Electronic Data Management for Vaccine Trials in Low Resource Settings: Upgrades, Scalability, and Impact of ODK



Marks, Michael, Lal, Sham, Brindle, Hannah ORCID: 0000-0003-1684-5801, Gsell, Pierre-Stephane, MacGregor, Matthew, Stott, Callum, van de Rijdt, Martijn, Almazor, Guillermo Gutierrez, Golia, Suman, Watson, Conall
et al (show 8 more authors) (2021) Electronic Data Management for Vaccine Trials in Low Resource Settings: Upgrades, Scalability, and Impact of ODK. FRONTIERS IN PUBLIC HEALTH, 9. 665584-.

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Abstract

<b>Background:</b> ODK provides software and standards that are popular solutions for off-grid electronic data collection and has substantial code overlap and interoperability with a number of related software products including CommCare, Enketo, Ona, SurveyCTO, and KoBoToolbox. These tools provide open-source options for off-grid use in public health data collection, management, analysis, and reporting. During the 2018-2020 Ebola epidemic in the North Kivu and Ituri regions of Democratic Republic of Congo, we used these tools to support the DRC Ministère de la Santé RDC and World Health Organization in their efforts to administer an experimental vaccine (VSV-Zebov-GP) as part of their strategy to control the transmission of infection. <b>Method:</b> New functions were developed to facilitate the use of ODK, Enketo and <i>R</i> in large scale data collection, aggregation, monitoring, and near-real-time analysis during clinical research in health emergencies. We present enhancements to ODK that include a built-in audit-trail, a framework and companion app for biometric registration of ISO/IEC 19794-2 fingerprint templates, enhanced performance features, better scalability for studies featuring millions of data form submissions, increased options for parallelization of research projects, and pipelines for automated management and analysis of data. We also developed novel encryption protocols for enhanced web-form security in Enketo. <b>Results:</b> Against the backdrop of a complex and challenging epidemic response, our enhanced platform of open tools was used to collect and manage data from more than 280,000 eligible study participants who received VSV-Zebov-GP under informed consent. These data were used to determine whether the VSV-Zebov-GP was safe and effective and to guide daily field operations. <b>Conclusions:</b> We present open-source developments that make electronic data management during clinical research and health emergencies more viable and robust. These developments will also enhance and expand the functionality of a diverse range of data collection platforms that are based on the ODK software and standards.

Item Type: Article
Uncontrolled Keywords: Ebola, open-data-kit, open source software, electronic data collection, low and middle income countries
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User: Symplectic Admin
Date Deposited: 27 Jan 2022 15:56
Last Modified: 18 Jan 2023 21:14
DOI: 10.3389/fpubh.2021.665584
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3147725