Keep it simple: designing a user-centred digital information system to support chronic disease management in low/middle-income countries

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Objective

Implement a user-centred digital health information system to facilitate rapidly and substantially increasing the number of patients treated for hypertension in low/middle-income countries.

Methods

User-centred design of Simple, an offline-first app for mobile devices to record patient clinical visits and a web-based dashboard to monitor programme performance.

Results

The Simple mobile application scaled rapidly over the past 4 years to reach more than 11 400 primary care facilities in four countries with over 3 million patients enrolled. Simple achieved median duration for new patient registration of 76 s (IQR 2 s) and follow-up visit entry of 13 s (IQR 1 s).

Conclusions

A fast, easy-to-use digital information system for hypertension programmes that accommodates healthcare worker time constraints by minimising data entry and focusing on key performance indicators can successfully reach scale in low-resource settings.

Burka, D., Gupta, R., Moran, A. E., Cohn, J., Choudhury, S. R., Cheadle, T., Mullick, R., Frieden, T. R.

Burka, D., Gupta, R., Moran, A. E., Cohn, J., Choudhury, S. R., Cheadle, T., Mullick, R., Frieden, T. R.

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