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Dejan Zurovac

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https://www.readbyqxmd.com/read/26981628/effectiveness-of-a-mobile-short-message-service-based-disease-outbreak-alert-system-in-kenya
#1
Mitsuru Toda, Ian Njeru, Dejan Zurovac, Shikanga O-Tipo, David Kareko, Matilu Mwau, Kouichi Morita
We conducted a randomized, controlled trial to test the effectiveness of a text-messaging system used for notification of disease outbreaks in Kenya. Health facilities that used the system had more timely notifications than those that did not (19.2% vs. 2.6%), indicating that technology can enhance disease surveillance in resource-limited settings.
April 2016: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/26630927/health-systems-readiness-and-management-of-febrile-outpatients-under-low-malaria-transmission-in-vanuatu
#2
Dejan Zurovac, Jean-Olivier Guintran, Wesley Donald, Esau Naket, Josephine Malinga, George Taleo
BACKGROUND: Vanuatu, an archipelago country in Western Pacific harbouring low Plasmodium falciparum and Plasmodium vivax malaria transmission, has been implementing a malaria case management policy, recommending parasitological testing of patients with fever and anti-malarial treatment for test-positive only patients. A health facility survey to evaluate the health systems readiness to implement the policy and the quality of outpatient management for patients with fever was undertaken...
December 2, 2015: Malaria Journal
https://www.readbyqxmd.com/read/26283229/development-of-a-text-messaging-intervention-to-improve-treatment-adherence-and-post-treatment-review-of-children-with-uncomplicated-malaria-in-western-kenya
#3
Sophie Githinji, Caroline Jones, Josephine Malinga, Robert W Snow, Ambrose Talisuna, Dejan Zurovac
BACKGROUND: Patients' low adherence to artemisinin-based combination therapy has been reported in areas of Kenya bordering the Lake Victoria region, where the burden of malaria remains high. A randomized controlled trial is underway to determine the efficacy of short message service (SMS) text reminders on adherence to artemether-lumefantrine and post-treatment review of children under the age of five. This paper reports on the iterative process of intervention and delivery system development...
August 19, 2015: Malaria Journal
https://www.readbyqxmd.com/read/24663961/major-improvements-in-the-quality-of-malaria-case-management-under-the-test-and-treat-policy-in-kenya
#4
RANDOMIZED CONTROLLED TRIAL
Dejan Zurovac, Sophie Githinji, Dorothy Memusi, Samuel Kigen, Beatrice Machini, Alex Muturi, Gabriel Otieno, Robert W Snow, Andrew Nyandigisi
BACKGROUND: Monitoring implementation of the "test and treat" case-management policy for malaria is an important component of all malaria control programmes in Africa. Unfortunately, routine information systems are commonly deficient to provide necessary information. Using health facility surveys we monitored health systems readiness and malaria case-management practices prior to and following implementation of the 2010 "test and treat" policy in Kenya. METHODS/FINDINGS: Between 2010 and 2013 six national, cross-sectional, health facility surveys were undertaken...
2014: PloS One
https://www.readbyqxmd.com/read/24642130/using-mobile-phone-text-messaging-for-malaria-surveillance-in-rural-kenya
#5
Sophie Githinji, Samwel Kigen, Dorothy Memusi, Andrew Nyandigisi, Andrew Wamari, Alex Muturi, George Jagoe, René Ziegler, Robert W Snow, Dejan Zurovac
BACKGROUND: Effective surveillance systems are required to track malaria testing and treatment practices. A 26-week study "SMS for Life" was piloted in five rural districts of Kenya to examine whether SMS reported surveillance data could ensure real-time visibility of accurate data and their use by district managers to impact on malaria case-management. METHODS: Health workers from 87 public health facilities used their personal mobile phones to send a weekly structured SMS text message reporting the counts of four basic surveillance data elements to a web-based system accessed by district managers...
