Outcomes of the Deployment of the Auto-Visual Acute Flaccid Paralysis Detection and Reporting (AVADAR) System for Strengthening Polio Surveillance in Africa From 2017 to 2018: Evaluation Study
| Autor: | Jude Tuma, Michael Galway, Mamadou Diallo, Kebba Touray, Reuben Ngofa, Casimir Manengu, Kamel Senouci, Umar Kabo Idris, Sisay G. Tegegne, Abdullahi Ahmed Salihu, Faisal Shuaib, Omosivie Maduka, Lara Mf Paige, Johnson Ticha, Sylvester Maleghemi, Daniel Rasheed Oyaole, Pascal Mkanda, Isah Mohammed Bello, Godwin Ubong Akpan, Patrick Briand, Andrew Stein |
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| Rok vydání: | 2020 |
| Předmět: |
020205 medical informatics
Refugee Dashboard (business) polio Health Informatics 02 engineering and technology Certification Auto-Visual Acute Flaccid Paralysis Detection and Reporting Measles 03 medical and health sciences 0302 clinical medicine Intervention (counseling) 0202 electrical engineering electronic engineering information engineering Medicine Humans Mass Screening 030212 general & internal medicine informants Original Paper business.industry Public Health Environmental and Occupational Health medicine.disease smartphones Poliomyelitis Open data Software deployment Evaluation Studies as Topic Population Surveillance Africa surveillance Muscle Hypotonia Medical emergency Public aspects of medicine RA1-1270 business acute flaccid paralysis Program Evaluation |
| Zdroj: | JMIR Public Health and Surveillance JMIR Public Health and Surveillance, Vol 6, Iss 4, p e18950 (2020) |
| ISSN: | 2369-2960 |
| Popis: | Background As we move toward a polio-free world, the challenge for the polio program is to create an unrelenting focus on smaller areas where the virus is still present, where children are being repeatedly missed, where immunity levels are low, and where surveillance is weak. Objective This article aimed to describe a possible solution to address weak surveillance systems and document the outcomes of the deployment of the Auto-Visual Acute Flaccid Paralysis Detection and Reporting (AVADAR) project. Methods This intervention was implemented in 99 targeted high-risk districts with concerns for silent polio circulation from eight countries in Africa between August 1, 2017, and July 31, 2018. A total of 6954 persons (5390 community informants and 1564 health workers) were trained and equipped with a smartphone on which the AVADAR app was configured to allow community informants to send alerts on suspected acute flaccid paralysis (AFP) and allow health worker to use electronic checklists for investigation of such alerts. The AVADAR and Open Data Kit ONA servers were at the center of the entire process. A dashboard system and coordination teams for monitoring and supervision were put in place at all levels. Results Overall, 96.44% (24,142/25,032) of potential AFP case alerts were investigated by surveillance personnel, yielding 1414 true AFP cases. This number (n=1414) reported through AVADAR was higher than the 238 AFP cases expected during the study period in the AVADAR districts and the 491 true AFP cases reported by the traditional surveillance system. A total of 203 out of the 1414 true AFP cases reported were from special population settings, such as refugee camps and insecure areas. There was an improvement in reporting in silent health areas in all the countries using the AVADAR system. Finally, there were 23,473 reports for other diseases, such as measles, diarrhea, and cerebrospinal meningitis, using the AVADAR platform. Conclusions This article demonstrates the added value of AVADAR to rapidly improve surveillance sensitivity. AVADAR is capable of supporting countries to improve surveillance sensitivity within a short interval before and beyond polio-free certification. |
| Databáze: | OpenAIRE |
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