The fight against visceral leishmaniasis (VL), a potentially fatal parasitic disease, offers some lessons for controlling and overcoming COVID-19.
An international consortium KalaCORE, with funding from the UK government, has helped to turn the tide against VL in south Asia and east Africa. The programme focused on improving access to prompt diagnosis and effective treatment, training healthworkers, equipping health centres, raising community awareness, and bolstering national surveillance systems.
We acted as managing agent, additionally providing data management expertise that has assisted the targeting of resources. Diverse and rich data were brought together in our web-based platform, Moata Geospatial, to monitor the spread of VL.
Moata Geospatial enables data to be securely stored and structured, and accessed by multiple users. Data is displayed graphically, showing the spatial distribution of disease incidences through time. Analysis revealed underlying factors influencing infection in different locations.
Working as a global, cross-disciplinary team, we identified four key areas in which data assists disease control (combining public and private sector data):
Healthcare supply chain
- Availability of clinical and general supplies
- Resource allocation and logistics
- Utilisation of allocated resources
Medical waste management
- Quantum of infected waste
- Disposal capacity
Testing
- Testing capacity
- Test quality assurance
Quality of life
- Access to healthcare services
- Effects of income and employment on health
- Transmission by mobile and migrant workers
The aim of the project was to eliminate VL as a public health problem, with a target of less than one case per 10,000 people. Good progress was achieved, with cases declining in three main endemic countries – Bangladesh, India and Nepal. Our client, the UK Department for International Development, says: “There has been strong progress in eliminating VL as a public health problem. Fatality has fallen faster than expected, and the programme has strengthened government systems including surveillance and monitoring.”
Experience of tracking and targeting VL in south Asia is directly transferable to the fight against COVID-19. The Moata Geospatial toolset introduces a range of benefits that specifically address the challenges in the short- and long-term, assisting an effective response to infection. Specific benefits are improved decision-making, resilience and collaboration.
Key challenges stemming from the coronavirus lockdown
Decision making
- Lack of information at point of need
- Missing historic and live performance data
- Greater number of decisions to be made
- Novel/atypical decisions to be made quickly
Resilience
- Critical short-term interventions to mitigate the effects of the crisis
- Dynamic situation requiring continual re-evaluation
- Adjustment to reduced revenues and changed use/demand patterns
- Unclear where and how to invest best for future
Collaboration
- Maintaining productivity while working remotely
- Changing objectives
- Siloed manual data and unconnected systems
- Disrupted project teams and supply chains
Moata Geospatial is part of our smart infrastructure proposition. Simply, smart infrastructure involves collecting and connecting data to inform better decision-making.
Smart infrastructure solutions can be developed to address immediate and long-term healthcare challenges – and realise opportunities for healthcare providers and the communities they serve. Quick wins can be achieved by developing and piloting solutions to challenges at small scale, testing, proving, improving and scaling up as needed. Some digital solutions to here-and-now problems may only have short use-lives, but others will deliver lasting value.