The electronic tools used in the Ebola virus disease management in West Africa: what lessons for scaling up

Transcription

1 The electronic tools used in the Ebola virus disease management in West Africa: what lessons for scaling up Dr Ly Ousmane DG oh National e-health Agency (MOH) and Maître Assistant Département d Etude et de Recherche en Santé Publique et Spécialités, Faculté de Médecine, Université des Sciences et Technologies de Bamako

2 Background

3 EBOLA VIRUS

4 Definition Ebola fever, Ebola hemorrhagic fever, Ebola vir us disease is an usually fatal disease, a type of hemorrhagic fever, caused by the Ebola virus and marked by high fever, severe gastrointestinal distress, and bleeding. Ebola River, Democratic Republic of the Congo, near which an outbreak of the disease occurred in 1976.

5 EBOLA VIRUS CYCLE

6 CASES

7 E-tools Applications and tools for general public Webs, Social media, Toll free number, free sms campaign Applications for health workers and decision makers Webs, Statistical software, dash board, tracking system (using mobile and GPS technologies), Geographic Information System applications (Maps, interactive mapping, geolocation.).

8 WEBS SOCIAL MEDIA All informations on officials webs officiels for many and social media like facebook, youtube, twiter But some country hane nothing yet.

9

10 Outbreak Countries

11 No information on EBOLA and last update is january 2013

12 Many informations on EBOLA and last update is 31 january 2015

13 Many informations on EBOLA and last update is 04 February 2015

14 Lack informations on EBOLA and last update is 02 February 2015

15 Many informations on EBOLA and last update is 04 February 2015

16 Many informations on EBOLA and last update is 03 February 2015

17 FREE EBOLA BORDERLINE COUNTRIES

18 Many informations on EBOLA and last update is 03 February 2015

19 Many informations on EBOLA and last update is 03 February 2015

20 Some informations on EBOLA and last update is April 2014

21 Toll free number and free sms All outbreak countries have done toll free number platform, free sms campaign. For Mali, it s take 5 weeks to operate a correct and efficiency toll free number system.

22 Iteration 1 (week 1) Téléphone WASSA avec un seul numéro (Technologie sans fils) Médecin épidémiolo giste 24H/24h Enregistrem ent manuel des appels sur des registres à la DNS Sotelma Malitel Téléphone WASSA avec un seul numéro (Technologie sans fils) 1 Standardiste 24h/24H Direction Nationale de la Santé (DNS)

23 Iteration 2 (Week2) Orange Mali Boitier Livebox busines avec deux numéros (Technologie sans fils) Téléphone WASSA avec un seul numéro (Technologie sans fils) Enregistrem ent manuel des appels sur des registres à la DNS Direction Nationale de la Santé (DNS) Sotelma Malitel Téléphone WASSA avec un seul numéro (Technologie sans fils) Téléopérateurs (DNS-ANTIM) 24H/24H

24 Iteration 3 (Week 3) 10 positions Call me Orange Mali Téléopérateurs Professionnels 08H-23H Ebolaphone Sotelma Malitel Direction Nationale de la Santé (DNS)

25 Iteration 4 (Week 4) 20 positions Call me Transmission des données Donn ées Orange Mali Téléopérateurs Professionnels 24H/24H Ebolaphones Liste de diffusion ebola@sante.gov.ml Sotelma Malitel Direction Nationale de la Santé (DNS) Cellule de crise Ebola

26 Iteration 5 (Week 5) 40 positions Call me Transmission des données Donn ées Orange Mali Téléopérateurs Professionnels 24H/24H Ebolaphones Liste de diffusion ebola@sante.gov.ml Sotelma Malitel Centre Opérationnel d Urgence (COU) Cellule de crise Ebola

27 Correlation between itérations 3,4,5 and the number of dial toll free number J1 J2 J3 J4 J5 J6 J7 J8 J9 J10 J11 J12 J13 J14 J15 J16 J17 J18 J19 J20 J21 J22 J23 J24 J25 J26 J27 Iteration 3 Iteration 4 Iteration 5

28 Impact of rumors on calls Appels % 90% 88% 90% 87% 89% 90% 89% 91% 89% 88% 100% 90% 80% 70% % 40% 34% 29% 42% 44% 49% 50% 21% 15% 19% 38% 41% 50% 54% 51% 60% 50% 40% 30% 20% 10% 0 0% % traitement Nbre d'appels présentés Nbre d'appels traités Increase in calls to tollfree numbers even before the official announcement of the second transmission chain

29 FRENCH MOOC EBOLA

30 Real time tracking system

31 Real Time IDSR System (Mali) DEMOS =>

32 End of ebola outbreak

33 About Zika

34 And more ZIKA

35 Sante.gov.ml : rift valey fever

36 RUMOR on WEB

37 Conclusion ICT has been invaluable in the fight against Ebola Virus Disease in West Africa The fact is that there are more NGOs, international organizations and the Technical / financial partners who have the most used e-tool more than government side The big challenge is sustainability and move from pilot project to scale up project ICTs can address the overall health systems strengthening especially the problem of health information systems in SDG s era.

38 Thanks