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Aggarwal S, Gupta P, Mahajan N, Balaji S, Singh KJ, Bhargava B, Panda S. Implementation of drone based delivery of medical supplies in North-East India: experiences, challenges and adopted strategies. Front Public Health 2023; 11:1128886. [PMID: 37333530 PMCID: PMC10275566 DOI: 10.3389/fpubh.2023.1128886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 05/08/2023] [Indexed: 06/20/2023] Open
Abstract
Timely delivery of medical supplies is essential in the healthcare sector, which is hampered by factors such as poor transportation network, traffic and adverse environmental conditions. Alternatively, drone operations can leapfrog the last mile logistic solutions in hard-to-reach terrains. The present paper elucidates the implementation process of drone-based delivery of medical supplies, operational challenges and innovations adopted by scientists in Manipur and Nagaland. Three districts, Bishnupur, Imphal West and Churachandpur from Manipur and two districts, Mokokchung and Tuensang from Nagaland, were selected for the study. Regulatory and ethical approvals and coordination with state health and administrative authorities were accorded. Implementation and operational challenges faced by the research team were recorded elaborately in the field diaries and assessed qualitatively. The experiences encountered by the team for case-to-case based permission and coordination with the central and state aviation authorities, district administration and health authorities were observed. The drone-related technical and logistic challenges were identified as the deployment of suitable drones, payload capacity, time management for operations, and transportation of drones. The officials adopted mitigation strategies to overcome field-based challenges. Drone-based deliveries of medical supplies are proving to be time efficient, however, overcoming operational challenges could provide an effective long-term deployment strategy.
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Affiliation(s)
- Sumit Aggarwal
- Indian Council of Medical Research (ICMR), New Delhi, India
| | - Prakamya Gupta
- Indian Council of Medical Research (ICMR), New Delhi, India
| | - Nupur Mahajan
- Indian Council of Medical Research (ICMR), New Delhi, India
| | | | | | - Balram Bhargava
- Indian Council of Medical Research (ICMR), New Delhi, India
- Department of Health Research, Ministry of Health and Family Welfare, New Delhi, India
| | - Samiran Panda
- Indian Council of Medical Research (ICMR), New Delhi, India
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Carrasco-Escobar G, Moreno M, Fornace K, Herrera-Varela M, Manrique E, Conn JE. The use of drones for mosquito surveillance and control. Parasit Vectors 2022; 15:473. [PMID: 36527116 PMCID: PMC9758801 DOI: 10.1186/s13071-022-05580-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 11/04/2022] [Indexed: 12/23/2022] Open
Abstract
In recent years, global health security has been threatened by the geographical expansion of vector-borne infectious diseases such as malaria, dengue, yellow fever, Zika and chikungunya. For a range of these vector-borne diseases, an increase in residual (exophagic) transmission together with ecological heterogeneity in everything from weather to local human migration and housing to mosquito species' behaviours presents many challenges to effective mosquito control. The novel use of drones (or uncrewed aerial vehicles) may play a major role in the success of mosquito surveillance and control programmes in the coming decades since the global landscape of mosquito-borne diseases and disease dynamics fluctuates frequently and there could be serious public health consequences if the issues of insecticide resistance and outdoor transmission are not adequately addressed. For controlling both aquatic and adult stages, for several years now remote sensing data have been used together with predictive modelling for risk, incidence and detection of transmission hot spots and landscape profiles in relation to mosquito-borne pathogens. The field of drone-based remote sensing is under continuous change due to new technology development, operation regulations and innovative applications. In this review we outline the opportunities and challenges for integrating drones into vector surveillance (i.e. identification of breeding sites or mapping micro-environmental composition) and control strategies (i.e. applying larval source management activities or deploying genetically modified agents) across the mosquito life-cycle. We present a five-step systematic environmental mapping strategy that we recommend be undertaken in locations where a drone is expected to be used, outline the key considerations for incorporating drone or other Earth Observation data into vector surveillance and provide two case studies of the advantages of using drones equipped with multispectral cameras. In conclusion, recent developments mean that drones can be effective for accurately conducting surveillance, assessing habitat suitability for larval and/or adult mosquitoes and implementing interventions. In addition, we briefly discuss the need to consider permissions, costs, safety/privacy perceptions and community acceptance for deploying drone activities.
