Cited by 403Mobile Health and mHealth ApplicationsMalaria Research and ControlICT in Developing Communities

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The effect of mobile phone text-message reminders on Kenyan health workers' adherence to malaria treatment guidelines: a cluster randomised trial

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Zurovac, Dejan, Sudoi, Raymond K, Akhwale, Willis S, Ndiritu, Moses, Hamer, Davidson H, Rowe, Alexander K, Snow, Robert W·2011·The Lancet

DOI 10.1016/s0140-6736(11)60783-6PMC PMC3163847

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Abstract

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. Health workers were not masked to the intervention, although patients were unaware of whether they were in an intervention or control facility. The primary outcome was correct management with artemether-lumefantrine, defined as a dichotomous composite indicator of treatment, dispensing, and counselling tasks concordant with Kenyan national guidelines. The primary analysis was by intention to treat. The trial is registered with Current Controlled Trials, ISRCTN72328636.Findings 119 health workers received the intervention. Case-management practices were assessed for 2269 children who needed treatment (1157 in the intervention group and 1112 in the control group). Intention-to-treat analysis showed that correct artemether-lumefantrine management improved by 23·7 percentage-points (95% CI 7·6-40·0; p=0·004) immediately after intervention and by 24·5 percentage-points (8·1-41·0; p=0·003) 6 months later.Interpretation In resource-limited settings, malaria control programmes should consider use of text messaging to improve health workers' case-management practices.Funding The Wellcome Trust.

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Additional file 9 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
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Amoakoh, H. B., Klipstein‐Grobusch, K., Agyepong, I. A., Amoakoh‐Coleman, M., Kayode, G. A., Reitsma, J. B., Grobbee, D. E., & Ansah, E. K. (2020) · Figshare · doi:10.6084/m9.figshare.13294775
Additional file 2 of Mapping evidence of mobile health technologies for disease diagnosis and treatment support by health workers in sub-Saharan Africa: a scoping review
Osei, E., Kuupiel, D., Vezi, P. N., & Mashamba-Thompson, T. P. (2021) · Figshare · doi:10.6084/m9.figshare.13532027
Additional file 11 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659948
Additional file 3 of Implementing SMS reminders for routine immunization in Northern Nigeria: a qualitative evaluation using the RE-AIM framework
Obi‐Jeff, C., Garcia, C., Adewumi, F., Bamiduro, T., David, W., Labrique, A., & Wonodi, C. B. (2024) · Figshare · doi:10.6084/m9.figshare.26555465
Additional file 1 of Impact of mhealth messages and environmental cues on hand hygiene practice among healthcare workers in the greater Kampala metropolitan area, Uganda: study protocol for a cluster randomized trial
Mugambe, R. K., Mselle, J. S., Ssekamatte, T., Ntanda, M., Isunju, J. B., Wafula, S. T., Kansiime, W. K., Isubikalu, P., Ssemwanga, D. K., Yakubu, H., et al. (2021) · Figshare · doi:10.6084/m9.figshare.13647236
Additional file 10 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659945
Additional file 5 of Impact of mhealth messages and environmental cues on hand hygiene practice among healthcare workers in the greater Kampala metropolitan area, Uganda: study protocol for a cluster randomized trial
Mugambe, R. K., Mselle, J. S., Ssekamatte, T., Ntanda, M., Isunju, J. B., Wafula, S. T., Kansiime, W. K., Isubikalu, P., Ssemwanga, D. K., Yakubu, H., et al. (2021) · Figshare · doi:10.6084/m9.figshare.13647248
Additional file 12 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659951
Additional file 14 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659957
Additional file 5 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659930
Additional file 3 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659924
Additional file 13 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659954
Additional file 1 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659918
Additional file 7 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659936
Additional file 1 of Implementing SMS reminders for routine immunization in Northern Nigeria: a qualitative evaluation using the RE-AIM framework
Obi‐Jeff, C., Garcia, C., Adewumi, F., Bamiduro, T., David, W., Labrique, A., & Wonodi, C. B. (2024) · Figshare · doi:10.6084/m9.figshare.26555459
Additional file 4 of Impact of mhealth messages and environmental cues on hand hygiene practice among healthcare workers in the greater Kampala metropolitan area, Uganda: study protocol for a cluster randomized trial
Mugambe, R. K., Mselle, J. S., Ssekamatte, T., Ntanda, M., Isunju, J. B., Wafula, S. T., Kansiime, W. K., Isubikalu, P., Ssemwanga, D. K., Yakubu, H., et al. (2021) · Figshare · doi:10.6084/m9.figshare.13647245
Additional file 1 of Incidence and predictors of loss to follow-up among HIV-positive adults in northwest Ethiopia: a retrospective cohort study
Birhanu, M. Y., Leshargie, C. T., Alebel, A., Wagnew, F., Siferih, M., Gebre, T., & Kibret, G. D. (2020) · Figshare · doi:10.6084/m9.figshare.12955313
Additional file 6 of The effectiveness of mental health interventions involving non-specialists and digital technology in low-and middle-income countries – a systematic review
Mudiyanselage, K. W. W., Santis, K. K. D., Jörg, F., Saleem, M., Stewart, R. E., Zeeb, H., & Busse, H. (2024) · Figshare · doi:10.6084/m9.figshare.26659933
Community Health Worker Program Characteristics and Population Health Outcomes: A Scoping ReviewPreprint
Khaerunnisa, I., Makhfudli, M., Indarwati, R., Mariyanti, H., Pradipta, R. O., Has, E. M. M., chan, C. M., Mundakir, M., Saifudin, I. M. M. Y., Afrina, V., et al. (2026) · Research Square · doi:10.21203/rs.3.rs-8327009/v1
Santé connectée et prévention du suicide : vers une aide à la décision
Berrouiguet, S. (2018) · theses.fr (ABES) · doi:10.70675/2696c6dbzc238z4132zbe79zc76436fd7b90
Proposition d'une méthode organisationnelle pour la surveillance de la propagation des maladies chroniques et épidémiques : Application au système de santé de la RDC
Mfumu, J.-C. T. (2020) · theses.fr (ABES) · doi:10.70675/88f680c1z0eb6z418az9c0aza2ab4a58984d

