Saving Lives with a Simple PDA

David Kirpatrick has an interesting story in Fortune

Many IT-related projects in Africa are failing. That’s because, Peters says, too many ignore the basic criteria for success: “Small, cheap, local, and relevant are the key things for IT here, with a suite of applications around the device.” Often, for instance, what’s appropriate is not a PC but a handheld, or even just a cellphone. (One of the main reasons for that? PCs are often stolen.) Assessments are not what’s needed, she says. Action is. “Our calculation is that 84 different countries worldwide have had their IT assessed more than 10 times.”

Peters says the most effective use of technology she’s ever seen was in a pilot project that gave doctors and medical students in Kenya Palm handhelds that contained a regularly updated set of medical reference materials. Drugs change frequently, as do treatment regimens. But, she explains, “Doctors are out all day seeing patients two to a bed and on the floor�so many it’s unbelievable. They make notes on each patient but without a handheld they have to wait until the end of the day to check reference books for drug interactions and other information.” The program resulted in clear improvements in patient care.

Amen to that. Small, cheap local and above all relevant to the needs of the country in question.

Peters is excited about a program Bridges has underway in its home city of Cape Town, which has one of the world’s highest rates of tuberculosis infection. One doctor at a TB clinic was frustrated that even among patients who had come up with the money to join a treatment program, success rates were only about 60% because skipping the drugs for even one day meant someone had to start all over again. But he noticed that most of the patients had cellphones. (“In Africa people who don’t even have addresses have cellphones,” says Peters.) So he designed a program that automatically sends out daily SMS text messages to those phones in local languages. It says, according to Peters, “essentially that if you don’t take your medicine you will die.” Treatment success rates shot up. Now the City of Cape Town is considering rolling out the program in all 27 TB clinics across the city, and testing it in AIDS clinics.

Now this is interesting. Sending SMSes (or Texting) is an extremely popular form of communication in Asia. Its cheap and I was interested to read of this novel method on increasing medication compliance rates. Perhaps it could be adopted elsewhere.
How do you send SMSes? I prefer to do so from my PDA rather than the mobile phone – it’s much easier to “text” via Graffiti and transmit it via Bluetooth to my SonyEricsson t610.

About the author, Alan:
Alan Teh is a Malaysian Physician who specialises in Hematology-Oncology & Stem cell Transplantation. He has been using Palm PDAs since 1997 and is absolutely reliant on them. His current PDA is a Palm Pre and is a strong advocate of the webOS platform, Palm's latest operating system. Caught the blogging bug in 2004 and has been addicted ever since…

Post to Twitter Post to Facebook

Tags: Bluetooth, Cellphone, Drugs, Palm, Student

Related posts

Leave a Reply

Discuss this in the forum »