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Affiliation(s)
- Gabriel Carrasco-Escobar
- grid.11100.310000 0001 0673 9488Health Innovation Laboratory, Institute of Tropical Medicine “Alexander Von Humboldt”, Universidad Peruana Cayetano Heredia, Lima, Peru
- grid.266100.30000 0001 2107 4242School of Public Health, University of California San Diego, La Jolla, USA
| | - Marta Moreno
- grid.8991.90000 0004 0425 469XFaculty of Infectious and Tropical Diseases and Centre for Climate Change and Planetary Health, London School Hygiene and Tropical Medicine, London, UK
| | - Kimberly Fornace
- grid.8991.90000 0004 0425 469XFaculty of Infectious and Tropical Diseases and Centre for Climate Change and Planetary Health, London School Hygiene and Tropical Medicine, London, UK
- grid.8756.c0000 0001 2193 314XSchool of Biodiversity, One Health and Veterinary Medicine, University of Glasgow, Glasgow, UK
- grid.4280.e0000 0001 2180 6431 Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore
| | - Manuela Herrera-Varela
- grid.10689.360000 0001 0286 3748Grupo de Investigación en Entomología, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Edgar Manrique
- grid.11100.310000 0001 0673 9488Health Innovation Laboratory, Institute of Tropical Medicine “Alexander Von Humboldt”, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Jan E. Conn
- grid.238491.50000 0004 0367 6866The Wadsworth Center, New York State Department of Health, Albany, NY USA
- grid.189747.40000 0000 9554 2494Department of Biomedical Sciences, School of Public Health, State University of New York, Albany, NY USA
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Annan E, Guo J, Angulo-Molina A, Yaacob WFW, Aghamohammadi N, C Guetterman T, Yavaşoglu Sİ, Bardosh K, Dom NC, Zhao B, Lopez-Lemus UA, Khan L, Nguyen USDT, Haque U. Community acceptability of dengue fever surveillance using unmanned aerial vehicles: A cross-sectional study in Malaysia, Mexico, and Turkey. Travel Med Infect Dis 2022; 49:102360. [PMID: 35644475 DOI: 10.1016/j.tmaid.2022.102360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 05/01/2022] [Accepted: 05/19/2022] [Indexed: 11/29/2022]
Abstract
Surveillance is a critical component of any dengue prevention and control program. There is an increasing effort to use drones in mosquito control surveillance. Due to the novelty of drones, data are scarce on the impact and acceptance of their use in the communities to collect health-related data. The use of drones raises concerns about the protection of human privacy. Here, we show how willingness to be trained and acceptance of drone use in tech-savvy communities can help further discussions in mosquito surveillance. A cross-sectional study was conducted in Malaysia, Mexico, and Turkey to assess knowledge of diseases caused by Aedes mosquitoes, perceptions about drone use for data collection, and acceptance of drones for Aedes mosquito surveillance around homes. Compared with people living in Turkey, Mexicans had 14.3 (p < 0.0001) times higher odds and Malaysians had 4.0 (p = 0.7030) times the odds of being willing to download a mosquito surveillance app. Compared to urban dwellers, rural dwellers had 1.56 times the odds of being willing to be trained. There is widespread community support for drone use in mosquito surveillance and this community buy-in suggests a potential for success in mosquito surveillance using drones. A successful surveillance and community engagement system may be used to monitor a variety of mosquito spp. Future research should include qualitative interview data to add context to these findings.
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Affiliation(s)
- Esther Annan
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, 76107, USA.
