Institute of Population, Health and Development, Hanoi, Vietnam.
JMIR Mhealth Uhealth. 2016 May 25;4(2):e65. doi: 10.2196/mhealth.4509.
In Vietnam, infectious disease surveillance data are collected via a paper-based system through four government tiers leading to a large delay. Meanwhile, mobile phones are abundant and very popular in the country, and known to be a useful tool in health care worldwide. Therefore, there is a great potential for the development of a timely disease surveillance system through the use of mobile phone short message service (SMS) text messages.
This study aims to explore insights about the feasibility and practicalities of the utilization of SMS text messaging-based interventions in disease-reporting systems by identifying potential challenges and barriers in the text messaging process and looking at lessons learned.
An SMS text messaging-based disease tracking system was set up in Vietnam with patient reports texted by clinic staff. Two 6-month trials utilizing this disease tracking system were designed and implemented in two northern provinces of Vietnam to report two infectious diseases: diarrhea and influenza-like illness. A structured self-reported questionnaire was developed to measure the feasibility and practicalities of the system from the participants. On the completion of the second trial in 2013, participating health staff from 40 commune health centers in the two pilot provinces were asked to complete the survey (N=80).
Most participants were female (61%, 49/80) and nearly half (44%, 35/80) were heads of a commune health center. Approximately two-thirds (63%, 50/80) of participants retained the basic structure of the SMS text message report and there was a strong influence (OR 28.2, 95% CI 5.3-151.2) of those people on the time they spent texting the information. The majority (88%, 70/80) felt the information conveyed in the SMS text message report was not difficult to understand. Most (86%, 69/80) believed that they could report all 28 infectious diseases asked for by the Ministry of Health by using SMS text messaging.
From a health center staff perspective, a disease-reporting system utilizing text messaging technology is easy to use and has great potential to be implemented and expanded nationwide. The survey showed positive perceptions and feedback from the participants and contributed to a promising practical solution to improve the surveillance system of infectious disease in Vietnam.
在越南，传染病监测数据通过政府四级系统以纸质形式收集，导致数据严重滞后。与此同时，手机在越南非常普及，是全球医疗保健的有用工具。因此，利用手机短消息服务（SMS）短信开发及时疾病监测系统具有很大潜力。
本研究旨在探讨通过识别短信过程中的潜在挑战和障碍，以及借鉴经验教训，利用基于短信的干预措施开发疾病报告系统的可行性和实用性。
在越南建立了基于短信的疾病跟踪系统，由诊所工作人员发送患者报告。在越南两个北部省份设计并实施了两个为期 6 个月的试验，以报告两种传染病：腹泻和流感样疾病。开发了一个结构化的自我报告问卷，从参与者的角度衡量系统的可行性和实用性。在 2013 年第二次试验完成后，要求来自两个试点省份 40 个社区卫生中心的参与卫生工作人员完成调查（N=80）。
大多数参与者为女性（61%，49/80），近一半（44%，35/80）为社区卫生中心主任。大约三分之二（63%，50/80）的参与者保留了短信报告的基本结构，并且对他们花费在发送信息上的时间有很强的影响（OR 28.2，95%CI 5.3-151.2）。大多数人（88%，70/80）认为短信报告中传达的信息易于理解。大多数人（86%，69/80）认为他们可以通过短信报告卫生部要求的所有 28 种传染病。
从卫生中心工作人员的角度来看，利用短信技术的疾病报告系统易于使用，具有在全国范围内实施和扩展的巨大潜力。调查显示，参与者的反馈和意见是积极的，这为改善越南传染病监测系统提供了一个有前途的实用解决方案。
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