2009 In Stedd With Mbds SACIDS


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Presentation to SACIDS on the experience of InSTEDD in South East Asia as part of preparation for setting up projects in Africa

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2009 In Stedd With Mbds SACIDS

  1. 1. InSTEDD Experience in South-East Asia and opportunities for Africa<br />Eduardo Jezierski<br />(Engineering)not a doctor!!<br />edjez@instedd.org<br />
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  6. 6. MBDS<br />“Strengthen national and Mekong sub-regional capabilities in disease surveillance and response to outbreaks of priority diseases, in order that they can be effectively controlled.”<br />Program Areas:<br />1. Strengthen sustainable national capacity in disease surveillance, outbreak investigation and responses;<br />2. Strengthen health manpowerdevelopment in field epidemiology;<br />3. Establishment of a sub-regional surveillance network. <br />
  7. 7. MBDS Conceptual Structure<br />MBDS Countries<br />Cambodia<br />China (Yunnan, <br />Lao<br />Myanmar<br />Thailand<br />Vietnam<br />Land area: 2,570,426 sq km<br />Population: 313,642,000<br />Strategies<br />Cross Border Cooperation<br />Animal-Human interface <br />Epidemiology Capacity<br />ICT Capacity<br />Lab Capacity<br />Risk Communications<br />Policy Research<br />Cross-Border Sites<br />Contact information<br />Direct communications<br />Joint trainings<br />Data sharing<br />
  8. 8. Key Learnings<br />Strengthen the government’s role in health<br />Sustainability through capacity building<br />Strengthen the existing networks<br />Partner with national tech and telcos<br />Up/Down/Horizontal communications<br />Simplify tracking and sharing progress, data<br />
  9. 9. Strengthen The Government’s Role in Health<br />Work through ministries<br />In support of gov’t strategies and goals<br />Provide staff support to government<br />Bring partners in under guidance of MOH<br />
  10. 10. Sustainability through capacity building:<br />InSTEDD Innovation Lab<br />InSTEDD Regional Innovation Lab<br />The lab is a Regional Resource – <br />InSTEDD works with implementing partners to scale efforts in the region<br />
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  12. 12. Building Local Capacity: Regional iLab<br />Requirements are best understood by local constant dialogue<br />All technologies go obsolete or need maintenance<br />Technologies need to integrate with existing efforts and strategies<br />Establish local team that can design systems with end users<br />Local team builds modular, open source systems, train in QA; and build on existing & new systems<br />Train in interoperability and architecture. Extend existing apps.<br />
  13. 13. Strengthen Existing Networks<br />Regional Surveillance<br />Supporting MBDS Office<br />Strengthening National Surveillance <br />With Govts & NGOs<br />Innovation Lab<br /><ul><li>Catalyst AND informal hub
  14. 14. Foster Regional network
  15. 15. Technology design and development for the region
  16. 16. Training and Events
  17. 17. Technical & Program staff</li></ul>Implementing Partners<br /><ul><li>Work in their countries implementing local health programs with InSTEDD support
  18. 18. Use InSTEDD technologies
  19. 19. InSTEDD provides training
  20. 20. Exchanges with the Lab
  21. 21. Regional Community of Practice </li></ul>Lao 2010: TBD<br />InSTEDD Regional Innovation Lab<br />Vietnam 2010:<br />TBD<br />Thailand 2009+ Change Fusion<br />Open Dream<br />
  22. 22. A Platform for Partners<br />Users and organizations have new ideas for communication and reporting technologies<br />InSTEDD builds technology with design efforts in the Mekong using the Innovation Lab as a hub<br />InSTEDD or Implementing Partners extend and build the technologies on the existing foundation<br />Users get customized, locally owned ICT build on a strong foundation.<br />
  23. 23. Simplifying local innovation<br />Users and authorities have new ideas for communication and reporting technologies<br />InSTEDD builds technology with design efforts in the Mekong using the Innovation Lab<br />Maybe we can use SMS to report ILI…<br />Let’s extend tools to do mobile reports<br />InSTEDD + Change Fusion (Thailand)<br />Implementing Partners build the technologies with InSTEDD extending the existing foundation<br />Users get customized, locally owned ICT build on a strong foundation.<br />Thank you!<br />It works great and local engineers can maintain it!<br />Let’s take GeoChat and build an ILI application on it!<br />
  24. 24. Start with simple protocols<br />- req. Training on designing & evaluating protocols<br /><ul><li>Reinforce with self-run excercises, pocket cards
  25. 25. People will figure out what else can be done</li></li></ul><li>Partnering with Telcos<br />Imagine every road is a toll road… …and ambulances have to pay!<br />Influence by business reason (easier) or policy <br />Outcome: a national toll-free2-way SMS & voice number, accessed by anyone via GeoChatapis in an easy-to-extend platform<br />
  26. 26. InSTEDD GEOCHAT<br />SMS, email, web, twitter <br />Location, unstructured chats, semi/full structure info<br />Open or secure groups <br />Explicit Location (automatic w operator data)<br />SMS-Only interaction possible, low bandwidth views<br />Software as a Service and Free + Open Source<br />6000+ users, ~35% + SMS only<br />
  27. 27. Up/Down/Horizontal Communications<br />Collecting data…<br />Simplify getting unstructured, semi-structured and structured information<br />Alerting…<br />Of whatever information you think is important<br />Targeted by geography and topics<br />Breaking Silos<br />National – sms chat across the border<br />Organizational – Local MOH, Pasteur, CDC, etc <br />Domains - animal & human health experts together<br />
  28. 28. Example applications built locally<br />Veterinary hotline Very customized smartphone apps <br /> + SMS summaries and automated alerts for response & follow up<br />HIV treatment adherence – appointment reminders and follow up guidance – SMS and backend database connected to MRS<br />Rapid Response Address Book<br />Outbreak Rapid Response Team & contact guidance, who to call where when etc<br />
  29. 29. Sharing data & transparency<br />Growing a culture of transparency and goal orientation<br /><ul><li>Technology can simplify how to share data, improving timeliness and quality
  30. 30. In 2010: Shared resource maps, events, and improving“Regional Warehouse” modifications to DHIS2</li></li></ul><li>Thank You!<br />http://instedd.org<br />edjez@instedd.org<br />With support from Google.org, Rockefeller, CDC and others<br />
  31. 31. Appendix<br />
  32. 32. InSTEDD Organization – iLab Cambodia<br />Execs<br />CEO, Programs, Tech<br /><ul><li> Governance, Org Development, Operations
  33. 33. Program Strategy
  34. 34. Technical Strategy</li></ul>Int’l Program Managers<br /><ul><li> New projects and partner leads</li></ul>Innovation Lab, Phnom Penh<br /><ul><li> Program Mgmt & Liason</li></ul>Grow local partners<br /><ul><li> Product Management</li></ul>Design Products & Field Support<br /><ul><li> Engineering</li></ul>Implement, extend and localize products<br /><ul><li> Int’l partner management
  35. 35. User Scenarios & Requirements
  36. 36. Complex Engineering Challenges
  37. 37. Bugs and issues in platform</li></ul>Platform Engineers<br /><ul><li>Training in Technology and Methods
  38. 38. Design Ideas
  39. 39. Platform tools and building blocks
  40. 40. Technical Support</li>