Digital Transformation and Management to Control Epidemic in Pakistan

Abstract

The global incidence of dengue has grown dramatically in recent decades. According to WHO, 3.9 billion people are at risk of infection with dengue viruses with 70% of the actual burden is in Asia. In Pakistan, Punjab faced the major dengue outbreak with 21,685 confirmed cases and 350 deaths, mainly due to DENV-2. Dengue is a major health care problem that affecting countries worldwide. Dengue epidemic have a devastating impact on health care systems. All four characteristics of VUCA are true of the challenges we face due to the dengue epidemic. That called for a need to have integrated disease and surveillance (IDSR) framework for the management, prevention, and control of dengue. The IDSR framework for dengue includes hospital readiness, patient reporting system, surveillance, evidence-based decision making, awareness, citizen engagement, and availability of insecticides along with third party validation on top of it to keep a close check on containment efforts. A comprehensive patient portal was developed for all public and private health care facilities to report dengue cases i.e. suspected, probable, and confirmed as per the Dengue GCP guidelines. For surveillance, smartphone-based application was developed for field users to report larvicidal activities i.e. indoor residual spray in real-time, case response, and hotspots (areas at risk). As per established Standard Operating Procedures, hotspot regime was setup to sweep out breeding spots or larvae population at regular intervals in a week. For the purpose of evaluation and monitoring, third party validation application is designed to check activities that are performed as per prescribed standards or not. Dashboards and reports are available for various stakeholders to facilitate evidence-based decision making. These reports analyze field-based activities and rank performance of district and town. System also generates alerts i.e. Breteau (the number of positive containers per 100 houses inspected) and Container (percentage of water-holding containers infested with larvae or pupae) Indices, in real-time, enabling the administration to take decisions in a timely manner. Looking at the magnitude of dengue-related morbidity and mortality, all departments were involved in dengue prevention and control activities. This approach has proven effective in curtailing this mosquito-borne disease. The impact of these interventions can be clearly seen in regard to confirmed patient and death reported in recent year.

Citation

Mahroof, A. and Haider, S. (2022), "Digital Transformation and Management to Control Epidemic in Pakistan", Akkaya, B., Guah, M.W., Jermsittiparsert, K., Bulinska-Stangrecka, H. and Kaya, Y. (Ed.) Agile Management and VUCA-RR: Opportunities and Threats in Industry 4.0 towards Society 5.0, Emerald Publishing Limited, Leeds, pp. 145-160. https://doi.org/10.1108/978-1-80262-325-320220010