Linking the global positioning system (GPS) to a personal digital assisstant (PDA) to support tuberculosis control in South Africa: A pilot study

被引：29
作者：
Dwolatzky B. [1 ]
Trengove E. [1 ]
Struthers H. [2 ]
McIntyre J.A. [2 ]
Martinson N.A. [2 ,3 ]
机构：
[1] School of Electrical and Information Engineering, University of the Witwatersrand, Wits 2050 Johannesburg
[2] Perinatal HIV Research Unit, University of the Witwatersrand, Johannesburg
[3] Johns Hopkins University Center for TB Research, Baltimore, MD
来源：
International Journal of Health Geographics | / 5卷 / 1期
关键词：
Global Position System; Geographical Information System; Aerial Photograph; Personal Digital Assistant; Informal Settlement;
D O I：
10.1186/1476-072X-5-34
中图分类号：
学科分类号：
摘要：
Background: Tuberculosis (TB) is the leading clinical manifestation of HIV infection and caseloads continue to increase in high HIV prevalence settings. TB treatment is prolonged and treatment interruption has serious individual and public health consequences. We assessed the feasibility of using a handheld computing device programmed with customised software and linked to a GPS receiver, to assist TB control programmes to trace patients who interrupt treatment in areas without useful street maps. In this proof of concept study, we compared the time taken to re-find a home comparing given residential addresses with a customised personalised digital assistant linked to a global positioning system (PDA/GPS) device. Additionally, we assessed the feasibility of using aerial photographs to locate homes. Results: The study took place in two communities in Greater Johannesburg, South Africa: Wheillers Farm, a relatively sparsely populated informal settlement, and a portion of Alexandra, an urban township with densely populated informal settlements. Ten participants in each community were asked to locate their homes on aerial photographs. Nine from Wheillers Farm and six from Alexandra were able to identify their homes. The total time taken by a research assistant, unfamiliar with the area, to locate 10 homes in each community using the given addresses was compared with the total time taken by a community volunteer with half an hour of training to locate the same homes using the device. Time taken to locate the ten households was reduced by 20% and 50% in each community respectively using the PDA/GPS device. Conclusion: In this pilot study we show that it is feasible to use a simple PDA/GPS device to locate the homes of patients. We found that in densely populated informal settlements, GPS technology is more accurate than aerial photos in identifying homes and more efficient than addresses provided by participants. Research assessing issues of, confidentiality and cost effectiveness would have to be undertaken before implementing PDA/GPS - based technology for this application. However, this PDA/GPS device could be used to reduce part of the burden on TB control programs. © 2006 Dwolatzky et al; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 21 条
  • [1] Global tuberculosis control: Surveillance, planning, financing, (2006)
  • [2] Pope D.S., Chaisson R.E., TB treatment: As simple as DOT?, Int J Tuberc Lung Dis, 7, 7, pp. 611-615, (2003)
  • [3] De Cock K.M., Chaisson R.E., Will DOTS do it? A reappraisal of tuberculosis control in countries with high rates of HIV infection, Int J Tuberc Lung Dis, 3, 6, pp. 457-465, (1999)
  • [4] Wares D.F., Singh S., Acharya A.K., Dangi R., Non-adherence to tuberculosis treatment in the eastern Tarai of Nepal, Int J Tuberc Lung Dis, 7, 4, pp. 327-335, (2003)
  • [5] Khan M.A., Walley J.D., Witter S.N., Shah S.K., Javeed S., Tuberculosis patient adherence to direct observation: Results of a social study in Pakistan, Health Policy Plan, 20, 6, pp. 354-365, (2005)
  • [6] Jaiswal A., Singh V., Ogden J.A., Porter J.D., Sharma P.P., Sarin R., Arora V.K., Jain R.C., Adherence to tuberculosis treatment: Lessons from the urban setting of Delhi, India, Trop Med Int Health, 8, 7, pp. 625-633, (2003)
  • [7] Edginton M.E., Sekatane C.S., Goldstein S.J., Patients' beliefs: Do they affect tuberculosis control? A study in a rural district of South Africa, Int J Tuberc Lung Dis, 6, 12, pp. 1075-1082, (2002)
  • [8] Tuberculosis (TB). DOTS
  • [9] Strang J.I., Tracing patients in rural Africa, Lancet, 348, 9034, pp. 1083-1084, (1996)
  • [10] Edginton M.E., Wong M.L., Phofa R., Mahlaba D., Hodkinson H.J., Tuberculosis at Chris Hani Baragwanath Hospital: Numbers of patients diagnosed and outcomes of referrals to district clinics, The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union Against Tuberculosis and Lung Disease, 9, 4, pp. 398-402, (2005)
123