| | - Jinghui Guo
- Department of Computer Science, The University of Texas at Dallas, Richardson, TX, 75080, USA
| | - Aracely Angulo-Molina
- Department of Chemical and Biological Sciences, University of Sonora, Hermosillo, 83000, Sonora, Mexico
| | - Wan Fairos Wan Yaacob
- Faculty of Computer and Mathematical Sciences, Universiti Teknologi MARA Cawangan Kelantan, Kampus Kota Bharu, Lembah Sireh, 15050, Kota Bharu, Kelantan, Malaysia; Institute for Big Data Analytics and Artificial Intelligence (IBDAAI), Kompleks Al-Khawarizmi, Universiti Teknologi MARA, 40450, Shah Alam, Selangor, Malaysia
| | - Nasrin Aghamohammadi
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, 50603, Malaysia
| | | | - Sare İlknur Yavaşoglu
- Department of Biology, Faculty of Science and Arts, Aydın Adnan Menderes University, Aydın, 09010, Turkey
| | - Kevin Bardosh
- Center for One Health Research, School of Public Health, University of Washington, USA
| | - Nazri Che Dom
- Faculty of Health Sciences, Universiti Teknologi MARA Cawangan Selangor, Selangor, Malaysia
| | - Bingxin Zhao
- Department of Statistics, Purdue University, 250 N. University St, West Lafayette, IN, 47907, USA
| | - Uriel A Lopez-Lemus
- Department of Health Sciences, Center for Biodefense and Global Infectious Diseases, Colima, 28078, Mexico
| | - Latifur Khan
- Department of Computer Science, The University of Texas at Dallas, Richardson, TX, 75080, USA
| | - Uyen-Sa D T Nguyen
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, 76107, USA
| | - Ubydul Haque
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, 76107, USA
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Baldwinson R. Global health wars: a rhetorical review of global health critique. MEDICAL HUMANITIES 2022; 48:medhum-2021-012271. [PMID: 35609969 DOI: 10.1136/medhum-2021-012271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/28/2022] [Indexed: 06/15/2023]
Abstract
The critique of global health is a longstanding tradition in the global health humanities (GHH). Typically, this critique takes an expected tack: critics take a slice of global health, identify its rhetoric, expose its power, and elucidate its unanticipated consequences. Here, I subject global health critique to its own approach-conducting a 'rhetorical review' of global health critique in order to ascertain whether it has rhetoric, power and unanticipated consequences of its own. Following this review, I find that global health critique has a rhetoric, and that this rhetoric can be organised into three types: (1) 'global health as mere rhetoric', (2) 'splitting global health', and (3) 'figuring global health war.' Ultimately, I argue that the rhetoric of GHH critique, like the rhetoric of global health, is a rhetoric of consequence-and a rhetoric worth revisiting.
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Affiliation(s)
- Raquel Baldwinson
- English, University of British Columbia, Vancouver, British Columbia, Canada
- History of Science, Harvard University, Cambridge, Massachusetts, USA
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Navaz AN, Serhani MA, El Kassabi HT, Al-Qirim N, Ismail H. Trends, Technologies, and Key Challenges in Smart and Connected Healthcare. IEEE ACCESS : PRACTICAL INNOVATIONS, OPEN SOLUTIONS 2021; 9:74044-74067. [PMID: 34812394 PMCID: PMC8545204 DOI: 10.1109/access.2021.3079217] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 05/05/2021] [Indexed: 05/04/2023]
Abstract
Cardio Vascular Diseases (CVD) is the leading cause of death globally and is increasing at an alarming rate, according to the American Heart Association's Heart Attack and Stroke Statistics-2021. This increase has been further exacerbated because of the current coronavirus (COVID-19) pandemic, thereby increasing the pressure on existing healthcare resources. Smart and Connected Health (SCH) is a viable solution for the prevalent healthcare challenges. It can reshape the course of healthcare to be more strategic, preventive, and custom-designed, making it more effective with value-added services. This research endeavors to classify state-of-the-art SCH technologies via a thorough literature review and analysis to comprehensively define SCH features and identify the enabling technology-related challenges in SCH adoption. We also propose an architectural model that captures the technological aspect of the SCH solution, its environment, and its primary involved stakeholders. It serves as a reference model for SCH acceptance and implementation. We reflected the COVID-19 case study illustrating how some countries have tackled the pandemic differently in terms of leveraging the power of different SCH technologies, such as big data, cloud computing, Internet of Things, artificial intelligence, robotics, blockchain, and mobile applications. In combating the pandemic, SCH has been used efficiently at different stages such as disease diagnosis, virus detection, individual monitoring, tracking, controlling, and resource allocation. Furthermore, this review highlights the challenges to SCH acceptance, as well as the potential research directions for better patient-centric healthcare.
