{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:22:58Z","timestamp":1772252578451,"version":"3.50.1"},"reference-count":40,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T00:00:00Z","timestamp":1477267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Future Internet"],"abstract":"<jats:p>The present grievous tuberculosis situation can be improved by efficient case management and timely follow-up evaluations. With the advent of digital technology, this can be achieved through quick summarization of the patient-centric data. The aim of our study was to assess the effectiveness of the ODK Scan paper-to-digital system during a testing period of three months. A sequential, explanatory mixed-method research approach was employed to elucidate technology use. Training, smartphones, the application and 3G-enabled SIMs were provided to the four field workers. At the beginning, baseline measures of the data management aspects were recorded and compared with endline measures to determine the impact of ODK Scan. Additionally, at the end of the study, users\u2019 feedback was collected regarding app usability, user interface design and workflow changes. A total of 122 patients\u2019 records were retrieved from the server and analysed in terms of quality. It was found that ODK Scan recognized 99.2% of multiple choice fill-in bubble responses and 79.4% of numerical digit responses correctly. However, the overall quality of the digital data was decreased in comparison to manually entered data. Using ODK Scan, a significant time reduction is observed in data aggregation and data transfer activities, but data verification and form-filling activities took more time. Interviews revealed that field workers saw value in using ODK Scan, but they were more concerned about the time-consuming aspects of the use of ODK Scan. Therefore, it is concluded that minimal disturbance in the existing workflow, continuous feedback and value additions are the important considerations for the implementing organization to ensure technology adoption and workflow improvements.<\/jats:p>","DOI":"10.3390\/fi8040051","type":"journal-article","created":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T10:46:39Z","timestamp":1477305999000},"page":"51","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["ODK Scan: Digitizing Data Collection and Impacting Data Management Processes in Pakistan\u2019s Tuberculosis Control Program"],"prefix":"10.3390","volume":"8","author":[{"given":"Syed","family":"Ali","sequence":"first","affiliation":[{"name":"mHealth Coordinator, Mercy Corps, Pak Palace, Murree Road, Rawal Chowk, Islamabad 44000, Pakistan"}]},{"given":"Rachel","family":"Powers","sequence":"additional","affiliation":[{"name":"Information Systems, VillageReach, Seattle, WC 98102, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9393-9049","authenticated-orcid":false,"given":"Jeffrey","family":"Beorse","sequence":"additional","affiliation":[{"name":"Computer Science and Engineering, University of Washington, Seattle, WA 98101, USA"}]},{"given":"Arif","family":"Noor","sequence":"additional","affiliation":[{"name":"mHealth Coordinator, Mercy Corps, Pak Palace, Murree Road, Rawal Chowk, Islamabad 44000, Pakistan"}]},{"given":"Farah","family":"Naureen","sequence":"additional","affiliation":[{"name":"mHealth Coordinator, Mercy Corps, Pak Palace, Murree Road, Rawal Chowk, Islamabad 44000, Pakistan"}]},{"given":"Naveed","family":"Anjum","sequence":"additional","affiliation":[{"name":"mHealth Coordinator, Mercy Corps, Pak Palace, Murree Road, Rawal Chowk, Islamabad 44000, Pakistan"}]},{"given":"Muhammad","family":"Ishaq","sequence":"additional","affiliation":[{"name":"mHealth Coordinator, Mercy Corps, Pak Palace, Murree Road, Rawal Chowk, Islamabad 44000, Pakistan"}]},{"given":"Javariya","family":"Aamir","sequence":"additional","affiliation":[{"name":"mHealth Coordinator, Mercy Corps, Pak Palace, Murree Road, Rawal Chowk, Islamabad 44000, Pakistan"}]},{"given":"Richard","family":"Anderson","sequence":"additional","affiliation":[{"name":"Computer Science and Engineering, University of Washington, Seattle, WA 98101, USA"}]}],"member":"1968","published-online":{"date-parts":[[2016,10,24]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (WHO) (2015). Global Tuberculosis Report-2015, WHO. Available online: http:\/\/apps.who.int\/iris\/bitstream\/10665\/191102\/1\/9789241565059_eng.pdf."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.tube.2015.11.004","article-title":"Route of delivery to the airway influences the distribution of pulmonary disease but not the outcome of Mycobacterium tuberculosis infection in rhesus macaque","volume":"96","author":"Sibley","year":"2016","journal-title":"Tuberc. J."},{"key":"ref_3","unstructured":"World Health Organization (WHO). Available online: http:\/\/www.emro.who.int\/pak\/programmes\/stop-tuberculosis.html."},{"key":"ref_4","unstructured":"World Health Organization (WHO) (2014). Understanding and Using Tuberculosis Data, WHO. Available online: http:\/\/apps.who.int\/iris\/bitstream\/10665\/129942\/1\/9789241548786_eng.pdf?ua=1&ua=1."