Using Mobile Technologies to Improve Maternal Health

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Using Mobile Technologies to Improve Maternal Health

  1. 1. Mobile Technologiesfor HealthcareAlex Little & Florida AlemayhuBarCamp Ethiopia 2011 http://digital-campus.org © 2011
  2. 2. mHealth● Using mobile technologies to improve healthcare● Lots of potential: ● data collection ● point of care support ● telemedicine/remote diagnosis● So far little evidence of what really works and what may be scalable http://digital-campus.org © 2011
  3. 3. Our programme● As yet, little use of mHealth in Ethiopia● Evalutation of the feasibility of using mobile technologies (smartphones) to improve maternal health● Working with Health Extension Workers in Tigray http://digital-campus.org © 2011
  4. 4. Stage 1: HEW interviews● Interviews with HEWs and assess technical aspects. Findings: ● GPRS coverage much better than expected ● Technically worked well ● Lack of electricity at many health posts ● Language/date format ● HEWs very keen on using the smartphones http://digital-campus.org © 2011
  5. 5. Stage 2: Smartphones to HEWsTraining HEWs in howto use smartphonesand practice using thedata collectionapplication http://digital-campus.org © 2011
  6. 6. Protocol development● Protocol is a standard medical care questionnaire● Acts as reminder to HEWs to ensure they are asking all the correct information● Information can be used to help risk assess patients● HEWs/Midwives can focus on those most at risk of having complications during pregnancy/labour http://digital-campus.org © 2011
  7. 7. Workflow1 1. Data collected in the field using smartphones 2. Data automatically uploaded to server whenever GPRS connection available 3. Data instantly available via the scorecard dashboard 2 3 Internet http://digital-campus.org © 2011
  8. 8. Scorecard Dashboard ● Graphical display of data submitted ● Highlight patients most at risk ● Missing appointments ● Protocols submitted by each HEW/Midwife http://digital-campus.org © 2011
  9. 9. TechnologyDevelopment http://digital-campus.org © 2011
  10. 10. Hardware● Used HTC Hero phones – smartphones getting cheaper all the time – could also use any other Android phone● Solar lamp/chargers● Dual battery chargers http://digital-campus.org © 2011
  11. 11. Solar charging● Testing out different solar systems for charging phones● Many different products available, were testing: ● D-light ● Glowstar http://digital-campus.org © 2011
  12. 12. Software Demo http://digital-campus.org © 2011
  13. 13. Data Collection Applications● Many different data collection applications: ● EpiSurveyor ● Sana/OpenMRS ● OpenXData ● OpenDataKit (ODK) http://digital-campus.org © 2011
  14. 14. OpenDataKit http://opendatakit.org/● ODK Aggregate – server app – runs either on your own server or on Google App Engine● ODK Collect – client application for Android● ODK Build – to help build form XML http://digital-campus.org © 2011
  15. 15. Geez keyboard To help HEWs enter data – they can use a Geez keyboard for entering Amharic/Tigrinyan text http://digital-campus.org © 2011
  16. 16. Customised Client appDeveloped the ODKClient application sodates can be enteredin Ethiopian dataformat http://digital-campus.org © 2011
  17. 17. Pregnancy CalculatorDeveloped a smallAndroid app to helpcalculate theexpected deliverydate http://digital-campus.org © 2011
  18. 18. Scorecard Development ● Developed in PHP ● Links to ODK database ● Still under development - getting feedback from medical professionals http://digital-campus.org © 2011
  19. 19. Overview● So far, technology is working well● Big test is over the next few months once the HEWs and midwives start to use the technology for real● More development needed for the scorecard and client phone applications http://digital-campus.org © 2011
  20. 20. Thanks! Further info: http://digital-campus.org Alex Little: alex@alexlittle.netFlorida Alemayhu:jesaflor@yahoo.com http://digital-campus.org © 2011

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