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WELTEL KENYA: USING MOBILE mHealth PHONES AS A ... - INRUD

WELTEL KENYA: USING MOBILE mHealth PHONES AS A ... - INRUD

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Intro<br />

Weltel Kenya1 (Lancet 2010)<br />

Effects of a mobile phone short message service on antiretroviral<br />

treatment adherence in Kenya<br />

<strong>WELTEL</strong> <strong>KENYA</strong>:<br />

<strong>USING</strong> <strong>MOBILE</strong><br />

<strong>PHONES</strong> <strong>AS</strong> A<br />

COST‐EFFECTIVE<br />

HEALTH<br />

INTERVENTION<br />

•<br />

•<br />

538 patient randomised control trial (RCT) initiating ART<br />

2 arms: 1. SMS intervention ti 2. Control/Standard d of Care<br />

• SMS intervention arm:<br />

• 1 weekly SMS for 1 year<br />

• Respond within 48 hours<br />

• Patients responding problem & non‐responders called back<br />

• Results:<br />

HIV/AIDS<br />

• SMS intervention group: significant improvements in<br />

SUPPORT<br />

adherence and viral suppression<br />

• Viral Load Suppression: 57% intervention vs 48% control<br />

• ART adherence (>95%): 62% intervention vs 50%<br />

Richard.Lester@bccdc.ca<br />

• Viral load suppression<br />

bella@weltel.org<br />

NNT = 11<br />

• ART adherence<br />

NNT= 9

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