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From mHealth Day at CORE Group\'s Spring Meeting of the Community Health Network. Includes feedback from Technical Working Groups. Also a few idea for the group that met.

From mHealth Day at CORE Group\'s Spring Meeting of the Community Health Network. Includes feedback from Technical Working Groups. Also a few idea for the group that met.

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Mhealth Presentation Presentation Transcript

  • 1. community health and mhealth
  • 2. Agenda
    Thinking about mHealth: Adam Slote, USAID
    Mhealth feedback from CORE meeting participants: Ann H-J, CORE Group
    Small Group work: devising an mHealth checklist/design challenges
    Whole group report back
    How should the Community Health Network move mhealth forward?
  • 3. Mhealth ideas from Working Groups
    IMCI
    Bottlenecks to fix: Support community case management process by answering specific queries of CHWs as they attend to clients day to day.
    Referral to health facilities in Element 1 of the C-IMCI framework (linking communities with health facilities)
    Intervention points:
    Implementation: supervision of CHWs
    Implementation: Referral to health facilities
    M&E: to help collect and transfer data quickly
  • 4. Mhealth ideas from Working Groups
    Nutrition
    Bottlenecks to fix: Getting data more quickly to another level (MOH) for useful, timely analysis
    Intervention points:
    Baseline, endline surveys
    Mapping coverage (using GPS in phone)
    Monitoring
  • 5. Mhealth ideas from Working Groups
    Tuberculosis
    Bottlenecks to fix: Improve adherence through text messaging.
    Community-based troubleshooting during case management, e.g. adverse effects, missing patient
    Intervention points:
    Case detection: link TB and HIV services if not colocated, contact tracing
    Diagnosis: camera on microscope send sputum slide photo
    Stigma reduction: text messages
    World TB day mass text messaging.
  • 6. Mhealth ideas from Working Groups
    HIV
    Bottlenecks to fix: Bridge physical access to remote areas.
    Help with adherence
    Provide real time data
    Coordination with CHWs and TTM—improve coordination, follow up with referrals
    Intervention points:
    Baseline
    Evaluation
    Monitoring
    Adherence
  • 7. Mhealth ideas from Working Groups
    Monitoring and Evaluation
    Bottlenecks to fix: Minimize data entry errors due to multiple entry points (enumerators hand enter incorrectly, data entry person enters into computer directly without data check capabilities or dropdown/choice menu.
    Intervention points: Whenever surveys are done (baseline, monitoring, midterm, final)
    Instantly incorporate ongoing monitoring data, and make basic management data easily accessible.
  • 8. Mhealth ideas from Working Groups
    Other suggestions
    Assist in adherence to meds via texting, photo (camera phone) or video…virtual DOT for HIV, TB, malaria, etc.
    Send SMS/text message reminders to keep appts or take meds or get vaccinated
    Provision of price/market info to women entrepreneurs
    Provision of info on health/nutrition topics, date/time/local of health fairs, GMP events, vaccination days.
  • 9. Concern WorldwideMalawi competition results
  • 10. One sender to one recipient/correspondent
    SMS Booking
    System
    CHW calls
    facility/dr
    Family in labor
    calls TBA
    Two
    way
    flow
    of
    info
    One
    way
    flow
    of
    info
    Video-
    based &
    other
    training
    tools
    M&E data
    transfer
    Volunteer
    treatment
    supporters
    hotline
    Mass text
    msgs
    Mass text msg
    contests
    One sender to many recipients
  • 11. Checklist/Design Challenges
    3. Task
    You are designing a program, and assessing whether mhealth application(s) should play a role. You have a midsized budget.
    Design a checklist/list of questions that should be used to assess whether mhealth should be used, how, why, when, where.
    Apply the checklist/questions to your topic/setting.
    Be both creative and realistic.
    1. Small Group ideas (choose one for your group)
    Community action for home-based MCH
    PD/Hearth
    Care Groups addressing _____?
    Community Case Mgmt
    ?
    2. Choose a setting, including country.