CCIH 2012 Conference, Breakout 4, Kyle Duarte, Technological Innovations in International Health: mHealth

Stronger health systems. Greater health impact.mHealthCCIH Conference June 2012 Kyle Duarte | Director, Systems Analysis & Software Products | CPM | MSHManagement Sciences for Health 1

Overview • What is mHealth and why is it so important? • Use of mobile technologies within MSH’s projects • Field examples: o Use of mobile phone based dispensing solutions in Namibia (SPS Namibia) o Data collection using mobile phones (SPS EUV Malawi) • Best practices in design and implementation • QuestionsManagement Sciences for Health 2

Technology in health systems ICT eHealth mHealthManagement Sciences for Health 3

mHealth potentialSource: "mHealth for Development: the Opportunity of Mobile African Cell Phone Owners Growth- ITUTechnology for Healthcare in the Developing World", 2009 Adoption - http://www.mit.edu/~tavneet/M-PESA.pdf Management Sciences for Health 4

Mobile Phone Technologies as.. Data Delivery SMS txt message-direct to Supply Chain Management end users Two way data delivery Diagnostics + Data Collection Health Education Remote data collection Data validation = Mobile Payments Geo tagging Patient Adherence/tracking + Data Integration Advocacy/health promotion Layering data on dashboards, maps Specialized solution and many, many moreManagement Sciences for Health 5

Main Uses in MSH’s ProjectsData Delivery • Mobile phone as modems in NamibiaData Collection and Aggregation • Malaria indicators (SPS Project, Malawi) • Inspecting and monitoring medicines using PDAs (SEAM Project, Tanzania) • Post market surveillance and GIS mapping (ADDOs & SDSI Project, Liberia, Tanzania and Uganda)Data Integration • A ‘lite’ version of EDT Namibia (SPS Project) • HACTS System in Ethiopia using Mobile Data Force (SCMS Project)Management Sciences for Health 7

Background mEDT SPS Namibia • Incomplete, missing data on ARV dispensing from outreach sites • Poor inventory management; bad data for quantification • Unable to schedule patient appointments • Ineffective adherence monitoringManagement Sciences for Health 9

Solution: Adapting to Mobile Technology • mEDT: Adapt existing EDT (dispensing tool) to mobile phone + hand held scanner • Core functions: Stock management, dispensing, patient scheduling and adherence monitoring • Scanner is used to scan bar codes on medicines when dispensed to patients • Data is synchronized when docked to the desktopManagement Sciences for Health 10

Results • 14% (12,320)* of all patients on ART are serviced at outreach sites through the EDT-mobile • Increased speed and accuracy of dispensing at outreach sites as both dispensing and label printing is automated • Elimination of the need for double recording thus freeing staff to perform other critical tasks • Improved stock control at outreach sites due to accurate data on quantities of each ARV dispensed at the outreach site * Data as of 2009Management Sciences for Health 11

Conclusions • The mEDT + mobile scanner is a fast, cost effective and efficient way to manage ART records in remote settings • Effective solution for situations where desktop computers are not feasibleManagement Sciences for Health 12

Background • NMCP conducts supervision visits to assess • Availability of Malaria commodities • Assess how facilities are diagnosing and treating malaria • SPS Program and NMCP piloted DataDyne’s EpiSurveyor to collect and analyze data on malaria commodity availability and case management indicatorsManagement Sciences for Health 14

Objectives • Assess how well EpiSurveyor alleviates the burden of data collection, data entry, and data analysis • Use the GPS feature in EpiSurveyor to map out health facilities • Evaluate performance of the solution with limited support from DataDyneManagement Sciences for Health 15

Methodology • Modified and customized the Monitoring Tool to incorporate multiple program commodities and indicator requirements • Trained assessment teams on the proper use of the tool and cell phone for data entry (1 day) • Pre-tested the tool at five sites • Finalized the assessment tool for data collection • 56 facilities visited (3 teams, Nokia E71 phone)Management Sciences for Health 16

Phones in ActionManagement Sciences for Health 17

Instant analysis following data entryManagement Sciences for Health 18

Data visualization using GIS MappingManagement Sciences for Health 19

Conclusions • EpiSurveyor Mobile was successful in data collection and analysis • The solutions can applied and adapted in functionally similar settings • This can now be carried out by NMCP without external technical assistanceManagement Sciences for Health 20

Best practices in design 1 2 3 4 Tried and Locally Relevant Sustainable Tested Owned …based on …Tried and tested …designed to … in partnership leveraging concepts that address the most with local international/regi work, so that the urgent, basic or stakeholders to onal experiences client makes fundamental ensure knowledge and progress with program’s transfer and methodologies pace and certainty information ownership with local of outcome challenges stakeholders Goals and ObjectivesManagement Sciences for Health 22

Best practices in implementation Goals and Objectives 1 2 3 4 Capacity Process Data Technology Training needs Best practices Data elements Phone OS and support incorporated in Form design Open source strategy. SOP Analysis solution User driven development Non proprietary design databases Scalable platforms Measureable impact that is sustainableManagement Sciences for Health 23

Key Take Aways • Do not duplicate – adapt existing tools or innovate within solutions • Ensure user driven design – solutions that work well in the “lab” may not work well in the field • Build in interoperability between databases – HL7 standards for data exchangeManagement Sciences for Health 24

Useful resources USAID-mHealth Alliance: http://www.mhealthworkinggroup.org/ Mendeley groups white papers: http://www.mendeley.com/groups/1446673/final-instedd-mhealth- literature-collection/papers/ K4health toolkit:http://www.k4health.org/toolkits/mhealth- toolkit PSM tool kit: http://www.psmtoolbox.org/en/tool- details%7CCapacity-building%7CIndoor-Residual-Spraying-IRS- Toolkit%7C237Management Sciences for Health 25

Implementers/Stakeholders Technology providers Management Sciences for Health 26

QUESTIONS ? Stronger health systems. Greater health impact. Saving lives and improving the health of the world’s poorest and most vulnerable people by closing the gap between knowledge and action in public health.Management Sciences for Health 27

CCIH 2012 Conference, Breakout 4, Kyle Duarte, Technological Innovations in International Health: mHealth

by Christian Connections for International Health on Jul 05, 2012

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CCIH 2012 Conference, Breakout 4, Kyle Duarte, Technological Innovations in International Health: mHealth Presentation Transcript