},{"key":"ref_5","unstructured":"World Health Organization (WHO) (2015). A Guide to Monitoring and Evaluation for Collaborative TB\/HIV Activities, WHO. Available online: http:\/\/apps.who.int\/iris\/bitstream\/10665\/150627\/1\/9789241508278_eng.pdf?ua=1."},{"key":"ref_6","unstructured":"World Health Organization (WHO) (2015). Digital Health for End TB Strategy: An Agenda for Action, WHO. Available online: http:\/\/www.who.int\/tb\/areas-of-work\/digital-health\/Digital_health_EndTBstrategy.pdf."},{"key":"ref_7","unstructured":"Division of Tuberculosis Elimination (2012). Treatment of Drug-Susceptible Tuberculosis Disease in Persons Not Infected with HIV, Available online: http:\/\/www.cdc.gov\/tb\/publications\/factsheets\/treatment\/treatmenthivnegative.htm."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1136\/amiajnl-2011-000755","article-title":"WHO guidance on electronic systems to manage data for tuberculosis care and control","volume":"19","author":"Timimi","year":"2012","journal-title":"J. Am. Med. Inform. Assoc. (JAMIA)"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Dell, N., Perrier, T., Kumar, N., Lee, M., Powers, R., and Borriello, G. (2015, January 14\u201318). Paper-digital workflows in global development organizations. Proceedings of the 18th ACM Conference on Computer Supported Cooperative Work and Social Computing, Vancouver, BC, Canada.","DOI":"10.1145\/2675133.2675145"},{"key":"ref_10","unstructured":"Agarwal, S., Rosenblum, L., Goldschmidt, T., Carras, M., Goel, N., and Labrique, A.B. Mobile Technology in Support of Frontline Health Workers: A Comprehensive Overview of the Landscape, Knowledge Gaps and Future Directions. Available online: https:\/\/dl.dropboxusercontent.com\/u\/5243748\/mFHW%20Landscape_2016%20Final.pdf."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ijmedinf.2016.06.013","article-title":"Georeferenced and secure mobile health system for large scale data collection in primary care","volume":"94","author":"Sa","year":"2016","journal-title":"Int. J. Med. Inform."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e52","DOI":"10.2196\/jmir.3951","article-title":"Impact of mHealth chronic disease management on treatment adherence and patient outcomes: A systematic review","volume":"17","author":"Hamine","year":"2015","journal-title":"J. Med. Internet Res."},{"key":"ref_13","unstructured":"Royal College of Nursing (2012). Tuberculosis Case Management and Cohort Review: Guidance for Health Professionals, RCN. Available online: https:\/\/www2.rcn.org.uk\/__data\/assets\/pdf_file\/0010\/439129\/004204.pdf."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Iribarren, S.J., Rubinstein, F., Discacciati, V., and Pearce, P.F. (2014). Listening to those at the frontline: Patient and healthcare personnel perspectives on tuberculosis treatment barriers and facilitators in high TB burden regions of Argentina. Tuberc. Res. Treat.","DOI":"10.1155\/2014\/135823"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"719","DOI":"10.5588\/ijtld.12.0638","article-title":"Mobile health to improve tuberculosis care and control: A call worth making","volume":"17","author":"Denkinger","year":"2013","journal-title":"Int. J. Tuberc. Lung Dis."},{"key":"ref_16","first-page":"1","article-title":"mHealth series: New ideas for mHealth data collection implementation in low\u2013 and middle\u2013income countries. Editorial","volume":"3","author":"Car","year":"2013","journal-title":"J. Glob. Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1744-8603-2-9","article-title":"Can the ubiquitous power of smartphones be used to improve health outcomes in developing countries?","volume":"2","author":"Kaplan","year":"2006","journal-title":"Glob. Health"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Mosa, A.S., Yoo, I., and Sheets, L. (2012). A systematic review of healthcare applications for smartphones. BMC Med. Inform. Decis. Mak., 12.","DOI":"10.1186\/1472-6947-12-67"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Brunette, W., Sundt, M., Dell, N., Chaudhri, R., Breit, N., and Borriello, G. (2013, January 26\u201327). Open data kit 2.0: Expanding and refining information services for developing regions. Proceedings of the 14th Workshop on Mobile Computing Systems and Applications, Jekyll Island, GA, USA.","DOI":"10.1145\/2444776.2444790"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Dell, N., Breit, N., Chaluco, T., Crawford, J., and Borriello, G. (2012, January 10\u201311). Digitizing paper form with mobile imaging technologies. Proceedings of the 2nd ACM Symposium on Computing for Development, Atlanta, GA, USA.","DOI":"10.1145\/2160601.2160604"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.cviu.2007.09.014","article-title":"SURF: Speeded Up Robust Features","volume":"110","author":"Bay","year":"2008","journal-title":"Comput. Vis. Image Underst."},{"key":"ref_22","unstructured":"Muja, M., and Lowe, D. (2009, January 5\u20138). Fastest approximate nearest neighbors with automatic algorithm configuration. Proceedings of the International Conference on Computer Vision Theory and Application (VISSAPP\u201909), Lisboa, Portugal."