eISSN: 2228-6497  
Submitted: 03 Jan 2017
Revised: 20 Jan 2017
Accepted: 22 Jan 2017
First published online: 05 Mar 2017
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Abstract Page Views: 257
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Health Promot Perspect. 2017;7(2):60-65.
doi: 10.15171/hpp.2017.12
PMID: 28326285
PMCID: PMC5350551

Scoping Review

Impact of telemonitoring approaches on integrated HIV and TB diagnosis and treatment interventions in sub-Saharan Africa: a scoping review

Clarence S Yah 1,2, Ernest Tambo 3,4 * , Christopher Khayeka-Wandabwa 5, Jeanne Y. Ngogang 3

1 WITS Reproductive & HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
2 Department of Biochemistry & Microbiology, Nelson Mandela Metropolitan University, South Africa
3 Department Biochemistry and Pharmaceutical Sciences, Higher Institute of Health Sciences, Université des Montagnes, Bangangté, Cameroon
4 Africa Disease Intelligence and Surveillance, Communication and Response (Africa DISCoR) Institute, Yaoundé, Cameroon
5 African Population and Health Research Center (APHRC), Nairobi, Kenya


Background: This paper explores telemonitoring approaches as a promising real time and contextual strategy in improving HIV and TB interventions, quality access and uptake, retention, adherence and coverage impact in endemic and epidemic prone-regions.

Methods: A scoping review design was applied to synthesize telemonitoring HIV and TB information indexed in peer reviewed journal hubs to identify relevant articles pertaining to telemonitoring as a proxy surrogate method in reinforcing sustainability of HIV/TB prevention and treatment in sub-Saharan Africa. The following research indexing hubs were used for the search: Medline, Embase, Global Health, PubMed, MeSH PsycInfo, Scopus and Google Scholar. The articles selected were used to foster evidence of telemonitoring/mhealth diagnosis, treatment of HIV and TB prevention and control approaches.

Results: We found telemonitoring approaches as a convenient and sustained proxy-method of HIV and TB risk reduction strategies including early diagnosis and prompt quality clinical outcomes. This has shown to significantly contribute in decreasing health systems/patients cost, long waiting time in clinics, hospital visits, travels and time off/on from work.

Conclusion: Telemonitoring/mhealth (electronic phone text/video/materials messaging) adoption, integration, acceptability, access and uptake are crucial in monitoring and improving HIV and TB uptake, retention, adherence and coverage in both local and national interventions programs. Improved integrated HIV and TB telemonitoring sustainability hold great promises in health systems strengthening including patient early centered diagnosis and care delivery, uptake and retention in medications/ services and improvement of patients’ quality of life.

Citation: Yah CS, Tambo E, Khayeka-Wandabwa C, Ngogang JY. Impact of telemonitoring approaches on integrated HIV and TB diagnosis and treatment interventions in sub-Saharan Africa: a scoping review. Health Promot Perspect. 2017;7(2):60-65. doi: 10.15171/hpp.2017.12.
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