Abstract:The present grievous tuberculosis situation can be improved by efficient case management and timely follow-up evaluations. With the advent of digital technology, this can be achieved through quick summarization of the patient-centric data. The aim of our study was to assess the effectiveness of the ODK Scan paper-to-digital system during a testing period of three months. A sequential, explanatory mixed-method research approach was employed to elucidate technology use. Training, smartphones, the application and 3G-enabled SIMs were provided to the four field workers. At the beginning, baseline measures of the data management aspects were recorded and compared with endline measures to determine the impact of ODK Scan. Additionally, at the end of the study, users' feedback was collected regarding app usability, user interface design and workflow changes. A total of 122 patients' records were retrieved from the server and analysed in terms of quality. It was found that ODK Scan recognized 99.2% of multiple choice fill-in bubble responses and 79.4% of numerical digit responses correctly. However, the overall quality of the digital data was decreased in comparison to manually entered data. Using ODK Scan, a significant time reduction is observed in data aggregation and data transfer activities, but data verification and form-filling activities took more time. Interviews revealed that field workers saw value in using ODK Scan, but they were more concerned about the time-consuming aspects of the use of ODK Scan. Therefore, it is concluded that minimal disturbance in the existing workflow, continuous feedback and value additions are the important considerations for the implementing organization to ensure technology adoption and workflow improvements.

In resource-constrained communities, organizations often use information and communication technologies to amplify their limited resources to improve education, health, and economic opportunity. Over two-thirds of the world's population have mobile phones, yet less than half are connected to the Internet [23]. Organizations helping disadvantaged populations often rely on mobile devices as their primary computing resource because of their availability in resource-constrained contexts. However, to reach under-served populations, mobile applications often operate in areas with no connectivity or challenged network environments. Unfortunately, many mobile application frameworks are generally not well-suited for long periods of disconnected data collection and management. Furthermore, mobile application frameworks are generally aimed at users with significant technical skills and resources. In this paper, we discuss our experiences building, deploying, and refining the Open Data Kit (ODK) 2.0 tool suite. ODK 2.0 is a modular application framework that facilitates organizations with limited technical capacity to build application-specific information services for use in disconnected environments. We discuss ODK 2.0's flexible abstractions that enable users of varying technical skill levels to create customizable mobile data management solutions. We present ODK 2.0 case studies involving multiple organizations and discuss lessons learned from building a service-based mobile application framework for disconnected data management.

Abstract:The present grievous situation of the tuberculosis disease can be improved by efficient case management and timely follow-up evaluations. With the advent of digital technology this can be achieved by quick summarization of the patient-centric data. The aim of our study was to assess the effectiveness of the ODK Scan paper-to-digital system during testing period of three months. A sequential, explanatory mixed-method research approach was employed to elucidate technology use. Training, smartphones, application and 3G enabled SIMs were provided to the four field workers. At the beginning, baseline measures of the data management aspects were recorded and compared with endline measures to see the impact of ODK Scan. Additionally, at the end, users' feedback was collected regarding app usability, user interface design and workflow changes. 122 patients' records were retrieved from the server and analysed for quality. It was found that ODK Scan recognized 99.2% of multiple choice bubble responses and 79.4% of numerical digit responses correctly. However, the overall quality of the digital data was decreased in comparison to manually entered data. Using ODK Scan, a significant time reduction is observed in data aggregation and data transfer activities, however, data verification and form filling activities took more time. Interviews revealed that field workers saw value in using ODK Scan, however, they were more concerned about the time consuming aspects of the use of ODK Scan. Therefore, it is concluded that minimal disturbance in the existing workflow, continuous feedback and value additions are the important considerations for the implementing organization to ensure technology adoption and workflow improvements.

Abstract:The present grievous situation of the tuberculosis disease can be improved by efficient case management and timely follow-up evaluations. With the advent of digital technology this can be achieved by quick summarization of the patient-centric data. The aim of our study was to assess the effectiveness of the ODK Scan paper-to-digital system during testing period of three months. A sequential, explanatory mixed-method research approach was employed to elucidate technology use. Training, smartphones, application and 3G enabled SIMs were provided to the four field workers. At the beginning, baseline measures of the data management aspects were recorded and compared with endline measures to see the impact of ODK Scan. Additionally, at the end, users' feedback was collected regarding app usability, user interface design and workflow changes. 122 patients' records were retrieved from the server and analysed for quality. It was found that ODK Scan recognized 99.2% of multiple choice bubble responses and 79.4% of numerical digit responses correctly. However, the overall quality of the digital data was decreased in comparison to manually entered data. Using ODK Scan, a significant time reduction is observed in data aggregation and data transfer activities, however, data verification and form filling activities took more time. Interviews revealed that field workers saw value in using ODK Scan, however, they were more concerned about the time consuming aspects of the use of ODK Scan. Therefore, it is concluded that minimal disturbance in the existing workflow, continuous feedback and value additions are the important considerations for the implementing organization to ensure technology adoption and workflow improvements.