Programme Mwana:
A Zambian mHealth Initiative
Programme Mwana
• Piloted in Zambia by MoH with support
from UNICEF, ZCAHRD, CHAI & ZPCT II
• Addresses Early Infant Diagn...
Programme Mwana
• Piloted in 31 clinics across 13 districts in 6 provinces
for over a year, delivering thousands of result...
Locations of Pilot Sites
Luapula Province:
• 11 Sites
• Across 3 Districts
• Implementer: UNICEF
Southern Province:
• 10 s...
Programme Mwana
• There is an mHealth Technical Working
Group that coordinates Programme Mwana
activities and other mHealt...
Locations of PCR Labs
Provinces the Labs Serve:
• Arthur Davison
• Northern
• Northwestern
• Copperbelt
• Luapula
• Centra...
Early Infant Diagnosis Results Cycle
ref - Early Infant Diagnosis: System Summary (2008) – MoH & Clinton H/A Initiative
Na...
Programme Questions
• Can we use mobile technology to
significantly speed up getting infants
HIV results to their caregive...
• Delivers infant HIV results from Lab to
Facilities via SMS and SMS Printers
• Tracks samples through the logistics syste...
HUB
From:Results160
Hello Maria,
there are 3 DBS
results for your
clinic.
Please reply with
your PIN to
retrieve
these results...
Kanyihampa Clinic.
Patient ID: XXXXXX-
0001-1.
HIV-DNAPCR Result:
NotDetected.
Approved by ADH
DNA-PCR LAB.
When a result ...
• Patient tracing by Community
Health Workers
• SMS Reminders for post-natal
visits
• Specific traces for DBS results
bein...
Quantitative: Pre-SMS System v Post-SMS System
On average results were
56% faster
between sample collection and
delivery t...
Quantitative: Pre-SMS System v Post-SMS System
45.5
21
0
5
10
15
20
25
30
35
40
45
50
Pre-SMS Post-SMS
TurnaroundTime(days...
Quantitative: Hardcopy v SMS Results
While urban facilities saw only a 5%
improvement rural facilities received results
46...
Quantitative: Hardcopy v SMS Results
Luapula Province
60
42
0
10
20
30
40
50
60
70
SMS (N=146) Hard Copy (N=103)
Percent
M...
Quantitative: Hardcopy v SMS Results
On average
30% more
results arrived by SMS than by
hardcopy
Triangle of Management
Health
Facility
District
Medical Office
Provincial
Medical
Office
National IT
Management
Team
Imple...
Aggregated Web Reports
Real-time Alerts
Way Forward
• Scaling Up the system nationally with
the help of partners
• Each year we set scale up targets
• This year w...
Way Forward
• Scaling the system nationally between now
and 2015
• To date we have scaled up Programme
Mwana to over 400 s...
Thank You
Project mwana-presentation-i school
Project mwana-presentation-i school
Upcoming SlideShare
Loading in …5
×

Project mwana-presentation-i school

230 views
137 views

Published on

Published in: Technology, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
230
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • Here is a health worker retrieving EID results on her phone and writing them down into the DBS register
  • 3 labs serve the entire country and the transport cycle of EID is a serious problem,
  • The system address the last two parts of the results delivery cycle. These times are much more severe in rural areas, as long as 6 months in some cases.
  • So what do the actual messages look like that are being sent back and forth?
  • The system reminds the RemindMi Agent of a necessary post-natal visit at six days, six weeks, and six months
  • The key point here is that there was a much larger volume of results that arrived by SMS rather than by Hard Copy. This trend greatly affected the rural facilities more than the urban ones.
  • Level of magnification: topAs the key beneficiaries of Project Mwana, all clinics have threestakeholders providing primary support on an ongoing basis. Two provide immediate support and one provides back-up support. All support teams should have guides outlining roles and responsibilities.“Behind-the-scenes” secondary support is provided by lab teams and software developers.Briefly, the next few slides outline the main duties of each of the key players.
  • These web management tools you can sort by districts, facility, time period and view positives, negatives, rejected
  • Project mwana-presentation-i school

