Journal of tropical medicine · 2025
Preparedness of the Local Population for the Uptake of Artificial Intelligence and Digital One Health for Home Healthcare of Emerging and Reemerging Infectious Diseases in Southwest and Littoral Regions of Cameroon.
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Asonganyi Ettah Agnes, Tanue Elvis Asangbeng, Kwalar Ginyu Innocentia, Kibu Odette Dzemo, Ondua Moise, Sandeu Maurice Marcel, Ngono Ema Patrick Jolly, Nkweteyim Denis, Nyamsi Madeleine L, Achankeng Peter L, Tchapga Christian, Ayuk Justine, Halle-Ekane Gregory Eddie, Kong Jude Dzevela, Nsagha Dickson Shey
Аннотация
Background: Rapid digital responses to pandemics highlight advancements in healthcare, data sharing, and artificial intelligence (AI). While AI has driven progress in precision medicine, drug discovery, and vaccine development, its application to emerging and reemerging infectious diseases (ERIDs) remains underexplored, presenting critical challenges in addressing future health threats. Objectives: The study evaluated knowledge of ERIDs, AI, and Digital One Health (DOH) technologies, examined preparedness for their adoption in home healthcare, and identified factors influencing readiness to utilize these technologies in selected health districts of Cameroon. Methods: A cross-sectional study assessed the preparedness of communities in Buea, Limbe, Bonassama, and New-Bell Health Districts to adopt AI and DOH technologies from April to May 2024. Systematic random sampling included 33 communities, with data collected using face-to-face structured questionnaires. Analysis using SPSS Version 26 involved descriptive statistics and logistic regression, with statistical significance set at p < 0.05 and a 95% confidence interval to identify key associations. Results: Among 1625 participants, only 280 (17.2%) had good knowledge of ERIDs, with COVID-19 (68.8%) and cholera (94.5%) being the most recognized examples. Knowledge of AI and DOH technologies was poor, with only 166 (10.2%) demonstrating accurate understanding. Early disease detection emerged as a critical application of AI for ERID control. Preparedness to adopt AI and DOH technologies was reported by 941 (57.9%), with 64.5% comfortable with AI-generated interpretations and willing to use digital health tools during ERID outbreaks. Factors independently associated with preparedness included being a student (AOR = 2.678; 95% CI: 1.744-4.113; p < 0.001), good knowledge of AI and DOH (AOR = 7.141; 95% CI: 4.192-12.162; p < 0.001), and prior training on AI and digital health (AOR = 3.081; 95% CI: 2.272-4.179; p < 0.001). Conclusion: The study revealed insufficient knowledge of ERIDs, AI, and DOH but high preparedness to adopt these technologies for home care. Enhanced educational campaigns are recommended to improve community understanding and effective utilization of AI and DOH for controlling ERIDs.