Ask, don't tell - mobile phones to improve HIV care
November 7, 2013
Almost all health care is voluntary: patients choose when to engage in care, when to take their medicine (if they choose to take it), and whether to return for follow-up visits. In human immunodeficiency virus (HIV) infection and other chronic diseases, the benefits of medication adherence for the patient and public health are tremendous. [...]
Lester, R. T.
N.Engl.J Med, 369, 1867-1868 / DOI: 10.1056/NEJMc1310509
Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial
November 10, 2010
Mobile (cell) phone communication has been suggested as a method to improve delivery of health services. However, data on the effects of mobile health technology on patient outcomes in resource-limited settings are limited. We aimed to assess whether mobile phone communication between health-care workers and patients starting antiretroviral therapy in Kenya improved drug adherence and suppression of plasma HIV-1 RNA load. [...]
Lester, R. T., Ritvo, P., Mills, E. J., Kariri, A., Karanja, S., Chung, M. H., Jack, W., Habyarimana, J., Sadatsafavi, M., Najafzadeh, M., Marra, C. A., Estambale, B., Ngugi, E., Ball, T. B., Thabane, L., Gelmon, L. J., Kimani, J., Ackers, M., and Plummer, F. A.
Lancet, Vol. 376, No. 9755, 2010, pp. 1838-1845. (Lancet Editor’s Choice)
Oak Tree Clinic 100
Text Messaging to Support Patients with HIV/AIDS in British Columbia -Goal of this study is to assess clinical outcomes (e.g. CD4 counts, HIV viral loads, clinic appointment attendance, HIV medication adherence) in a group of 100 high-risk individuals, using the WelTel text messaging intervention.
To determine whether the WelTel intervention can improve retention in care among HIV-infected individuals who are not yet taking antiretroviral medication.
LTBI mHealth Study
A Randomized Controlled Trial to Examine the Effectiveness of the Use of Mobile Phones and Text Messaging to Improve Adherence to Treatment of Latent Tuberculosis Infection
Grand Challenges Canada
To implement a text-messaging service (WelTel) for HIV medication adherence in addition to other healthcare conditions at clinical sites across Kenya.
WelTel would like to respectfully acknowledge funding from the following organizations
TEN BIGGEST POSITIVE AFRICA STORIES OF 2011
#5: Cell phones continue to change how Africans live.
The devices have proven to be invaluable: health-care workers use cell phones to track and monitor pregnant women in rural Rwanda (where the number of maternal deaths is high) and H.I.V. patients in Kenya, and Kenya’s mobile banking system, which has been called the world’s most innovative, lets Kenyans pay bills, send remittances, purchase goods and airtime, move funds among accounts, and even take out and pay back loans for entrepreneurial ventures.
The convergence of mobile telephony and health care is under way
BILL GATES seems to relish being the skunk at the garden party. The former boss of Microsoft, now a global-health philanthropist, was invited to address a big “m-health” conference in Washington, DC, this week. Some 2,400 proponents of delivering health services over wireless telecoms, from the private and public sectors, gathered to celebrate the dozens of pilot projects under way around the world.[...]