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Cell-Life:
Using Mobile Technology to Prevent and Treat HIV/AIDS in South Africa
AF-AIDS
July 24, 2007
http://eforums.healthdev.org/read/messages?id=18060
In South Africa, Cell-Life
has developed open-source software solutions that enable medical
professionals and caregivers to monitor patients receiving treatment
for HIV/AIDS through transmitting vital information via mobile phone.
An estimated 5.5 million
people, or one in five South Africans, is HIV-positive, with up
to 600 people dying each day from HIV/AIDS related illnesses. An
estimated 220,000 of the nation's citizens are currently accessing
free anti-viral treatment (ARV) for the disease. Due to logistical
and other challenges (e.g., severe side effects associated with
some medications), many have difficulty obtaining medical assistance
to monitor and modify their treatment.
Started by professors
at the University of Cape Town and Cape Peninsula University of
Technology, Cell-Life has developed technology-based solutions to
improve treatment for those with HIV/AIDS, and prevent the disease's
spread. The "e-health" company capitalizes on the fact
that up to 60 percent of South Africa's population uses mobile phones,
with mobile networks covering 94 percent of the country.
One Cell-Life
initiative allows doctors and caregivers to monitor patients receiving
ARV treatment and identify problems before they become life threatening.
Vital patient information (e.g., patient symptoms, medications,
dosage, dietary concerns, and other health information) is recorded
using a cell phone equipped with a special menu that allows it to
capture specific data. The information is transferred via SMS to
an information database, with doctors and/or nurses accessing the
database over a secure connection.
Whereas as in the past
it could have taken weeks, or even months, for health care professionals
to retrieve patient data collected in remote locations by hand,
now steps can be taken immediately to improve a patient's status.
In the event of emergencies, doctors can also be automatically contacted
via SMS. To protect patient confidentiality, the database stores
information according to unique patient numbers, and is password-protected.
Through another initiative,
developed in cooperation with the Academy for Educational Development,
Cell-Life has engaged representatives from up to 10,000 schools
to report on the number of HIV peer education sessions that take
place. The school representatives send a simple SMS to Cell-Life,
which consolidates the information in a database designed to monitor
HIV/AIDS prevention efforts.
Cell-Life, which
works in partnership with the Vodacom Foundation among others, is
currently developing an aggregated reporting capability that will
allow it to generate key findings from its central database for
use by government officials and/or funders. The applications developed
also allow for numerous other cell phone solutions to be developed
which is very important in the context specific public health sector.
How
it was done
Cell-Life belives
that flexibility and scalability are very important in the resource
limited, context-specific settings of South Africa. The organisation
has developed a wide range of skills using a variety of cell phone
technologies from which it develops solutions as they are needed.
The latest project includes the development of a laboratory module
(used to transfer HIV/TB lab results from testing station to remote
clinics) through mobile technology.
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