Using a mobile application to improve pediatric presumptive TB identification in western Kenya

D Szkwarko1, J A Amisi2, D Peterson3

  • 1Department of Family Medicine, Warren Alpert Medical School, Brown University, Providence, RI, Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA.

Insights

A mobile app led by community health volunteers significantly improved the identification of presumptive tuberculosis (TB) in children in Kenya. This intervention proved feasible, appropriate, and effective for healthcare workers.

Area of Science:

  • Public Health
  • Pediatrics
  • Digital Health

Background:

  • Early recognition of pediatric tuberculosis (TB) is crucial for timely diagnosis and treatment.
  • Healthcare workers in high TB burden settings face challenges with presumptive TB screening due to competing priorities.
  • A mobile application intervention was evaluated for feasibility, appropriateness, and effectiveness in pediatric primary care.

Purpose of the Study:

  • To assess the feasibility, appropriateness, and effectiveness of a community health volunteer-led mobile application for presumptive pediatric TB screening.
  • To improve the identification and notification of presumptive TB cases in children in western Kenya.

Main Methods:

  • A mixed-methods participatory and iterative approach was used to design and implement the presumptive pediatric TB mobile android application (PPTBMAPP).
  • The intervention was implemented over a 6-month period in pediatric outpatient primary care clinics.
  • Proportions of children in presumptive TB and active TB registers were compared before and after implementation.

Main Results:

  • Out of 1787 children screened, 376 (21%) met presumptive TB criteria.
  • A statistically significant increase in the proportion of children in presumptive TB registers was observed (10.7% vs. 16.2%, P = 0.0005).
  • Healthcare workers reported the application expedited the presumptive TB screening process.

Conclusions:

  • The community health volunteer-led mobile screening intervention significantly increased presumptive TB notification rates.
  • Healthcare workers found the mobile screening intervention to be feasible, appropriate, and effective.
  • Mobile health interventions show promise for enhancing pediatric TB screening in resource-limited settings.

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