Authors: Zurovac, D., Sudoi, R. K., Akhwale, W. S., Ndiritu, M., Hamer, D. H., Rowe, A. K., & Snow, R. W.
Affiliations: Boston University (US)
Kenya Medical Research Institute (KE)
Ministry of Health (KE)
Centers for Disease Control and Prevention (US)
John Radcliffe Hospital (GB)
Corresponding author: Zurovac, Dejan
ORCID: Zurovac, Dejan
Sudoi, Raymond K
Ndiritu, Moses
Hamer, Davidson H
Rowe, Alexander K
Snow, Robert W
Venue: The Lancet
Publisher: Elsevier BV
Published: 2011-08
Volume: 378
Issue: 9793
Pages: 795-803
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(11)60783-6
PMC: PMC3163847
OpenAlex: W2160800204
Cited by: 403
References: 25
Citations by year: 2026: 5 · 2025: 8 · 2024: 30 · 2023: 11 · 2022: 17 · 2021: 30 · 2020: 26 · 2019: 29 · 2018: 25 · 2017: 32 · 2016: 38 · 2015: 30 · 2014: 52 · 2013: 40 · 2012: 23
FWCI: 71.82
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
Locations: The Lancet (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: the Wellcome Trust, UK through a project grant to RWS ((grant number 084253))
the Wellcome Trust as Principal Research Fellow ((grant number 079080))
Topics: Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
Keywords: SMS reminders, mobile phone intervention, malaria treatment guidelines, pediatric malaria, artemether-lumefantrine, malaria case management, health worker education, rural health facilities, Kenya
MeSH terms: Artemether, Lumefantrine Drug Combination, Antimalarials, Child, Child, Preschool, Drug Combinations, Ethanolamines, Fluorenes, Health Personnel, Humans, Infant, Kenya, Malaria, Quality Assurance, Health Care, Cluster Analysis, Reminder Systems, Rural Health Services, Guideline Adherence, Artemisinins, Cell Phone

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The effect of mobile phone text-message reminders on Kenyan health workers' adherence to malaria treatment guidelines: a cluster randomised trial

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