Availability and Suitability of Digital Health Tools in Africa for Pandemic Control: Scoping Review and Cluster Analysis

BackgroundGaining oversight into the rapidly growing number of mobile health tools for surveillance or outbreak management in Africa has become a challenge. ObjectiveThe aim of this study is to map the functional portfolio of mobile health tools used for surveilla...

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Main Authors: Bernard C Silenou, John L Z Nyirenda, Ahmed Zaghloul, Berit Lange, Juliane Doerrbecker, Karl Schenkel, Gérard Krause
Format: Article
Language:English
Published: JMIR Publications 2021-12-01
Series:JMIR Public Health and Surveillance
Online Access:https://publichealth.jmir.org/2021/12/e30106
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author Bernard C Silenou
John L Z Nyirenda
Ahmed Zaghloul
Berit Lange
Juliane Doerrbecker
Karl Schenkel
Gérard Krause
author_facet Bernard C Silenou
John L Z Nyirenda
Ahmed Zaghloul
Berit Lange
Juliane Doerrbecker
Karl Schenkel
Gérard Krause
author_sort Bernard C Silenou
collection DOAJ
description BackgroundGaining oversight into the rapidly growing number of mobile health tools for surveillance or outbreak management in Africa has become a challenge. ObjectiveThe aim of this study is to map the functional portfolio of mobile health tools used for surveillance or outbreak management of communicable diseases in Africa. MethodsWe conducted a scoping review by combining data from a systematic review of the literature and a telephone survey of experts. We applied the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines by searching for articles published between January 2010 and December 2020. In addition, we used the respondent-driven sampling method and conducted a telephone survey from October 2019 to February 2020 among representatives from national public health institutes from all African countries. We combined the findings and used a hierarchical clustering method to group the tools based on their functionalities (attributes). ResultsWe identified 30 tools from 1914 publications and 45 responses from 52% (28/54) of African countries. Approximately 13% of the tools (4/30; Surveillance Outbreak Response Management and Analysis System, Go.Data, CommCare, and District Health Information Software 2) covered 93% (14/15) of the identified attributes. Of the 30 tools, 17 (59%) tools managed health event data, 20 (67%) managed case-based data, and 28 (97%) offered a dashboard. Clustering identified 2 exceptional attributes for outbreak management, namely contact follow-up (offered by 8/30, 27%, of the tools) and transmission network visualization (offered by Surveillance Outbreak Response Management and Analysis System and Go.Data). ConclusionsThere is a large range of tools in use; however, most of them do not offer a comprehensive set of attributes, resulting in the need for public health workers having to use multiple tools in parallel. Only 13% (4/30) of the tools cover most of the attributes, including those most relevant for response to the COVID-19 pandemic, such as laboratory interface, contact follow-up, and transmission network visualization.
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spelling doaj.art-e57515b6a8934145a9db4685136ee27d2023-08-28T20:04:09ZengJMIR PublicationsJMIR Public Health and Surveillance2369-29602021-12-01712e3010610.2196/30106Availability and Suitability of Digital Health Tools in Africa for Pandemic Control: Scoping Review and Cluster AnalysisBernard C Silenouhttps://orcid.org/0000-0002-4826-0042John L Z Nyirendahttps://orcid.org/0000-0003-0851-712XAhmed Zaghloulhttps://orcid.org/0000-0001-7220-0798Berit Langehttps://orcid.org/0000-0002-9325-9307Juliane Doerrbeckerhttps://orcid.org/0000-0002-5668-7433Karl Schenkelhttps://orcid.org/0000-0001-5444-9143Gérard Krausehttps://orcid.org/0000-0003-3328-8808 BackgroundGaining oversight into the rapidly growing number of mobile health tools for surveillance or outbreak management in Africa has become a challenge. ObjectiveThe aim of this study is to map the functional portfolio of mobile health tools used for surveillance or outbreak management of communicable diseases in Africa. MethodsWe conducted a scoping review by combining data from a systematic review of the literature and a telephone survey of experts. We applied the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines by searching for articles published between January 2010 and December 2020. In addition, we used the respondent-driven sampling method and conducted a telephone survey from October 2019 to February 2020 among representatives from national public health institutes from all African countries. We combined the findings and used a hierarchical clustering method to group the tools based on their functionalities (attributes). ResultsWe identified 30 tools from 1914 publications and 45 responses from 52% (28/54) of African countries. Approximately 13% of the tools (4/30; Surveillance Outbreak Response Management and Analysis System, Go.Data, CommCare, and District Health Information Software 2) covered 93% (14/15) of the identified attributes. Of the 30 tools, 17 (59%) tools managed health event data, 20 (67%) managed case-based data, and 28 (97%) offered a dashboard. Clustering identified 2 exceptional attributes for outbreak management, namely contact follow-up (offered by 8/30, 27%, of the tools) and transmission network visualization (offered by Surveillance Outbreak Response Management and Analysis System and Go.Data). ConclusionsThere is a large range of tools in use; however, most of them do not offer a comprehensive set of attributes, resulting in the need for public health workers having to use multiple tools in parallel. Only 13% (4/30) of the tools cover most of the attributes, including those most relevant for response to the COVID-19 pandemic, such as laboratory interface, contact follow-up, and transmission network visualization.https://publichealth.jmir.org/2021/12/e30106
spellingShingle Bernard C Silenou
John L Z Nyirenda
Ahmed Zaghloul
Berit Lange
Juliane Doerrbecker
Karl Schenkel
Gérard Krause
Availability and Suitability of Digital Health Tools in Africa for Pandemic Control: Scoping Review and Cluster Analysis
JMIR Public Health and Surveillance
title Availability and Suitability of Digital Health Tools in Africa for Pandemic Control: Scoping Review and Cluster Analysis
title_full Availability and Suitability of Digital Health Tools in Africa for Pandemic Control: Scoping Review and Cluster Analysis
title_fullStr Availability and Suitability of Digital Health Tools in Africa for Pandemic Control: Scoping Review and Cluster Analysis
title_full_unstemmed Availability and Suitability of Digital Health Tools in Africa for Pandemic Control: Scoping Review and Cluster Analysis
title_short Availability and Suitability of Digital Health Tools in Africa for Pandemic Control: Scoping Review and Cluster Analysis
title_sort availability and suitability of digital health tools in africa for pandemic control scoping review and cluster analysis
url https://publichealth.jmir.org/2021/12/e30106
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