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Development and Implementation of SMS Disease Surveillance System
in Mukdahan, Thailand and Savannakhet, Lao PDR
Dr. Prapas Weerapol, Mukdahan
MBDS Associate Province Coordinator,
Mukdahan Health Office, Thailand
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Rational
- Mudahan - Savarnnakhet is an
important area of Mekong Basin Disease
Surveillance.
- Mukdahan is one of cross border point
be connected to Laos, Vietnam
- Mukdahan - Savarnnakhat have been
developed ICT schema for Bio-
Surviellance
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Objectives
1.! To improve the effectiveness in epidemiology report2.! To build a network of local health officials in using disease surveillance
system to help control the epidemiology locally and internationally.
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Implementation process
Public Health Office in Mukdahan province, the ICT for Development Program of
the Thai Health Promotion Foundation and InSTEDD organization has initiated the use
of SMS for disease surveillance system in Mukdahan Savannakhet, Lao PDR under
the Mekong Basin Disease Surveillance project (MBDS) project.
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Implementation Process
1. Build a network of public health officials in Lao PDR and Thailand who will be
using the Geo Chat system.
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Group Communication in GeoChat system
when group member send a message
i.e. Field visit at Nong Sung Vill.today
Everyone in group will get message
Field visit at Nong Sung Vill.today
The message Field visit at Nong Sung
Vill.today will be added to groups
page in Geochat
Mr.Somsak
Mr.Samarn
Ms.SumangMr.Somjai
Mr.Samran
Field visit at NongSung Vill. today
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The Geochats web display
The groups
messagesThe geographical
position in online
mapping
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Geochat Training
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Mukdahan Province
DidtrictMuang 23Members
CS
SS
S
DidtrictNikom
15
CS
SS
S DidtrictDontan
13
CS
SS
S
DidtrictDonglung
15
CS
SS
S
DidtrictNongsung
10
CS
SS
S
DidtrictKumchi-e
15
CS
SS
S
DidtrictWanyai
10
CS
SS
S
Mukdahan STTR Group Administration07/08/09
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Head of District sends
announcements and
alerts to health
centers in the district.
Head of District sends
announcements and
alerts to health
centers in the district.
PHD sends messages to
Heads of Districts
Head of District
sends messages
to the province
level and report
important or
summarized
cases
Health centers reports cases and
discuss issues with colleagues.
Messages are received by all
members of the district and by the
Head of District .
Provincial Group
Messages can besent through SMS ,
Web or Email .
Operational District
Group
(
% % % % % % % %% % % % % % % % %
% % % % % % % %% % % % % % %
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12
ILI Case Reporting from Subdistrict
Subdistrict
Every Friday
5..10 subdistricts
District
District SRRT Member
Number of ILI cases
Per district: chatroom group (e.g. muk02) with
All heads of subdistrict HC
District SRRT members
Head of
subdistrict
health center
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ILI Case Reporting to Province
District Hospital
SRRT Member
Every Monday and Thursday
7 districts
Mukdahan
Provincial PH Office
Ms.Punchawee
Number of ILI cases
For Mukdahan: chatroom group (muk) with
All heads of District SRRT
Suyai, Punchawee & Boonchok
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H1N1 Suspect Case
District Hospital
SRRT Member
After doctor diagnoses H1N1
H1N1 suspect warning All subdistricts
Formal Confirmation (paper)
+ SMS notification
Lab
Provincial PH Office
Ms.Punchawee
Formal Alert SMS (today call)
Confirmation of H1N1Notify that response
team will be sent to
investigate
2
1
3
4
5
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Reportable DiseasesIf case comes from same district
District A Hospital
SRRT Member
When doctor confirms disease
5..10 subdistricts
Notify subdistricts
Provincial PH Office
Ms.Punchawee
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Reportable DiseasesIf case comes from different district
Wanyai Hospital
SRRT Member
When doctor confirms disease from district
B
5..10 subdistricts of Wanyai
Notify subdistricts
Provincial PH Office
Ms.Punchawee
Nikom Hospital
Notify that response team will
be sent to investigate
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17
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The current status of the project
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Number of SMS sent categorized by types of report33%
31%
36%
ILI case and ILI screening reports
Outbreak, disease screening and control notifications
General notifications and invitations
S
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SummaryMembers in the network see the necessity and value of the system. Their feedbacks
are as followings:
1. They found that they could spread out health report to everyone in such speedy yet effective method. Diseases
under surveillance that have been found and reported include H1N1 and dengue fever.
2. This cost-effective real-time report system informs the location of where the disease is found. The program and
the structure are user-friendly. And the analysis gives a collective data to Public Health Department officials and
allows them to have a better decision making for disease control.
3. Members in the network receive real-time report and notifications from either top-down or bottom-up levels. The
system has proved to have high satisfaction rate from user members.
4. Members are able to analyze data and then send the report to the public health headquarter as soon as the
disease is found. The system definitely contributes to the increase in effectiveness of disease outbreak control of
the SRRT team.
5. The system help stimulate and facilitate real-time report.
6. Public health executives are able to keep tracked of the outbreak as well as to see the big picture of the
situation.
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Suggestions! 1. Members from the pilot group agreed that the SMS disease surveillance systemshould also be implemented in other remote areas not only for health-related report but
also any social security issue such as illegal drug, environment or dangerous areas.
Volunteers from local communities, Local Live Stock Department officials and/or people
with high potential to be infected are to be involved.
! 2. The Thai Health Promotion Foundation and InSTEED are working together todevelop the program to be able to analyze the data using computer programs so that
the report can be submitted to the public health executives as speedy as possible.
! 3. The program should be implemented in other local communities as well as in theinternational level.
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