March 19, 2014: Malaria Journal
https://www.readbyqxmd.com/read/24613001/explaining-the-uptake-of-paediatric-guidelines-in-a-kenyan-tertiary-hospital-mixed-methods-research
#6
Grace W Irimu, Alexandra Greene, David Gathara, Harrison Kihara, Christopher Maina, Dorothy Mbori-Ngacha, Dejan Zurovac, Migiro Santau, Jim Todd, Mike English
BACKGROUND: Evidence-based standards for management of the seriously sick child have existed for decades, yet their translation in clinical practice is a challenge. The context and organization of institutions are known determinants of successful translation, however, research using adequate methodologies to explain the dynamic nature of these determinants in the quality-of-care improvement process is rarely performed. METHODS: We conducted mixed methods research in a tertiary hospital in a low-income country to explore the uptake of locally adapted paediatric guidelines...
2014: BMC Health Services Research
https://www.readbyqxmd.com/read/24507629/factors-influencing-performance-of-health-workers-in-the-management-of-seriously-sick-children-at-a-kenyan-tertiary-hospital-participatory-action-research
#7
Grace W Irimu, Alexandra Greene, David Gathara, Harrison Kihara, Christopher Maina, Dorothy Mbori-Ngacha, Dejan Zurovac, Santau Migiro, Mike English
BACKGROUND: Implementation of World Health Organization case management guidelines for serious childhood illnesses remains a challenge in hospitals in low-income countries. Facilitators of and barriers to implementation of locally adapted clinical practice guidelines (CPGs) have not been explored. METHODS: This ethnographic study based on the theory of participatory action research (PAR) was conducted in Kenyatta National Hospital, Kenya's largest teaching hospital...
2014: BMC Health Services Research
https://www.readbyqxmd.com/read/24490872/the-feasibility-patterns-of-use-and-acceptability-of-using-mobile-phone-text-messaging-to-improve-treatment-adherence-and-post-treatment-review-of-children-with-uncomplicated-malaria-in-western-kenya
#8
MULTICENTER STUDY
Gabriel Otieno, Sophie Githinji, Caroline Jones, Robert W Snow, Ambrose Talisuna, Dejan Zurovac
BACKGROUND: Trials evaluating the impact of mobile phone text-messaging to support management of acute diseases, such as malaria, are urgently needed in Africa. There has been however a concern about the feasibility of interventions that rely on access to mobile phones among caregivers in rural areas. To assess the feasibility and inform development of an intervention to improve adherence to malaria medications and post-treatment review, mobile phone network, access, ownership and use among caregivers in western Kenya was assessed...
February 3, 2014: Malaria Journal
https://www.readbyqxmd.com/read/23672301/ownership-and-use-of-mobile-phones-among-health-workers-caregivers-of-sick-children-and-adult-patients-in-kenya-cross-sectional-national-survey
#9
Dejan Zurovac, Gabriel Otieno, Samuel Kigen, Agneta M Mbithi, Alex Muturi, Robert W Snow, Andrew Nyandigisi
BACKGROUND: The rapid growth in mobile phone penetration and use of Short Message Service (SMS) has been seen as a potential solution to improve medical and public health practice in Africa. Several studies have shown effectiveness of SMS interventions to improve health workers' practices, patients' adherence to medications and availability of health facility commodities. To inform policy makers about the feasibility of facility-based SMS interventions, the coverage data on mobile phone ownership and SMS use among health workers and patients are needed...
2013: Globalization and Health
https://www.readbyqxmd.com/read/23349786/reducing-stock-outs-of-life-saving-malaria-commodities-using-mobile-phone-text-messaging-sms-for-life-study-in-kenya
#10
MULTICENTER STUDY
Sophie Githinji, Samwel Kigen, Dorothy Memusi, Andrew Nyandigisi, Agneta M Mbithi, Andrew Wamari, Alex N Muturi, George Jagoe, Jim Barrington, Robert W Snow, Dejan Zurovac
BACKGROUND: Health facility stock-outs of life saving malaria medicines are common across Africa. Innovative ways of addressing this problem are urgently required. We evaluated whether SMS based reporting of stocks of artemether-lumefantrine (AL) and rapid diagnostic tests (RDT) can result in reduction of stock-outs at peripheral facilities in Kenya. METHODS/FINDINGS: All 87 public health facilities in five Kenyan districts were included in a 26 week project. Weekly facility stock counts of four AL packs and RDTs were sent via structured incentivized SMS communication process from health workers' personal mobile phones to a web-based system accessed by district managers...