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1145\/358669.358692","article-title":"Random Sample Consensus: A Paradign for Model Fitting with Applicatins to Image Analysis and Automated Cartography","volume":"24","author":"Fischler","year":"1981","journal-title":"Commun. ACM"},{"key":"ref_24","unstructured":"Dell, N., Breit, N., Wobbrock, J.O., and Borriello, G. (2013, January 29\u201331). Improving form-based data entry with image snippets. Proceedings of the 13 Proceedings of Graphic Interface, Regina, SK, Canada."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/BF00994018","article-title":"Support-Vector Networks","volume":"20","author":"Cortes","year":"1995","journal-title":"Mach. Learn."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1080\/14786440109462720","article-title":"On Lines and Planes of Closest Fit to Systems of Points in Space","volume":"2","author":"Pearson","year":"1901","journal-title":"Philos. Mag."},{"key":"ref_27","first-page":"65","article-title":"Theory of the backpropagation neural network","volume":"2","author":"Robert","year":"1989","journal-title":"Proc. Int. Jt. Conf. Nueral Netw."},{"key":"ref_28","unstructured":"Zebra Xing (Zebra Crossing). Available online: https:\/\/github.com\/zxing\/zxing."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1057\/hs.2012.17","article-title":"Health information systems: A patient-user perspective","volume":"1","author":"Paul","year":"2012","journal-title":"Health Syst."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1057\/hs.2013.6","article-title":"End-user support for primary care electronic medical records: A qualitiative case study of users\u2019 needs, expectation, and realities","volume":"2","author":"Shachak","year":"2013","journal-title":"Health Syst."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ijmedinf.2015.12.017","article-title":"A review of randomized controlled trials of medical record powered clinical decision support system to improve quality of diabetes care","volume":"87","author":"Ali","year":"2016","journal-title":"Int. J. Med. Inform."},{"key":"ref_32","unstructured":"Earth Institute (2010). Barriers and Gaps Affecting Mhealth in Low and Middle Income Countries: A Policy While Paper, mHealth Alliance. Available online: http:\/\/cgsd.columbia.edu\/files\/2012\/11\/mHealthBarriersWhitePaperFINAL.pdf."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/1476-072X-5-34","article-title":"Linking the global positioning system (GPS) to a personal digital assistant (PDA) to support tuberculosis control in South Africa: A pilot study","volume":"5","author":"Dwolatzky","year":"2006","journal-title":"Int. J. Health Geogr."},{"key":"ref_34","unstructured":"Luk, R., and Bancroft, E. Lesson Learned: ICTs for Supply Chain Management in Low-Resource Settings. Available online: https:\/\/www.k4health.org\/toolkits\/mhealth-planning-guide\/lessons-learned-icts-supply-chain-management-low-resource-settings."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/S0149-7189(00)00049-5","article-title":"Improving data quality for performance measures: Results from a GAO study of verification and validation","volume":"24","author":"Divorski","year":"2001","journal-title":"Eval. Progr. Plan."},{"key":"ref_36","first-page":"679","article-title":"Development of mobile health capabilities for remote data collection in resource-limited settings","volume":"32","author":"Poku","year":"2014","journal-title":"Johns Hopkins APL Tech. Dig."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Little, A., Medhanyie, A., Yebyo, H., Spigt, M., Dinant, G., and Blanco, R. (2013). Meeting community health worker needs for maternal health care service delivery using appropriate mobile technologies in Ethiopia. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0077563"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Dell, N., Crawford, J., Breit, N., Chaluco, T., Coelho, A., McCord, J., and Borriello, G. (2013, January 7\u201310). Integrating ODK Scan into the community health worker supply chain in Mozambique. Proceedings of the Sixth International Conference on Information and Communication Technologies and Development, Cape Town, South Africa.","DOI":"10.1145\/2516604.2516611"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"The PLOS Medicine Editors (2013). A reality checkpoint for mobile health: Three challenges to overcome. PLoS Med., 10.","DOI":"10.1371\/journal.pmed.1001395"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Tomlinson, M., Rotheram-Borus, M.J., Swartz, L., and Tsai, A.C. (2013). Scaling up mHealth: Where is the evidence?. PLoS Med., 10.","DOI":"10.1371\/journal.pmed.1001382"}],"container-title":["Future Internet"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1999-5903\/8\/4\/51\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T19:33:48Z","timestamp":1760211228000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1999-5903\/8\/4\/51"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10,24]]},"references-count":40,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2016,12]]}},"alternative-id":["fi8040051"],"URL":"https:\/\/doi.org\/10.3390\/fi8040051","relation":{"has-preprint":[{"id-type":"doi","id":"10.20944\/preprints201608.0232.v1","asserted-by":"object"},{"id-type":"doi","id":"10.20944\/preprints201608.0232.v2","asserted-by":"object"}]},"ISSN":["1999-5903"],"issn-type":[{"value":"1999-5903","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10,24]]}}}