Development of a cloud-based disease surveillance and risk mapping (DISARM) platform for malaria elimination settings -challenges from an IT perspective

Creators: Holl, Felix and Weissglas, Fitti G. and Midekisa, Alemayehu and Smith, Jonathan and Bennett, Adam and Sturrock, Hugh J.W.
Title: Development of a cloud-based disease surveillance and risk mapping (DISARM) platform for malaria elimination settings -challenges from an IT perspective
Item Type: Conference or Workshop Item
Event Title: ASTMH 65th Annual Meeting
Event Location: Georgia, Atlanta, USA
Event Dates: November 13-17, 2016
Date: November 2016
Divisions: Gesundheitsmanagement
Abstract: In 2015, there were around 214 million cases of malaria and 438 000 deaths. Malaria control efforts have cut the number of deaths in half. Despite the enormous burden of on sub-Saharan Africa, 90% of all malaria deaths in 2015, a number of countries on the continent are pursuing malaria elimination efforts.1 The ability to track and target malaria transmission is vital to the success of malaria elimination programs, especially in elimination settings, where transmission is rare and clustered.2 The DiSARM platform pulls surveillance and intervention data in real-time, combines it with climate and environmental data, automates analyses by running spatial models in Google Earth Engine, and produces risk & decision-support maps. A key feature of the platform is that non-experts can run spatial models to produce risk maps. After piloting DiSARM in Swaziland and Zimbabwe, the goal is to introduce the platform to all Elimination Eight countries in southern Africa. The development of DiSARM involves a number of steps, which have already taken place or are scheduled for this year, an in-depth evaluation of current malaria surveillance data processing, in-country implementation in pilot countries and development of platform based on pilot findings. A major barrier to implementing DiSARM is that malaria surveillance systems are set up for reporting and monitoring & evaluation. Data are often transferred to the surveillance system in aggregate and transfer intervals are long and often manual. Both proprietary surveillance systems and widely used surveillance platforms like District Health Information Software are common. A process for implementing DiSARM in both scenarios has to be developed. The group of potential end-users for DiSARM is large and with diverse needs. The interface has to be customizable to the different tasks by the different users. The potential of DiSARM in supporting malaria elimination efforts is huge. Pilots will give valuable insight for the roll-out in more countries.
Citation:

Holl, Felix and Weissglas, Fitti G. and Midekisa, Alemayehu and Smith, Jonathan and Bennett, Adam and Sturrock, Hugh J.W. (2016) Development of a cloud-based disease surveillance and risk mapping (DISARM) platform for malaria elimination settings -challenges from an IT perspective. In: ASTMH 65th Annual Meeting, November 13-17, 2016, Georgia, Atlanta, USA.

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