Shah, Maunank

Medicine - Infectious Diseases

India

External Bio Page

Using Mobile Technology for Tuberculosis Treatment in India: A Pilot Feasibility Study

Tuberculosis (TB) is a significant cause of mortality in India, which at 2.2 million cases diagnosed annually reports the highest number of incident cases in the world.  While TB is curable, the delivery of care in India remains challenging; treatment default has been found to be 18% in some settings, spurring the rise of drug-resistance. The World Health Organization recommends directly observed therapy (DOT) for the treatment of TB to improve outcomes.  In India this involves patients traveling to health centers to receive medications and be observed.  This is labor-intensive, logistically challenging, and expensive for patients and programs. An alternative strategy is to view patients “at a distance” through video recorded with a mobile device.  With India having 900 million cell phone users, this ‘video-based directly observed treatment’ (video-DOT) offers convenience to patients; it also offers reduced staff burden and reduced expense.  A prototype application, miDOT (mobile internet DOT), has been developed at Johns Hopkins University (JHU) to allow video-DOT and TB monitoring on mobile devices and computers.  We propose to evaluate the feasibility of using miDOT in public TB programs, to assess patient and provider acceptability of miDOT, and to perform a cost comparison of miDOT and conventional DOT. Given the significance of the global TB problem the results of this work may lead to large randomized controlled trials. We will conduct our project in collaboration with two sites that have established research partnerships with JHU, namely, B.J. Medical College and Padmashree Dr. D.Y. Patil Medical College (Pune, India). 

People

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation
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Projects

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