scholarly journals Costs and Cost-Effectiveness of a Mobile Phone Text-Message Reminder Programmes to Improve Health Workers' Adherence to Malaria Guidelines in Kenya

PLoS ONE ◽  
2012 ◽  
Vol 7 (12) ◽  
pp. e52045 ◽  
Author(s):  
Dejan Zurovac ◽  
Bruce A. Larson ◽  
Raymond K. Sudoi ◽  
Robert W. Snow
Keyword(s):  
Cost Effectiveness ◽  
Mobile Phone ◽  
Health Workers ◽  
Text Message ◽  
Text Message Reminder ◽  
Improve Health

scholarly journals Development of automated text-message reminder system to improve uptake of childhood vaccination in North-West, Ethiopia

2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Zeleke Abebaw Mekonnen ◽  
Fedlu Nurhussien Hussien ◽  
Binyam Chakilu Tilahun ◽  
Kassahun Alemu Gelaye ◽  
Adane Letta Mamuye
Keyword(s):  
Text Messaging ◽  
Health Workers ◽  
Text Message ◽  
Target Population ◽  
Childhood Vaccination ◽  
Automated System ◽  
Design Development ◽  
North West ◽  
Reminder System ◽  
Text Message Reminder

Introduction: Non-attendance and delay for vaccination schedules remains a big challenge to healthcare workers.  Among the frequently mentioned reasons for missed vaccination in children is the lack of communication between child caretakers and health workers. This necessitates developing an appropriate and uninterrupted vaccine delivery strategy with more focus on demand side interventions like forgetfulness.Objectives: This paper aimed to develop and test an automated mobile text message reminder system in the local context.Methods: Before development of the system, interview and document reviews were used for requirement gathering. This system is developed using iterative development process through phases of requirement analysis, design, development, testing and refinement. Front end application was developed using Java technologies while back end applications were developed with Oracle database. Finally, pilot testing was done on 30 participants before actual implementation.Results: The automated system has been developed based on requirements. The text message reminder system has two components: 1. Web based application for client registration and automatic reminder scheduling; 2.SMS application for automatic SMS text messaging. In the final testing, all the messages (100%) were delivered to the piloted mothers. Message speeds for each individual client ranged on average from 5 second to 30 seconds.Conclusion: Text message reminder system has been developed for routine childhood immunization program in Ethiopian context. Text message interventions should be carefully developed, tested and refined before implementation to ensure they are written in the most appropriate way for their target population.

scholarly journals Evaluating a Personalized, Automated Caregiver Mobile Phone Delivered Text Message Reminder Intervention to Reduce Infant Vaccination Drop-out in Arua, Uganda: Protocol for a Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
Daniel C Ehlman ◽  
Joseph Magoola ◽  
Patricia Tanifum ◽  
Aaron Wallace ◽  
Prosper Behumbiize ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Health Facility ◽  
Data Extraction ◽  
Controlled Trial ◽  
Text Message ◽  
Health Facilities ◽  
Drop Out ◽  
Group Discussions ◽  
Text Message Reminder

