Development of a Point-of-Care HIV/Aids Medication Dosing Support System Using the Android Mobile Platform

  • Authors:

  • Rajani S. Sadasivam;Vaibhav Gathibandhe;Murat M. Tanik;James H. Willig

  • Affiliations:

  • Division of Health Informatics and Implementation Science, Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, USA;Department of Electrical and Computer Engineering, University of Alabama at Birmingham, Birmingham, USA;Department of Electrical and Computer Engineering, University of Alabama at Birmingham, Birmingham, USA;Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, USA

  • Venue:
  • Journal of Medical Systems
  • Year:
  • 2012

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Abstract

Medication dosing errors can greatly reduce HIV treatment effectiveness as incorrect dosing leads to drug resistance and non-adherence. In order to dose correctly, HIV therapy providers must balance several patient characteristics such as renal functions and weight. In developing countries and other resource-limited settings, dosing errors are more likely because treatment is provided by mid-level providers with only basic training in HIV therapy. These providers also typically lack electronic tools informing medical decisions. Widespread adoption of mobile phones in developing nations offers an opportunity to implement a point-of-care system to help providers reduce dosing errors. We discuss the development of the mHIV-Dr system prototype using the new Android mobile platform. mHIV-Dr is being designed to provide dosing recommendations for front-line providers in developing countries. We also discuss the additional challenges in the implementation of the mHIV-Dr system in a resource limited setting.