Collaborator: ICMR/RMRC

Mobile based Surveillance Quest using ITMoSQuIT

• 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

Objectives

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

Thrust on Malaria

Trend of Malaria Cases and Deaths 2001-2009

http://nvbdcp.gov.in/malaria3.html

• Surveillance as per WHO is the systematic process of collection, transmission, analysis and feedback of public health data for decision-making

Surveillance

Conventional Malaria Surveillance flow

Data transfer takes 15 days to one month

Epidemiological Analysis takes 2-3 years

Prevents delay in dissemination of data from field to decision-makersEarly diagnosis reduces morbidity and mortalityEarly detection of epidemic situationFast reporting, close to real time

Improves accuracy of decision making Facilitates better treatment and care of patients

VsMobile based Conventional

Benefits

Flow of MoSQuIT system

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

Data Analysis

Mobile based Data collection

Transfer data

Collect data(M1, M2)

Mechanism (any one is used)

GPRS SMS Direct load

Store data (local)

Physical Data load (3)

Mobile Service provider

GSM modem Data

Transformation

Data transfer – SMS (2)

Data transfer – GPRS (1)

Data Analysis

Mobile Data validation

Epidemiological studies

Health worker

Supervisor,Lab technician (PHC)

Researcher

Lab

res

ult u

pdat

ion

(M2)

Dat

a va

lida

tion

Alerts

J2ME based s/w

ASP.NET based Computation eng.,PostgreSQL DB

ASP.NET based Webservice

Deployment Architecture

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

• 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 entry (Lab)• Send report to HW

• Reports: Lab

• Data validation• Modify/Update data• Information about death of patient • Reports: Stock related data, Case, Lab, Epidemiological indices,

• Reports: Cases,Stock, Lab, Epidemiological indices,• Case analysis: Predefined queries, queries

• Trend, Predictive Analysis

Stakeholders

• Master Data Entry• User Registration: Rights allocation• Admin: Data Back up

•Alerts, Login, Data Mart

Accredited Social Health Activists Team

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