Chagas Surveillance System Facilitated by Information and Communication Technologies

Wednesday, April 25, 2012
A: Halfdan T. Mahler Hall (Millennium Hall)
Cecilia Maria Cravero Municipalidad de Cordoba, IDRC, Argentina
Ruth Fernández Sr. Faculty of Medical Sciences, National University of Cordoba, Argentina
María Soledad Burrone Faculty of Medical Sciences, National University of Cordoba, Argentina
Ana Willington Ministerio de Salud de Cordoba, Argentina
Federico Brunazzo Sr. Ministerio de Salud de Cordoba, Argentina
Chagas disease is a zoonoses transmitted by a tratomideo (vinchuca) affecting their habitat vulnerable populations are predominantly rural and poor. More than 280.000.000 people live in endemic areas, 15.000.000 are infected, 4.000.000 develop the disease, 12500 Chagas disease die per year. The main weapon against this flagellum  is epidemiological surveillance in endemic areas for early detection of infection.
The application of communication technologies for surveillance systems in Latin America priority diseases such as Chagas disease, is a valuable contribution to the control of a disease that represent a serious public health problem because affects poor and young people causing severe and disabling heart damage. The objetive of this study was to evaluate a surveillance system and medical care supported by information and communication technologies (SVC-ICT), in order to detect early and enter the health system to individuals seropositive for Chagas in area endemic to Argentina. Added two target populations (<15 years and pregnant women) in the interior of Cordoba and the action were: software development for Chagas disease surveillance system facilitated by ICTs, agreements with authorities, training of field agents and health equipment and incorporation of and patient tracking data from SVC-ICT. The pre and post intervention records were analyzed statistically. The number of total population for this analysis included 11,585 was under 15 years (n = 5719 ICT Group and Control Group n = 5866, data obtained from source Ministry of Health of the Province). In Group ICT higher frequencies were obtained records, and 50% of the variables considered the control group contained no information. The SVC-ICT was incorporated into the surveillance systems of the Ministries of Health have today more of 34,000 children under control with great participation of the health team and policy maker.

 


Learning Objectives: The application of the mobile system technology in epidemiological surveillance of Chagas evidence that the recording of data prevents loss of information caused by loss of papers, poor handwriting or incomplete record. At the Ministry of Health assumed agile handling of information and synchronization of alarms that support the follow-up and treatment of patients. An event not foreseen at the time of project formulation, was the use of mobile technology as an educational tool, promoting educational initiatives from the agents of land to the community, which were generated spontaneously as a result of everyday uses of the device and the possibility that ICT gave them access to necessary information. The actions that were generated on the object of observation, reading, manipulation and experimentation. The referees noted that the system favored the production of reliable, relevant, detailed and real-time events, for sound decision-making.