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Affiliation(s)
- Alramzana Nujum Navaz
- Department of Information Systems and SecurityCollege of Information TechnologyUnited Arab Emirates UniversityAl AinUnited Arab Emirates
| | - Mohamed Adel Serhani
- Department of Information Systems and SecurityCollege of Information TechnologyUnited Arab Emirates UniversityAl AinUnited Arab Emirates
| | - Hadeel T. El Kassabi
- Department of Computer Science and Software EngineeringCollege of Information TechnologyUAE UniversityAl AinUnited Arab Emirates
| | - Nabeel Al-Qirim
- Department of Information Systems and SecurityCollege of Information TechnologyUnited Arab Emirates UniversityAl AinUnited Arab Emirates
| | - Heba Ismail
- Department of Computer Science and Information Technology (CS-IT)College of EngineeringAbu Dhabi UniversityAl AinUnited Arab Emirates
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An Evaluation of the Drone Delivery of Adrenaline Auto-Injectors for Anaphylaxis: Pharmacists’ Perceptions, Acceptance, and Concerns. DRONES 2020. [DOI: 10.3390/drones4040066] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Anaphylaxis is a life-threatening condition where delays in medical treatment can be fatal. Such situations would benefit from the drone delivery of an adrenaline auto-injector such as EpiPen®. This study evaluates the potential risk, reward, and impact of drone transportation on the stability of adrenaline during episodes of anaphylaxis. Further, this study examines pharmacists’ perceptions on drone delivery—pharmacists approved the use of drones to deliver EpiPen® during emergencies but had concerns with drone safety and supply chain security. Laboratory simulated onboard drone conditions reflected typical missions. In these experiments, in vitro model and pharmaceutical equivalent formulations were subjected independently to 30 min vibrations at 5, 8.43, and 13.33 Hz, and temperature storage at 4, 25, 40, and 65 °C for 0, 0.5, 3, and 24 h. The chiral composition (an indicator of chemical purity that relates to molecular structure) and concentration of these adrenaline formulations were determined using ultraviolet (UV) and circular dichroism spectroscopy (CD). Adrenaline intrinsic stability was also explored by edge-of-failure experimentation to signpost the uppermost limits for safe transportation. During drone flight with EpiPen®, the temperature and vibration g-force were 10.7 °C and 1.8 g, respectively. No adverse impact on adrenaline was observed during drone flight and laboratory-simulated conditions shown by conformation to the British Pharmacopeia standards (p > 0.05 for CD and UV). This study showed that drone delivery of EpiPen® is feasible. There are more than 15,000 community pharmacies and ≈9000 GP surgeries spanning the UK, which are likely to provide achievable ranges and distances for the direct drone delivery of EpiPen®. The authors recommend that when designing future missions, in addition to medicine stability testing that models the stresses imposed by drone flight, one must conduct a perceptions survey on the relevant group of medical professionals, because their insights, acceptance, and concerns are extremely valuable for the design and evaluation of the mission.
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Context-Specific Challenges, Opportunities, and Ethics of Drones for Healthcare Delivery in the Eyes of Program Managers and Field Staff: A Multi-Site Qualitative Study. DRONES 2020. [DOI: 10.3390/drones4030044] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Unmanned aerial vehicles (UAVs), also known as drones, have significant potential in the healthcare field. Ethical and practical concerns, challenges, and complexities of using drones for specific and diverse healthcare purposes have been minimally explored to date. This paper aims to document and advance awareness of diverse context-specific concerns, challenges, and complexities encountered by individuals working on the front lines of drones for health. It draws on original qualitative research and data from semi-structured interviews (N = 16) with drones for health program managers and field staff in nine countries. Directed thematic analysis was used to analyze interviews and identify key ethical and practical concerns, challenges, and complexities experienced by participants in their work with drones for health projects. While some concerns, challenges, and complexities described by study participants were more technical in nature, for example, those related to drone technology and approval processes, the majority were not. The bulk of context-specific concerns and challenges identified by participants, we propose, could be mitigated through community engagement initiatives.
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Poljak M, Šterbenc A. Use of drones in clinical microbiology and infectious diseases: current status, challenges and barriers. Clin Microbiol Infect 2019; 26:425-430. [PMID: 31574337 DOI: 10.1016/j.cmi.2019.09.014] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Revised: 09/12/2019] [Accepted: 09/14/2019] [Indexed: 01/23/2023]
Abstract
BACKGROUND Drones or unmanned aerial vehicles are autonomous or remotely controlled multipurpose aerial vehicles driven by aerodynamic forces and capable of carrying a payload. Whereas initially used exclusively for military purposes, the use of drones has gradually spread into other areas. Given their great flexibility and favourable costs, the use of drones has also been piloted in various healthcare settings. OBJECTIVES We briefly summarize current knowledge regarding the use of drones in healthcare, focusing on infectious diseases and/or microbiology when applicable. SOURCES Information was sought through PubMed and extracted from peer-reviewed literature published between January 2010 and August 2019 and from reliable online news sources. The search terms 'drones', 'unmanned aerial vehicles', 'microbiology' and 'medicine' were used. CONTENT Peer-reviewed literature on the use of drones in healthcare has steadily increased in recent years. Drones have been successfully evaluated in various pilot programmes and are already implemented in some settings for transporting samples and delivering blood, vaccines, medicines, organs, life-saving medical supplies and equipment. In addition, a promising proof-of-concept 'lab-on-a-drone' was recently presented, as well as several pilot studies showing the benefits of drone use in surveillance and epidemiology of infectious diseases. IMPLICATIONS The potential for drone use in clinical microbiology, infectious diseases and epidemiology is vast. Drones may help to increase access to healthcare for individuals that might otherwise not benefit from appropriate care due to remoteness and lack of infrastructure or funds. However, factors such as national airspace legislation and legal medical issues, differences in topography and climates, cost-effectiveness, and community attitudes and acceptance in different cultures and societies currently impede the widespread use of drones. Significant cost savings compared with ground transportation, speed and convenience of delivery, and the booming drone sector will probably drive drone implementation in various areas of medicine in the next 5 years.
