Gichoya Judy, Pearce Chris, Wickramasinghe Nilmini
REACH informatics, Kenya.
Stud Health Technol Inform. 2013;192:1120.
Kenya ranks among the twenty-two countries that collectively contribute about 80% of the world's Tuberculosis cases; with a 50-200 fold increased risk of tuberculosis in HIV infected persons versus non-HIV hosts. Contemporaneously, there is an increase in mobile penetration and its use to support healthcare throughout Africa. Many are skeptical that such m-health solutions are unsustainable and not scalable. We seek to design a scalable, pervasive m-health solution for Tuberculosis care to become a use case for sustainable and scalable health IT in limited resource settings. We combine agile design principles and user-centered design to develop the architecture needed for this initiative. Furthermore, the architecture runs on multiple devices integrated to deliver functionality critical for successful Health IT implementation in limited resource settings. It is anticipated that once fully implemented, the proposed m-health solution will facilitate superior monitoring and management of Tuberculosis and thereby reduce the alarming statistic regarding this disease in this region.
肯尼亚是二十二个国家之一，这些国家合计约占全球结核病病例的80%；与未感染艾滋病毒的宿主相比，艾滋病毒感染者患结核病的风险增加了50至200倍。与此同时，非洲各地的移动普及率不断提高，且移动技术被用于支持医疗保健。许多人怀疑此类移动医疗解决方案不可持续且无法扩展。我们试图设计一种可扩展、普及的结核病护理移动医疗解决方案，使其成为资源有限环境中可持续且可扩展的健康信息技术的一个应用案例。我们结合敏捷设计原则和以用户为中心的设计来开发该项目所需的架构。此外，该架构运行在多个集成设备上，以提供对在资源有限环境中成功实施健康信息技术至关重要的功能。预计一旦全面实施，拟议的移动医疗解决方案将促进对结核病的卓越监测和管理，从而降低该地区有关这种疾病的惊人统计数据。
