS alone. Cost per Ca with IRS alone was estimated at $18.16 compared to cost per Ca when the geospatial tooling was added ($15.51 in year 1, $13.93 by year 5). Savings per Ca were realized through use of Reveal during IRS campaign deployment, likely through the mechanism of the tool, which supports field teams to use digital maps to find and spray houses. Analysis of current and ongoing cost for deployment does warrant further consideration and investment toward digitized geospatial tooling, especially considering the bearing these tools have on multiple health campaigns, globally. Further consideration on scaling strategies and expansion to other health campaigns and applications is also warranted.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resumen: &lt;/strong&gt;Las herramientas geoespaciales se usan para ubicar poblaciones y apoyar la microplanificación y la distribución de campañas de salud. Aunque se ha descrito el valor de las herramientas geoespaciales, sus costos y la efectividad de los costos se desconocen en gran medida. Este estudio desglosa los resultados de un análisis de efectividad de costos de una herramienta geoespacial ('Reveal') agregada a una campaña de control de la malaria de 2017 (fumigación residual en interiores, [IRS por sus siglas en inglés]) en Zambia. Se llevó a cabo una evaluación de los costos para herramientas geoespaciales digitales con el propósito de microplanificar y distribuir la IRS para malaria en la provincia de Luapula, Zambia, usando métodos de recolección de datos primarios, alineados con una metodología desarrollada recientemente conocida como 'Costo total de propiedad'. Se calculó un estimado de efectividad de costos respecto a agregar la herramienta geoespacial a IRS estándar con escalamiento a lo largo de 5 años. Los resultados muestran que el uso de Reveal contribuyó a una reducción promedio de 21% en el costo por caso evitado (CA, por sus siglas en inglés) en comparación con la IRS por sí sola. El costo por Ca con IRS por sí sola se estimó en $18.16, en comparación con el costo por Ca cuando se agregó la herramienta geoespacial ($15","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 2","pages":"ii66-ii74"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the impact of m<i>-</i>learning platform LEAP on learning outcomes and health care referral behavior of community health volunteers in Kenya.","authors":"John Harnisher, Anzhelika Lyubenko, Peter Kisare Otieno","doi":"10.1093/oodh/oqae036","DOIUrl":"https://doi.org/10.1093/oodh/oqae036","url":null,"abstract":"<p><p>Mobile learning (m-learning) platforms are increasingly used to train healthcare workers as a strategy to address the global healthcare worker shortage. These platforms are also attractive because they are low-cost and accessible to anyone with a phone, providing the potential to foster equitable health information in the world's most remote and under-resourced areas. Because of this opportunity, many health initiatives have deployed m-learning approaches to meet their humanitarian goals, yet studies of their implementation are scattered. We provide a case study example of how a non-profit partnership between Amref and DataKind was leveraged to more robustly assess the data of the m-learning platform LEAP in Kenya, leading to a more in-depth understanding of its functionality and impact. These types of assessments are crucial to building data-informed decision making that can effectively advance the use of digital technologies for healthcare. The main findings from this work are as follows: (i) investment in analytics infrastructure is critical, (ii) structured m-learning programs have better outcomes, (iii) practicals are the most common activity, (iv) scores and completion rates are higher for learners that use the program in English and (v) referrals to health care facilities increased after formal LEAP programs.</p><p><strong>Resumen: </strong>Las plataformas de aprendizaje electrónico móvil (m-learning) están siendo usadas con cada vez más frecuencia en la capacitación de prestadores de salud, como una estrategia para enfrentar la escasez mundial de prestadores de salud. Estas plataformas son además atractivas por ser de bajo costo y fácil acceso para cualquier persona con un teléfono celular, haciendo posible una más equitativa difusión de la información médica, incluso en las zonas más remotas y con menos recursos del mundo. Dadas estas oportunidades, muchas iniciativas sanitarias han desplegado planteamientos de aprendizaje móvil para alcanzar sus metas humanitarias, pero los estudios acerca de su implementación son algo dispersos. Presentamos aquí un ejemplo de estudio de caso de cómo una colaboración sin fines de lucro entre Amref y DataKind fue apalancada financieramente para poder evaluar de manera más robusta los datos de la plataforma de m-learning LEAP en Kenia, llevando a una comprensión más profunda de su funcionalidad e impacto. Este tipo de evaluaciones son cruciales para construir sistemas de toma de decisiones basadas en datos, que puedan avanzar de manera efectiva el uso de tecnologías digitales en el cuidado de la salud. Los hallazgos principales de este trabajo son: 1) la inversión en infraestructura analítica es crítica, 2) los programas de m-learning estructurados tienen mejores resultados, 3) las prácticas son la actividad más común, 4) las calificaciones y tasas de finalización son mayores para los aprendices que usan el programa en inglés, y 5) las referencias de pacientes a instalaciones de salud incrementaron ","PeriodicalId":520498,"journal":{"name":"Oxford open digital health","volume":"2 Suppl 2","pages":"ii25-ii31"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}