Testing the use of SMS reminders in the treatment of Tuberculosis in Cape Town, South Africa

Submitted by Editor on 29 March, 2005 - 12:00.

This study evaluates a project led by On Cue, a small company based in Cape Town, South Africa, which sends SMS messages to patients via mobile telephones, reminding them to take their tuberculosis (TB) medication at pre-determined times. This service aims to provide an affordable solution to improve patient adherence to TB treatment and reduce the associated costs of the directly observed therapy system for both patients and clinics. This report presents the lessons learned so far, as well as other uses of cellular technology in the healthcare sector.

View: Executive summary | Public Announcement
Jump to: Table of contents | Acknowledgements

Table of contents

Executive Summary
Acknowledgements
1 Introduction
2 Background on the treatment of Tuberculosis
2.1 Tuberculosis: a worldwide problem
2.2 How TB is detected, treated and controlled
2.3 The issue of patient adherence to treatment regimes
2.4 Tuberculosis in South Africa
2.5 TB in the Cape Town metropolitan area
2.6 Enhancing TB treatment adherence in Cape Town
3 About the on-cue TB compliance service
4 Evaluation objectives and methodology
4.1 The evaluation process
5 Findings of the evaluation
5.1 Treatment outcomes
5.2 Real Access to the Compliance Service
Physical access to cellular technology
Appropriateness of cellular technology to health care in this context
Cost impact: patient costs
Cost impact: health service costs
Capacity issues around using the
Compliance Service Privacy and data protection
Integration of the Compliance Service into daily routines
Patient support and enthusiasm for the Compliance Service
5.3 Project management and implementation of the Compliance Service
Doing homework and conducting a needs assessment
Implementing and disseminating best practice
Ensuring ownership, getting local buy-in, finding a champion
Setting concrete goals and taking small achievable steps
Critically evaluating efforts, reporting back, and adapting as needed
Address key external challenges
Making it sustainable
Involving traditionally-excluded groups and addressing socio-cultural factors
6 Discussion and analysis
6.1 Key findings
6.2 Obstacles to widespread rollout
7 Recommendations to the city council
7.1 Re-implementing the pilot
7.2 Suggested new procedure for a Compliance Service pilot
7.3 Scaling up the Compliance Service
8 Concluding remarks
Annex 1. Treatment outcomes from assessment of 221 patient records
Annex 2. The bridges.org Real Access/Real Impact criteria
Annex 3. Questionnaire for patient interviews
Annex 4. Results from a survey of patient satisfaction with the Compliance Service
Annex 5. Questionnaire for health worker interviews
Annex 6. Consent form
Annex 7. Results of a survey of health worker satisfaction with the Compliance Service
Annex 8. Details of how patient interviews were set up and conducted

 

Acknowledgements

This report was prepared for the City of Cape Town Health Directorate and the International Development Research Council (IDRC).

Bridges.org would like to recognise the work of Jennifer Huesler on this evaluation. We would like to thank Dr. Ivan Toms of the Cape Town City Health Directorate, and staff at Chapel Street clinic for their assistance with compiling data for this report and supporting the evaluator during visits. In particular, we would like to thank Dr. Virginia Azevedo of the Cape Town City Health Directorate for her invaluable input, and for lending us her time and expertise. Financial support for this evaluation was provided by the International Development Research Council (IDRC).

Submitted by MadeInChinaMade... on 9 March, 2010 - 01:37.
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Submitted by MadeInChinaMade... on 9 March, 2010 - 01:32.
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Submitted by peacelover88 on 8 March, 2010 - 02:12.
Submitted by MadeInChinaMade... on 8 March, 2010 - 02:05.
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Submitted by MadeInChinaMade... on 8 March, 2010 - 02:05.
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Submitted by CaHomesMark on 7 March, 2010 - 22:51.
"This study evaluates a project led by On Cue, a small company based in Cape Town, South Africa, which sends SMS messages to patients via mobile telephones, reminding them to take their tuberculosis (TB) medication at pre-determined times. This service aims to provide an affordable solution to improve patient adherence to TB treatment and reduce the associated costs of the directly observed therapy system for both patients and clinics. This report presents the lessons learned so far, as well as other uses of cellular technology in the healthcare sector." great worked, thanks for this endeavor IRVINE Ca Homes For Sale | Ca Homes For Sale 3.5% FHA Ca Homes For Sale | RIVERSIDE Ca Homes For Sale 100% VA STOCKTON Ca Homes For Sale | TEMECULA Ca Homes For Sale Zero Down USDA BEVERLY HILLS Ca Homes For Sale | PALM SPRINGS Ca Homes For Sale Half Percent Down FREMONT Ca Homes For Sale | HUNTINGTON BEACH Ca Homes For Sale 203 K FHA MODESTO Ca Homes For Sale | MORENO VALLEY Ca Homes For Sale Conventional Loans MURRIETA Ca Homes For Sale | PALMDALE Ca Homes For Sale Jumbo Loans PASADENA Ca Homes For Sale | SANTA ROSA Ca Homes For Sale City Down Payment TRACY Ca Homes For Sale | Anaheim Ca Homes For Sale 2yr BK Discharge OK IRVINE Ca Foreclosures | Ca Foreclosures <620 FICO with No 12 mo lates Ca Foreclosures | RIVERSIDE Ca Foreclosures 620+ FICO Ok STOCKTON Ca Foreclosures | TEMECULA Ca Foreclosures 6% Seller Credit OK BEVERLY HILLS Ca Foreclosures | PALM SPRINGS Ca Foreclosures 30 Yr Fixed FREMONT Ca Foreclosures | HUNTINGTON BEACH Ca Foreclosures 15 Yr Fixed MODESTO Ca Foreclosures | MORENO VALLEY Ca Foreclosures 20 Yr Fixed MURRIETA Ca Foreclosures | PALMDALE Ca Foreclosures 5 Yr Adjustable PASADENA Ca Foreclosures | SANTA ROSA Ca Foreclosures 7 Yr Adjustable TRACY Ca Foreclosures | Anaheim Ca Foreclosures 10 Yr Adjustable
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Submitted by MadeInChinaMade... on 6 March, 2010 - 09:33.
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