A Social Media mHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka.

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  • Additional Information
    • Affiliation:
      Centre of Social Media Innovations for Communities, Nanyang Technological University, Singapore, Singapore
      Nanyang Technological University, School of Computer Science and Engineering, Singapore, Singapore
      Colombo Municipal Council, Colombo, Sri Lanka
      University of Colombo, School of Computing, Colombo, Sri Lanka
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: Sri Lanka has witnessed a series of dengue epidemics over the past five years, with the western province, home to the political capital of Colombo, bearing more than half of the dengue burden. Existing dengue monitoring prevention programs are exhausted as public health inspectors (PHIs) cope with increasing workloads and paper-based modes of surveillance and education, characterizing a reactive system unable to cope with the enormity of the problem. On the other hand, the unprecedented proliferation and affordability of mobile phones since 2009 and a supportive political climate have thus far remained unexploited for the use of mobile-based interventions for dengue management.Objective: To conduct a needs assessment of PHIs in Colombo with respect to their dengue-related tasks and develop a new mobile-based system to address these needs while strengthening existing systems.Methods: One-on-one in-depth interviews were conducted with 29 PHIs to a) gain a nuanced, in-depth understanding of the current state of surveillance practices, b) understand the logistical, technological and social challenges they confront, and c) identify opportunities for mobile-based interventions. Quantitative analysis included simple descriptive statistics while qualitative analysis comprised textual analysis of 209 pages of transcripts (or nearly 600 minutes of conversations) using grounded theory approaches.Results: Current paper-based data collection practices for dengue surveillance involved a circuitous, time consuming process that could take between 7-10 days to officially report and record a single case. PHIs confronted challenges in terms of unreliable, standalone GIS devices, delays in registering mosquito breeding sites and lack of engagement from communities while delivering dengue education. These findings, in concert with a high motivation to use mobile-based systems, informed the development of Mo-Buzz, a mobile-based system that integrates three components - digitized surveillance, dynamic disease mapping and digitized dengue education - on a common platform. The system was developed through an iterative, evolutionary, collaborative process, consistent with the Spiral model of software development and is currently being used by all 55 PHIs in the CMC system.Conclusions: Given the entrenched nature of existing paper-based systems in PHIs' work habits, we expect a gradual adoption curve for Mo-Buzz in the future. Equally, we expect variable adoption of the system with respect to its specific components, and specific PHI sub-groups (younger versus older). The Mo-Buzz intervention is a response to multiple calls by the global mHealth community for collaborations in the area of mobile interventions for global health. Our experience revealed that the benefits of this paradigm lies in alleviating country-specific public health challenges through a commonly shared understanding of cultural mores, and sharing of knowledge and technologies. We call upon future researchers to further dissect the applicability of the Spiral Model of software development to mHealth interventions and contribute to the mHealth evidence debate from theoretical and applied perspectives.
    • Journal Subset:
      Biomedical; Canada; Computer/Information Science; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed
    • Instrumentation:
      Home Observation for Measurement of the Environment (HOME) (Bradley and Caldwell)
      Work Environment Scale (WES) (Moos et al)
      Cope (Carver et al)
      Global Appraisal of Individual Needs (GAIN)
      Social Readjustment Rating Scale (SRRS) (Holmes and Rahe)
      Global Assessment of Functioning Scale (GAF)
    • ISSN:
      1438-8871
    • MEDLINE Info:
      PMID: NLM27369296 NLM UID: 100959882
    • Publication Date:
      20170919
    • Publication Date:
      20200308
    • PubMed Central ID:
      PMC4947191
    • DOI:
      10.2196/jmir.4657
    • Accession Number:
      117399001
  • Citations
    • ABNT:
      LWIN, M. O. et al. A Social Media mHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka. Journal of Medical Internet Research, [s. l.], v. 18, n. 7, p. 2, 2016. DOI 10.2196/jmir.4657. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=117399001. Acesso em: 22 out. 2020.
    • AMA:
      Lwin MO, Vijaykumar S, Rathnayake VS, et al. A Social Media mHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka. Journal of Medical Internet Research. 2016;18(7):2. doi:10.2196/jmir.4657
    • APA:
      Lwin, M. O., Vijaykumar, S., Rathnayake, V. S., Lim, G., Panchapakesan, C., Foo, S., Wijayamuni, R., Wimalaratne, P., Newton Fernando, O. N., & Fernando, O. N. N. (2016). A Social Media mHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka. Journal of Medical Internet Research, 18(7), 2. https://doi.org/10.2196/jmir.4657
    • Chicago/Turabian: Author-Date:
      Lwin, May O., Santosh Vijaykumar, Vajira Sampath Rathnayake, Gentatsu Lim, Chitra Panchapakesan, Schubert Foo, Ruwan Wijayamuni, Prasad Wimalaratne, Owen Noel Newton Fernando, and Owen Noel Newton Fernando. 2016. “A Social Media MHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka.” Journal of Medical Internet Research 18 (7): 2. doi:10.2196/jmir.4657.
    • Harvard:
      Lwin, M. O. et al. (2016) ‘A Social Media mHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka’, Journal of Medical Internet Research, 18(7), p. 2. doi: 10.2196/jmir.4657.
    • Harvard: Australian:
      Lwin, MO, Vijaykumar, S, Rathnayake, VS, Lim, G, Panchapakesan, C, Foo, S, Wijayamuni, R, Wimalaratne, P, Newton Fernando, ON & Fernando, ONN 2016, ‘A Social Media mHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka’, Journal of Medical Internet Research, vol. 18, no. 7, p. 2, viewed 22 October 2020, .
    • MLA:
      Lwin, May O., et al. “A Social Media MHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka.” Journal of Medical Internet Research, vol. 18, no. 7, July 2016, p. 2. EBSCOhost, doi:10.2196/jmir.4657.
    • Chicago/Turabian: Humanities:
      Lwin, May O., Santosh Vijaykumar, Vajira Sampath Rathnayake, Gentatsu Lim, Chitra Panchapakesan, Schubert Foo, Ruwan Wijayamuni, Prasad Wimalaratne, Owen Noel Newton Fernando, and Owen Noel Newton Fernando. “A Social Media MHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka.” Journal of Medical Internet Research 18, no. 7 (July 15, 2016): 2. doi:10.2196/jmir.4657.
    • Vancouver/ICMJE:
      Lwin MO, Vijaykumar S, Rathnayake VS, Lim G, Panchapakesan C, Foo S, et al. A Social Media mHealth Solution to Address the Needs of Dengue Prevention and Management in Sri Lanka. Journal of Medical Internet Research [Internet]. 2016 Jul 15 [cited 2020 Oct 22];18(7):2. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=117399001