Availability of mobile phones for discharge follow-up of pediatric emergency department patients in western Kenya

Abstract

Objective: Mobile phones have been successfully used for Emergency Department (ED) patient follow-up in developed countries. Mobile phones are widely available in developing countries and may offer a similar potential for follow-up and continued care of ED patients in low and middle-income countries. The goal of this study was to determine the percentage of families with mobile phones presenting to a pediatric ED in western Kenya and rate of response to a follow-up phone call after discharge. Methods: A prospective, cross-sectional observational study of children presenting to the emergency department of a government referral hospital in Eldoret, Kenya was performed. Documentation of mobile phone access, including phone number, was recorded. If families had access, consent was obtained and families were contacted 7 days after discharge for follow-up. Results: Of 788 families, 704 (89.3%) had mobile phone access. Of those families discharged fromthe ED, successful follow-up was made in 83.6% of cases. Conclusions: Mobile phones are an available technology for follow-up of patients discharged from a pediatric emergency department in resource-limited western Kenya.