BACKGROUND Globally, suboptimal vaccine coverage is a major public health concern. According to Uganda’s 2016 Demographic and Health Survey, only 49% of 12-23 month olds had received all recommended vaccinations by 12 months of age. Innovative ways are needed to increase coverage and reduce drop-out, including increasing awareness of caregivers to bring children for timely vaccination. OBJECTIVE To evaluate a personalized, automated caregiver mobile phone delivered text message reminder intervention to reduce the proportion of children who start but do not complete the vaccination series for children 12 months of age and younger in select health facilities in Arua District. METHODS A two arm, multi-center, parallel groups randomized controlled trial was conducted in four health facilities providing vaccination services in and around the town of Arua. Caregivers of children between six weeks and six months of age at the time of their first dose of pentavalent vaccine (Penta1; containing diphtheria, tetanus, pertussis, hepatitis B, and Haemophilus influenzae type b antigens) were recruited and interviewed. All participants received the standard of care, defined as the health worker providing child vaccination home-based records to caregivers, as available, and providing verbal instruction of when to return for the next visit. At the end of each day, caregivers and their children were randomized by computer either to receive or not to receive personalized, automated text message reminders for their subsequent vaccination visits according to the national schedule. SMS reminders for Penta2 were sent two days before, on the day of, and two days after the scheduled vaccination visit. Reminders for Penta3 and measles-containing vaccine (MCV) were sent on the day of and five and seven days after the visit. Study personnel conducted post-intervention follow-up interviews with participants at the health facilities during the children’s MCV visit. In addition, focus group discussions were conducted to assess caregiver acceptability of the intervention; economic data was collected to evaluate the incremental costs and the cost-effectiveness of the intervention; and health facility records review forms were completed to capture service delivery process indicators. RESULTS Of 3485 screened participants, 1961 were enrolled from the sample size of 1962. Enrollment concluded in August 2016. Follow-up interviews of study participants, including data extraction from the children’s vaccination cards; data extraction from the health facility immunization registers; completion of the health facility records review forms; and focus group discussions were completed by December 2017. Results are expected to be released in 2021. CONCLUSIONS Prompting of health seeking behavior with reminders has been shown to improve health intervention uptake. Mobile phone ownership continues to grow in Uganda, so their use in vaccination interventions like this study is logical and should be evaluated with scientifically rigorous study designs. CLINICALTRIAL Clinicaltrials.gov NCT04177485; https://clinicaltrials.gov/ct2/show/NCT04177485.

scholarly journals The effect of mobile phone text-message reminders on Kenyan health workers' adherence to malaria treatment guidelines: a cluster randomised trial

The Lancet ◽  
2011 ◽  
Vol 378 (9793) ◽  
pp. 795-803 ◽  
Author(s):  
Dejan Zurovac ◽  
Raymond K Sudoi ◽  
Willis S Akhwale ◽  
Moses Ndiritu ◽  
Davidson H Hamer ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Treatment Guidelines ◽  
Health Workers ◽  
Randomised Trial ◽  
Text Message ◽  
Malaria Treatment ◽  
Cluster Randomised Trial ◽  
Cluster Randomised

scholarly journals Clinical effectiveness and cost effectiveness of individual mental health workers colocated within primary care practices: a systematic literature review

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042052
Author(s):  
Jean-Baptiste Woods ◽  
Geva Greenfield ◽  
Azeem Majeed ◽  
Benedict Hayhoe
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cost Effectiveness ◽  
Health Worker ◽  
Health Workers ◽  
Risk Of Bias ◽  
Mental Health Workers ◽  
Mental Health Worker ◽  
Care Practices ◽  
Primary Care Practices

ObjectivesMental health disorders contribute significantly to the global burden of disease and lead to extensive strain on health systems. The integration of mental health workers into primary care has been proposed as one possible solution, but evidence of clinical and cost effectiveness of this approach is unclear. We reviewed the clinical and cost effectiveness of mental health workers colocated within primary care practices.DesignSystematic literature review.Data sourcesWe searched the Medline, Embase, PsycINFO, Healthcare Management Information Consortium (HMIC) and Global Health databases.Eligibility criteriaAll quantitative studies published before July 2019 were eligible for the review; participants of any age and gender were included. Studies did not need to report a certain outcome measure or comparator in order to be eligible.Data extraction and synthesisData were extracted using a standardised table; however, pooled analysis proved unfeasible. Studies were assessed for risk of bias using the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool and the Cochrane collaboration’s tool for assessing risk of bias in randomised trials.ResultsFifteen studies from four countries were included. Mental health worker integration was associated with mental health benefits to varied populations, including minority groups and those with comorbid chronic diseases. Furthermore, the interventions were correlated with high patient satisfaction and increases in specialist mental health referrals among minority populations. However, there was insufficient evidence to suggest clinical outcomes were significantly different from usual general practitioner care.ConclusionsWhile there appear to be some benefits associated with mental health worker integration in primary care practices, we found insufficient evidence to conclude that an onsite primary care mental health worker is significantly more clinically or cost effective when compared with usual general practitioner care. There should therefore be an increased emphasis on generating new evidence from clinical trials to better understand the benefits and effectiveness of mental health workers colocated within primary care practices.