2013: PloS One
https://www.readbyqxmd.com/read/23272206/costs-and-cost-effectiveness-of-a-mobile-phone-text-message-reminder-programmes-to-improve-health-workers-adherence-to-malaria-guidelines-in-kenya
#11
Dejan Zurovac, Bruce A Larson, Raymond K Sudoi, Robert W Snow
BACKGROUND: Simple interventions for improving health workers' adherence to malaria case-management guidelines are urgently required across Africa. A recent trial in Kenya showed that text-message reminders sent to health workers' mobile phones improved management of pediatric outpatients by 25 percentage points. In this paper we examine costs and cost-effectiveness of this intervention. METHODS/FINDINGS: We evaluate costs and cost-effectiveness in 2010 USD under three implementation scenarios: (1) as implemented under study conditions in study areas; (2) if the intervention was routinely implemented by the Ministry of Health (MoH) in the same areas; and (3) if the intervention was scaled up nationally...
2012: PloS One
https://www.readbyqxmd.com/read/22859945/performance-of-health-workers-in-the-management-of-seriously-sick-children-at-a-kenyan-tertiary-hospital-before-and-after-a-training-intervention
#12
Grace W Irimu, David Gathara, Dejan Zurovac, Harrison Kihara, Christopher Maina, Julius Mwangi, Dorothy Mbori-Ngacha, Jim Todd, Alexandra Greene, Mike English
BACKGROUND: Implementation of WHO case management guidelines for serious common childhood illnesses remains a challenge in hospitals in low-income countries. The impact of locally adapted clinical practice guidelines (CPGs) on the quality-of-care of patients in tertiary hospitals has rarely been evaluated. METHODS AND FINDINGS: We conducted, in Kenyatta National Hospital, an uncontrolled before and after study with an attempt to explore intervention dose-effect relationships, as CPGs were disseminated and training was progressively implemented...
2012: PloS One
https://www.readbyqxmd.com/read/22719911/-even-if-you-know-everything-you-can-forget-health-worker-perceptions-of-mobile-phone-text-messaging-to-improve-malaria-case-management-in-kenya
#13
Caroline O H Jones, Beatrice Wasunna, Raymond Sudoi, Sophie Githinji, Robert W Snow, Dejan Zurovac
This paper presents the results of a qualitative study to investigate the perceptions and experiences of health workers involved in a a cluster-randomized controlled trial of a novel intervention to improve health worker malaria case-management in 107 government health facilities in Kenya. The intervention involved sending text-messages about paediatric outpatient malaria case-management accompanied by "motivating" quotes to health workers' mobile phones. Ten malaria messages were developed reflecting recommendations from the Kenyan national guidelines...
2012: PloS One
https://www.readbyqxmd.com/read/22363212/mobile-phone-text-messaging-tool-for-malaria-control-in-africa
#14
Dejan Zurovac, Ambrose O Talisuna, Robert W Snow
No abstract text is available yet for this article.
February 2012: PLoS Medicine
https://www.readbyqxmd.com/read/22316236/the-magnitude-and-trend-of-artemether-lumefantrine-stock-outs-at-public-health-facilities-in-kenya
#15
Raymond K Sudoi, Sophie Githinji, Andrew Nyandigisi, Alex Muturi, Robert W Snow, Dejan Zurovac
BACKGROUND: Health facility stock-outs of artemether-lumefantrine (AL), the common first-line therapy for uncomplicated malaria across Africa, adversely affect effective malaria case-management. They have been previously reported on various scales in time and space, however the magnitude of the problem and trends over time are less clear. Here, 2010-2011 data are reported from public facilities in Kenya where alarming stock-outs were revealed in 2008. METHODS: Data were collected between January 2010 and June 2011 as part of 18 monthly cross-sectional surveys undertaken at nationally representative samples of public health facilities...
