The initiative has developed an e-leprosy framework in the form of a web-based system application enriched with bidirectional SMS for leprosy surveillance officers (LSO). E-leprosy automatically sent SMS reminders to 27 LSO and 173 patients and relatives. LSO, patients and their relatives are included in the e-leprosy database.
The participants received SMS every month for three days before and after the due date of obtaining an MDT blister pack from a PHC. E-leprosy repeatedly sent SMS to patients, relatives, and LSO consistently with patient’s leprosy type. LSO received reminders only for their responsible patients. Furthermore, in the case that patients have already undergone MDT, LSO should respond to e-leprosy by SMS replies, while patients and relatives did not have to reply to e-leprosy.
The replies from LSO would automatically update the e-leprosy database for scheduling the next MDT reminders. E-leprosy stopped sending SMS reminders when it had already received SMS replies consistently with patient’s leprosy type. The patients, relatives, and LSO also received reminders when e-leprosy did not receive any SMS replies for three consecutive months. These reminders were sent to prevent uncompleted treatments.
The design of initiative requires the active involvement of LSO so that the initiative needs to be included in routine health program of the District Health Office and constantly giving motivation to LSO such as rewards. The technology that is adopted should be simple and suitable with the infrastructure of the low and middle-income country.