scholarly journals Analysis of knowledge on drug delivery

2015 ◽  
Vol 5 (2) ◽  
pp. 233-241
Author(s):  
Juan M. Carmona ◽  
Ana M. Baena ◽  
Ana C. Berral ◽  
Quintiliano Sotelo ◽  
Beatriz Recio ◽  
...  
Keyword(s):  
Drug Delivery ◽  
Health Professionals ◽  
Health Workers ◽  
Descriptive Study ◽  
Medication Administration ◽  
Prior Training ◽  
Self Assessment ◽  
Cross Sectional ◽  
Analysis Of Knowledge ◽  
Improve Health

The objective of this study was to determine the knowledge of health professionals Hospital of Montilla on the administration of drugs in emergencies. Material: cross-sectional descriptive study conducted at the Hospital of Montilla (Córdoba). A questionnaire to doctors and nurses were distributed by random sampling during the month of December 2014. A survey of Machado de Azevedo et al. (2012) that consists of 9 items for the assessment of knowledge on medication administration was used. Results: The sample was composed of 59.1% of physicians and 40.9% of nurses with an average age of 38.05 (SD±8.981). Regarding the situation of respondents, 72.7% had received prior training. Regarding their own self-assessment, 72.7% considered to have a satisfactory knowledge of drug administration. 90.9% of respondents known to exist protocols on the administration of drugs in his unit. Discussion: Although the knowledge of drug delivery is acceptable for health workers, there are differences between the two analyzed collectives. Therefore, it would be ideal to perform adequate training and retraining of staff for optimal knowledge and, in this way, improve health care.

scholarly journals Studi Literatur: Peran Caregiver Untuk Peningkatan Perawatan Kesehatan Pada Pasien Demensia

2020 ◽  
Vol 1 (2) ◽  
pp. 166-175
Author(s):  
Riskha Dora Candra Dewi ◽  
Kushariyadi
Keyword(s):  
Health Care ◽  
English Language ◽  
Health Workers ◽  
Dementia Patient ◽  
Inclusion Criteria ◽  
Improve Health Care ◽  
Dementia Patients ◽  
Psychological Pressure ◽  
Improve Health

The role of caregivers for dementia patients to improve health care is not yet optimal. Dementia patient care is an experience-based effort for complex dementia patients that can increase the psychological pressure of caregivers. The aim of the study was to determine the effectiveness of the caregiver's role in dementia patients to improve health care. Search strategies for English-language studies that are relevant to the topic are carried out using the ScienceDirect, SagePub, Springer databases limited from 2014 to 2020. The keywords used are "caregiver", "dementia", "health care", "role". Fulltext articles are reviewed to select studies that fit the criteria. The inclusion criteria in this review are  health workers, caregivers. A search using the keywords above with the ScienceDirect, SagePub, Springer database that met the inclusion criteria was only 22 articles. Research examined in this article uses a variety of methods, namely systematic literature review by 1 articles, RCT by 4 articles, interview by 1 articles, qualitative study by 5 articles, quasi-experimental study 2 article, participatory research of 1 article, bootstrapping methods of 1 article, scoping review of published literature by 1 articles, quantitative study by 1 articles, cohort study path analysis by 1, a survey to clarify the evaluation by 1, SEM by 1, standardized protocol by 1. Research using random techniques as much as 10 articles, while those using non-random techniques as many as 12 articles. The role of caregivers for dementia patients to improve health care is an effective experience-based effort and is the most appropriate activity for elderly patients with dementia. Enhance the role of the caregiver by changing the caregiver's perception of a more positive view of his role.

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