    1. 1. Programme Mwana: A Zambian mHealth Initiative
    2. 2. Programme Mwana • Piloted in Zambia by MoH with support from UNICEF, ZCAHRD, CHAI & ZPCT II • Addresses Early Infant Diagnosis of HIV and post-natal follow-up and care
    3. 3. Programme Mwana • Piloted in 31 clinics across 13 districts in 6 provinces for over a year, delivering thousands of results • Scale-up approach pre-tested in 30 facilities in Kalomo District in Southern Province • Built on RapidSMS, an open source framework • Designed to be as a MoH owned and operated enterprise mHealth platform
    4. 4. Locations of Pilot Sites Luapula Province: • 11 Sites • Across 3 Districts • Implementer: UNICEF Southern Province: • 10 sites • Across 2 Districts • Implementer: BU Central Province: • 3 Site • Across 3 Districts • Implementer: CHAI & ZPCTII Copperbelt Province: • 3 Sites • Across 2 Districts • Implementer: CHAI & ZPCT II Northern Province: • 2 Sites • Across 1 District • Implementer: CHAI & ZPCT II North-Western Province: • 2 Sites • Across 2 Districts • Implementer: CHAI & ZPCT II
    5. 5. Programme Mwana • There is an mHealth Technical Working Group that coordinates Programme Mwana activities and other mHealth initiatives • The TWG is holds meetings every month and has sub committees that look address the day to day activities • The TWG is chaired by MoH
    6. 6. Locations of PCR Labs Provinces the Labs Serve: • Arthur Davison • Northern • Northwestern • Copperbelt • Luapula • Central • UTH • UTH facility • Southern • Kalingalinga • Lusaka • Eastern • Western
    7. 7. Early Infant Diagnosis Results Cycle ref - Early Infant Diagnosis: System Summary (2008) – MoH & Clinton H/A Initiative National average of 2008 including rural and urban
    8. 8. Programme Questions • Can we use mobile technology to significantly speed up getting infants HIV results to their caregivers? • Can we use mobile technology to increase post-natal visits of mothers to health facilities?
    9. 9. • Delivers infant HIV results from Lab to Facilities via SMS and SMS Printers • Tracks samples through the logistics system • Provides government monitoring tools
    10. 10. HUB
    11. 11. From:Results160 Hello Maria, there are 3 DBS results for your clinic. Please reply with your PIN to retrieve these results When results are ready the central SMS System sends a message alerting the clinic workers results are ready. Workflow: Phone: Results Retrieval 1
    12. 12. Kanyihampa Clinic. Patient ID: XXXXXX- 0001-1. HIV-DNAPCR Result: NotDetected. Approved by ADH DNA-PCR LAB. When a result is ready it is sent by SMS to the printer at the facility it the sample was collected at. Workflow: Printer: Results Retrieval 1
    13. 13. • Patient tracing by Community Health Workers • SMS Reminders for post-natal visits • Specific traces for DBS results being returned
    14. 14. Quantitative: Pre-SMS System v Post-SMS System On average results were 56% faster between sample collection and delivery to caregiver
    15. 15. Quantitative: Pre-SMS System v Post-SMS System 45.5 21 0 5 10 15 20 25 30 35 40 45 50 Pre-SMS Post-SMS TurnaroundTime(days) Pre-SMS and Post-SMS Aggregated Turnaround Time to Facility, Pre- vs. Post-SMS system, Central, Copperbelt, Northern, North-western Provinces
    16. 16. Quantitative: Hardcopy v SMS Results While urban facilities saw only a 5% improvement rural facilities received results 46% faster between sample collection and delivery facility using SMS
    17. 17. Quantitative: Hardcopy v SMS Results Luapula Province 60 42 0 10 20 30 40 50 60 70 SMS (N=146) Hard Copy (N=103) Percent Method of Result Receipt SMS vs. Hard Copy, Volume of Results Received, Luapula Province
    18. 18. Quantitative: Hardcopy v SMS Results On average 30% more results arrived by SMS than by hardcopy
    19. 19. Triangle of Management Health Facility District Medical Office Provincial Medical Office National IT Management Team Implementing Partner Lab Team Software Develop ment Team Secondary Support Primary Support
    20. 20. Aggregated Web Reports
    21. 21. Real-time Alerts
    22. 22. Way Forward • Scaling Up the system nationally with the help of partners • Each year we set scale up targets • This year we have a target of 300 sites. We are on course to meet this target. •To date we have scaled up Programme Mwana to over 462 sites.
    23. 23. Way Forward • Scaling the system nationally between now and 2015 • To date we have scaled up Programme Mwana to over 400 sites.
    24. 24. Thank You

    ×