February 8, 2012: Malaria Journal
https://www.readbyqxmd.com/read/22221821/progress-towards-implementation-of-act-malaria-case-management-in-public-health-facilities-in-the-republic-of-sudan-a-cluster-sample-survey
#16
Tarig M Abdelgader, Abdalla M Ibrahim, Khalid A Elmardi, Sophie Githinji, Dejan Zurovac, Robert W Snow, Abdisalan M Noor
BACKGROUND: Effective malaria case-management based on artemisinin-based combination therapy (ACT) and parasitological diagnosis is a major pillar within the 2007-2012 National Malaria Strategic Plan in the Sudan. Three years after the launch of the strategy a health facility survey was undertaken to evaluate case-management practices and readiness of the health facilities and health workers to implement a new malaria case-management strategy. METHODS: A cross-sectional, cluster sample survey was undertaken at public health facilities in 15 states of Sudan...
January 6, 2012: BMC Public Health
https://www.readbyqxmd.com/read/21943224/adherence-to-prescribed-artemisinin-based-combination-therapy-in-garissa-and-bunyala-districts-kenya
#17
Harriet Lawford, Dejan Zurovac, Laura O'Reilly, Sarah Hoibak, Alice Cowley, Stephen Munga, John Vulule, Elizabeth Juma, Robert W Snow, Richard Allan
BACKGROUND: Following the development of resistance to anti-malarial mono-therapies, malaria endemic countries in Africa now use artemisinin-based combination therapy (ACT) as recommended first-line treatment for uncomplicated malaria. Patients' adherence to ACT is an important factor to ensure treatment efficacy, as well as to reduce the likelihood of parasite resistance to these drugs. This study reports adherence to a specific ACT, artemether-lumefantrine (AL), under conditions of routine clinical practice in Kenya...
2011: Malaria Journal
https://www.readbyqxmd.com/read/21935464/malaria-case-management-following-change-of-policy-to-universal-parasitological-diagnosis-and-targeted-artemisinin-based-combination-therapy-in-kenya
#18
Andrew Nyandigisi, Dorothy Memusi, Agneta Mbithi, Newton Ang'wa, Mildred Shieshia, Alex Muturi, Raymond Sudoi, Sophie Githinji, Elizabeth Juma, Dejan Zurovac
BACKGROUND: The change of malaria case-management policy in Kenya to recommend universal parasitological diagnosis and targeted treatment with artemether-lumefantrine (AL) is supported with activities aiming by 2013 at universal coverage and adherence to the recommendations. We evaluated changes in health systems and case-management indicators between the baseline survey undertaken before implementation of the policy and the follow-up survey following the first year of the implementation activities...
2011: PloS One
https://www.readbyqxmd.com/read/21820166/the-effect-of-mobile-phone-text-message-reminders-on-kenyan-health-workers-adherence-to-malaria-treatment-guidelines-a-cluster-randomised-trial
#19
RANDOMIZED CONTROLLED TRIAL
Dejan Zurovac, Raymond K Sudoi, Willis S Akhwale, Moses Ndiritu, Davidson H Hamer, Alexander K Rowe, Robert W Snow
BACKGROUND: Health workers' malaria case-management practices often differ from national guidelines. We assessed whether text-message reminders sent to health workers' mobile phones could improve and maintain their adherence to treatment guidelines for outpatient paediatric malaria in Kenya. METHODS: From March 6, 2009, to May 31, 2010, we did a cluster-randomised controlled trial at 107 rural health facilities in 11 districts in coastal and western Kenya. With a computer-generated sequence, health facilities were randomly allocated to either the intervention group, in which all health workers received text messages on their personal mobile phones on malaria case-management for 6 months, or the control group, in which health workers did not receive any text messages...
August 27, 2011: Lancet
https://www.readbyqxmd.com/read/21599931/the-clinical-burden-of-malaria-in-nairobi-a-historical-review-and-contemporary-audit
#20
REVIEW
Sandra A Mudhune, Emelda A Okiro, Abdisalan M Noor, Dejan Zurovac, Elizabeth Juma, Sam A Ochola, Robert W Snow
BACKGROUND: Widespread urbanization over the next 20 years has the potential to drastically change the risk of malaria within Africa. The burden of the disease, its management, risk factors and appropriateness of targeted intervention across varied urban environments in Africa remain largely undefined. This paper presents a combined historical and contemporary review of the clinical burden of malaria within one of Africa's largest urban settlements, Nairobi, Kenya. METHODS: A review of historical reported malaria case burdens since 1911 within Nairobi was undertaken using archived government and city council reports...
2011: Malaria Journal
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