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Affiliation(s)
- M Poljak
- Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
| | - A Šterbenc
- Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Nouvet E, Knoblauch AM, Passe I, Andriamiadanarivo A, Ravelona M, Ainanomena Ramtariharisoa F, Razafimdriana K, Wright PC, McKinney J, Small PM, Rakotosamimanana N, Grandjean Lapierre S. Perceptions of drones, digital adherence monitoring technologies and educational videos for tuberculosis control in remote Madagascar: a mixed-method study protocol. BMJ Open 2019; 9:e028073. [PMID: 31076475 PMCID: PMC6528021 DOI: 10.1136/bmjopen-2018-028073] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 02/22/2019] [Accepted: 03/04/2019] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Poor road and communication infrastructure pose major challenges to tuberculosis (TB) control in many regions of the world. TB surveillance and patient support often fall to community health workers (CHWs) who may lack the time or knowledge needed for this work. To meet the End TB Strategy goal of reducing TB incidence by 90% by 2035, the WHO calls for intensified research and innovation including the rapid uptake of new tools, interventions and strategies. Technologies that 'leapfrog' infrastructure challenges and support CHWs in TB control responsibilities have the potential to dramatically change TB outcomes in remote regions. Such technologies may strengthen TB control activities within challenged national tuberculosis treatment and control programmes (NTPs), and be adapted to address other public health challenges. The deployment of innovative technologies needs to be differentially adapted to context-specific factors. The Drone Observed Therapy System (DrOTS) project was launched in Madagascar in 2017 and integrates a bundle of innovative technologies including drones, digital adherence monitoring technology and mobile device-based educational videos to support TB control. METHODS AND ANALYSIS This mixed-methods study gathers and analyses cultural perceptions of the DrOTS project among key stakeholders: patients, community members, CHWs, village chiefs and NTP-DrOTS mobile health teams. Data from questionnaires, semistructured interviews, focus group discussions (FGD) and ethnographic observation gathered from June 2018 to June 2019 are thematically analysed and compared to identify patterns and singularities in how DrOTS stakeholders perceive and interact with DrOTS technologies, its enrolment processes, objectives and team. ETHICS AND DISSEMINATION Ethics approval was obtained from the National Bioethics Research Committee of Madagascar and Stony Brook University institutional review board. Study results will be submitted for peer-reviewed publication. In Madagascar, results will be presented in person to Ministry and other Malagasy decision-makers through the Institut Pasteur de Madagascar. PATIENT AND PUBLIC INVOLVEMENT This study is designed to foreground the voices of patients and potential patients in the DrOTS programme. CHW participants in this study also supported the design of study information sessions and recruitment strategies. One member of the mobile health team provided detailed input on the wording and content of FGD and interview guides. Study findings will be presented via a report in French and Malagasy to CHW, mobile health team and other village-level participants who have email/internet access.
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Affiliation(s)
- Elysée Nouvet
- School of Health Studies, Western University, London, Ontario, Canada
| | - Astrid M Knoblauch
- Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Basel-Stadt, Switzerland
- Mycobacteria Unit, Institut Pasteur de Madagascar, Antananarivo, Madagascar
| | - Ian Passe
- Global Health Institute, Stony Brook University, Stony Brook, New York, NY, USA
| | | | | | | | | | - Patricia C Wright
- Global Health Institute, Stony Brook University, Stony Brook, New York, NY, USA
- Health Department, Center Valbio, Ranomafana, Madagascar
| | - Jesse McKinney
- Global Health Institute, Stony Brook University, Stony Brook, New York, NY, USA
- Health Department, Center Valbio, Ranomafana, Madagascar
| | - Peter M Small
- Global Health Institute, Stony Brook University, Stony Brook, New York, NY, USA
| | | | - Simon Grandjean Lapierre
- Mycobacteria Unit, Institut Pasteur de Madagascar, Antananarivo, Madagascar
- Immunopathology, Centre de recherche du CHUM, Montreal, Quebec, Canada
- Microbiology, Infectious Diseases and Immunology, Université de Montréal, Montréal, Québec, Canada
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