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Sustainability of a mobile phone application-based data reporting system in Myanmar’s malaria elimination program: a qualitative study

Version 3 2024-06-20, 00:09
Version 2 2024-06-03, 03:24
Version 1 2024-03-12, 02:49
journal contribution
posted on 2024-06-20, 00:09 authored by Win Han Oo, Kaung Myat Thu, JC Cutts, Win Htike, Kyawt Mon Win, May Chan Oo, NH Galau, Paul AgiusPaul Agius, Pyae Phyo Htoon, E Kearney, Aung Thi, Ye Win Aung, Min Min Thein, K Rosecrans, Kyi Tun Lwin, Aung Kyi Min, FJI Fowkes
Abstract Background Strengthening surveillance systems to collect near-real-time case-based data plays a fundamental role in achieving malaria elimination in the Greater Mekong Subregion (GMS). With the advanced and widespread use of digital technology, mHealth is increasingly taking a prominent role in malaria surveillance systems in GMS countries, including Myanmar. In Myanmar’s malaria elimination program, an mHealth system called Malaria Case-based Reporting (MCBR) has been applied for case-based reporting of malaria data by integrated community malaria volunteers (ICMVs). However, the sustainability of such mHealth systems in the context of existing malaria elimination programs in Myanmar is unknown. Methods Focus group discussions were conducted with ICMVs and semi-structured in-depth interviews were conducted with malaria program stakeholders from Myanmar’s Ministry of Health and Sports and its malaria program implementing partners. Thematic (deductive followed by inductive) analysis was undertaken using a qualitative descriptive approach. Results Technological and financial constraints such as inadequate internet access, software errors, and insufficient financial resources to support mobile phone-related costs have hampered users’ access to MCBR. Poor system integrity, unpredictable reporting outcomes, inadequate human resources for system management, and inefficient user support undermined the perceived quality of the system and user satisfaction, and hence its sustainability. Furthermore, multiple parallel systems with functions overlapping those of MCBR were in use. Conclusions Despite its effectiveness and efficiency in malaria surveillance, the sustainability of nationwide implementation of MCBR is uncertain. To make it sustainable, stakeholders should deploy a dedicated human workforce with the necessary technical and technological capacities; secure sustainable, long-term funding for implementation of MCBR; find an alternative cost-effective plan for ensuring sustainable system access by ICMVs, such as using volunteer-owned mobile phones for reporting rather than supporting new mobile phones to them; and find a solution to the burden of multiple parallel systems. Trial registration Not applicable.

History

Journal

BMC Medical Informatics and Decision Making

Volume

21

Article number

285

Pagination

1-14

Location

London, Eng.

ISSN

1472-6947

eISSN

1472-6947

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Issue

1

Publisher

BMC

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