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<http://fhircat.org/cord-19/metadata/751163b36576e3b25e90b10c33528efc89204313> fhir_link: <https://fhircat.org/cord-19/fhir/Commercial/751163b36576e3b25e90b10c33528efc89204313> ;
    dc:abstract "BACKGROUND: It is a challenge in low-resource settings to ensure the availability of complete, timely disease surveillance information. Smartphone applications (apps) have the potential to enhance surveillance data transmission. METHODS: The Central African Republic (CAR) Ministry of Health and Médecins Sans Frontières (MSF) conducted a 15-week pilot project to test a disease surveillance app, Argus, for 20 conditions in 21 health centers in Mambéré Kadéi district (MK 2016). Results were compared to the usual paper-based surveillance in MK the year prior (MK 2015) and simultaneously in an adjacent health district, Nana-Mambére (NM 2016). Wilcoxon rank sum and Kaplan-Meier analyses compared report completeness and timeliness; the cost of the app, and users’ perceptions of its usability were assessed. RESULTS: Two hundred seventy-one weekly reports sent by app identified 3403 cases and 63 deaths; 15 alerts identified 28 cases and 4 deaths. Median completeness (IQR) for MK 2016, 81% (81–86%), was significantly higher than in MK 2015 (31% (24–36%)), and NM 2016 (52% (48–57)) (p < 0.01). Median timeliness (IQR) for MK 2016, 50% (39–57%) was also higher than in MK 2015, 19% (19–24%), and NM 2016 29% (24–36%) (p < 0.01). Kaplan-Meier Survival Analysis showed a significant progressive reduction in the time taken to transmit reports over the 15-week period (p < 0.01). Users ranked the app’s usability as greater than 4/5 on all dimensions. The total cost of the 15-week pilot project was US$40,575. It is estimated that to maintain the app in the 21 health facilities of MK will cost approximately US$18,800 in communication fees per year. CONCLUSIONS: The app-based data transmission system more than doubled the completeness and timeliness of disease surveillance reports. This simple, low-cost intervention may permit the early detection of disease outbreaks in similar low-resource settings elsewhere." ;
    dc:creator "['El-Khatib, Ziad', 'Shah, Maya', 'Zallappa, Samuel N', 'Nabeth, Pierre', 'Guerra, José', 'Manengu, Casimir T', 'Yao, Michel', 'Philibert, Aline', 'Massina, Lazare', 'Staiger, Claes-Philip', 'Mbailao, Raphael', 'Kouli, Jean-Pierre', 'Mboma, Hippolyte', 'Duc, Geraldine', 'Inagbe, Dago', 'Barry, Alpha Boubaca', 'Dumont, Thierry', 'Cavailler, Philippe', 'Quere, Michel', 'Willett, Brian', 'Reaiche, Souheil', 'de Ribaucourt, Hervé', 'Reeder, Bruce']" ;
    dc:identifier <http://dx.doi.org/10.1186/s13031-018-0177-6>,
        <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199707>,
        <https://www.ncbi.nlm.nih.gov/pubmed/30386418> ;
    dc:issued "2018-01-01"^^xsd:date ;
    dc:license "CC BY" ;
    dc:title "SMS-based smartphone application for disease surveillance has doubled completeness and timeliness in a limited-resource setting – evaluation of a 15-week pilot program in Central African Republic (CAR)" ;
    sso:has_full_text "True" ;
    sso:journal "Confl Health" ;
    sso:sha "751163b36576e3b25e90b10c33528efc89204313" ;
    sso:source_x "PMC" .