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Optimum hardware, software and personnel requirements for a paperless health and demographic surveillance system: a case study of Cross River HDSS, Nigeria

机译:无纸化健康和人口统计监视系统的最佳硬件,软件和人员需求:以尼日利亚Cross River HDSS为例

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Health and Demographic Surveillance Systems (HDSS) are a robust and rigorous data collection, validation, storage, analysis and reporting platforms for community-based data on vital events. These processes make high demands on paper and man-hours with attendant implications on running costs and environmental impact. However, with the rapid development of ICT and increasing affordability of computing devices, some of the manual processes can be replaced with ICT tools. This paper presents a case study of the Cross River HDSS in Akpabuyo Southern Nigeria with a view to highlighting the essential personnel, hardware and software requirements for running an IT-based paperless HDSS in low income settings. The DSA comprised of 22 contiguous EAs of 1370 households. The case study entailed four update rounds, each of which involved field workers visiting households and obtaining information on vital events. The first update round was purely paper-based involving the use of large collections of paper forms for interviews. The last three rounds were IT-based, devoid of paper questionnaires and ran on web-based open source software. Hardware was a set of high-end servers, desktops, tablet PCs and android phones for data collection. The case study demonstrated the feasibility of running a paperless IT-based HDSS in a resource-poor setting using free and open source software, such as the web-based OpenHDS, MySQL, ODK, MirthConnect, etc. This overcomes the limitations of the popular HRS2 in terms of costs, complexities, and lack of compatibility with changing hardware and system software configurations. However, running IT-based paperless HDSS threw up some challenges, such as cases of poor internet connectivity, absence of GSM network connectivity using mobile devices, and having the right mix of staff with sufficient IT skills. This paper recommended solution strategies for overcoming these challenges. The need for the development of new set of protocols for data quality in a paperless HDSS is also discussed.
机译:健康和人口监视系统(HDSS)是一个健壮且严格的数据收集,验证,存储,分析和报告平台,用于基于社区的重大事件数据。这些过程对纸张和工时提出了很高的要求,随之而来的是运营成本和环境影响。但是,随着ICT的飞速发展和计算设备价格的上涨,某些手动过程可以用ICT工具代替。本文介绍了尼日利亚南部阿克巴布约市Cross River HDSS的案例研究,以强调在低收入环境下运行基于IT的无纸化HDSS的基本人员,硬件和软件需求。 DSA由1370户家庭的22个连续EA组成。案例研究需要进行四轮更新,每轮都涉及现场工作人员拜访家庭并获取重要事件的信息。第一轮更新完全是基于纸张的,涉及使用大量纸质表格进行采访。最后三轮基于IT,没有纸质问卷,而是在基于Web的开源软件上运行。硬件是一组用于数据收集的高端服务器,台式机,平板电脑和android手机。案例研究证明了使用免费和开源软件(例如基于Web的OpenHDS,MySQL,ODK,MirthConnect等)在资源贫乏的环境中运行基于无纸IT的HDSS的可行性。这克服了流行的局限性HRS2在成本,复杂性以及与不断变化的硬件和系统软件配置之间缺乏兼容性方面。但是,基于IT的无纸化HDSS的运行带来了一些挑战,例如互联网连接性差,缺少使用移动设备的GSM网络连接以及具有足够的IT技能的员工组合的情况。本文提出了克服这些挑战的解决方案策略。还讨论了开发无纸化HDSS中用于数据质量的新协议集的需求。

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