© InSTEDD , CC BY-NC-SA
“New tools in LDCs using IT”
Mobile tools
for disease surveillance
in low income countries
Ed Jezi...
© InSTEDD , CC BY-NC-SA
© InSTEDD , CC BY-NC-SA
Tradeoffs
Timel
y
Complete
High Quality
© InSTEDD , CC BY-NC-SA
You can’t have it all!
Timel
y
Complete
High Quality
?
© InSTEDD , CC BY-NC-SA
Balanced portfolio
Timel
y
Complete
High Quality
© InSTEDD , CC BY-NC-SA
Mobiles give unprecedented
opportunity
Complete
Timel
y
High Quality
© InSTEDD , CC BY-NC-SA
But also new challenges
• Usability
• “Reach vs. Rich”
– Voice, SMS, smartphone, J2ME, USSD
• Bad ...
© InSTEDD , CC BY-NC-SA
Knowledge  Action
© InSTEDD , CC BY-NC-SA
Supporting group collaboration
© InSTEDD , CC BY-NC-SA
As Storm
Ketsana struck
Thailand,
health workers
using InSTEDD
GeoChat
alerted each
other of flood...
© InSTEDD , CC BY-NC-SA
Information technology doesn’t
need to be digital – at InSTEDD
we’ve had to work on tools that
sim...
© InSTEDD , CC BY-NC-SA
Machine to Machine communication
e.g. Cepheid GeneXpert
Cepheid GeneXpert
Usage and issue monitori...
© InSTEDD , CC BY-NC-SA
Population Interaction
Screening and referral with PopCouncil BabyMonitor
© InSTEDD , CC BY-NC-SA
System … or archipelago?
The Other Ministry of Health
App That Only Keeps Running
Because WHO pays...
© InSTEDD , CC BY-NC-SA
Bringing it back together
© InSTEDD , CC BY-NC-SA
Bringing it back together
Global
Household
Village
District
Province
National
Regional
Events Indi...
© InSTEDD , CC BY-NC-SA
International Data (MBDS Regional
Network)
Spatiotemporal visualizations and analysis
© InSTEDD , CC BY-NC-SA
Tracking H1N1 in Real Time
© InSTEDD , CC BY-NC-SA
Client Registry
Shared Health Record
Facility Registry
Provider Registry
Terminology Service
Healt...
© InSTEDD , CC BY-NC-SA
• Resource constrained environments can
foster efficient, creative, leapfrog approaches
• Effectiv...
© InSTEDD , CC BY-NC-SA
Thank You!
Ed Jezierski
CTO, InSTEDD
@edjez
edjez@instedd.org
© InSTEDD , CC BY-NC-SA
Cloud-based
Aggregator
Sifting, cleanup
and 1st phase of
analytics
WWW
ICD9
Prescriptions
Essence
...
© InSTEDD , CC BY-NC-SA
© InSTEDD , CC BY-NC-SA
will bring 365 opportunitiesOur field reports show 2013 to make the right choices
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Mobile tools in Disease Surveillance in Low Income Countries - ASTMH 2012 Presentation

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Data From the Field - ASTMH 2012 Presentation

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  • The whole lifecycle of health surveillance is being transformed by communication and collaboration technologies. The increase of mobile communication tools available in rural and urban areas, the improvement of diagnostic platforms and the merging of otherwise disparate data creates opportunities for more timely, more complete, and higher quality information available for analysis and response.We will show field examples of how structured and unstrucutured communications between village volunteers and client populations has or hasn't helped surveillance, how to improve data reporting in almost illiterate populations, and how data aggregation and sharing has been done at the disease, national, and international levels and what have been some of the practices and patterns worth repeating and avoiding. As health surveillance increasingly reframes itself as a knowledge management problem, using appropriate ICTs everyone from authorities to clients can be more effective in improving personal and public health.
  • Gaps in Research-
  • The whole lifecycle of health surveillance is being transformed by communication and collaboration technologies. The increase of mobile communication tools available in rural and urban areas, the improvement of diagnostic platforms and the merging of otherwise disparate data creates opportunities for more timely, more complete, and higher quality information available for analysis and response.We will show field examples of how structured and unstrucutured communications between village volunteers and client populations has or hasn't helped surveillance, how to improve data reporting in almost illiterate populations, and how data aggregation and sharing has been done at the disease, national, and international levels and what have been some of the practices and patterns worth repeating and avoiding. As health surveillance increasingly reframes itself as a knowledge management problem, using appropriate ICTs everyone from authorities to clients can be more effective in improving personal and public health.
  • The whole lifecycle of health surveillance is being transformed by communication and collaboration technologies. The increase of mobile communication tools available in rural and urban areas, the improvement of diagnostic platforms and the merging of otherwise disparate data creates opportunities for more timely, more complete, and higher quality information available for analysis and response.We will show field examples of how structured and unstrucutured communications between village volunteers and client populations has or hasn't helped surveillance, how to improve data reporting in almost illiterate populations, and how data aggregation and sharing has been done at the disease, national, and international levels and what have been some of the practices and patterns worth repeating and avoiding. As health surveillance increasingly reframes itself as a knowledge management problem, using appropriate ICTs everyone from authorities to clients can be more effective in improving personal and public health.
  • Mobile tools in Disease Surveillance in Low Income Countries - ASTMH 2012 Presentation

    1. 1. © InSTEDD , CC BY-NC-SA “New tools in LDCs using IT” Mobile tools for disease surveillance in low income countries Ed Jezierski, ND* CTO, InSTEDD @edjez
    2. 2. © InSTEDD , CC BY-NC-SA
    3. 3. © InSTEDD , CC BY-NC-SA Tradeoffs Timel y Complete High Quality
    4. 4. © InSTEDD , CC BY-NC-SA You can’t have it all! Timel y Complete High Quality ?
    5. 5. © InSTEDD , CC BY-NC-SA Balanced portfolio Timel y Complete High Quality
    6. 6. © InSTEDD , CC BY-NC-SA Mobiles give unprecedented opportunity Complete Timel y High Quality
    7. 7. © InSTEDD , CC BY-NC-SA But also new challenges • Usability • “Reach vs. Rich” – Voice, SMS, smartphone, J2ME, USSD • Bad designs • Training costs • Working with operators • Pilots, pilots everywhere! that can never scale • Community health worker (dis)incentives • …
    8. 8. © InSTEDD , CC BY-NC-SA Knowledge  Action
    9. 9. © InSTEDD , CC BY-NC-SA Supporting group collaboration
    10. 10. © InSTEDD , CC BY-NC-SA As Storm Ketsana struck Thailand, health workers using InSTEDD GeoChat alerted each other of floods, how to avoid injuries and rescuing villagers
    11. 11. © InSTEDD , CC BY-NC-SA Information technology doesn’t need to be digital – at InSTEDD we’ve had to work on tools that simplify data reporting and interpretation across the literacy
    12. 12. © InSTEDD , CC BY-NC-SA Machine to Machine communication e.g. Cepheid GeneXpert Cepheid GeneXpert Usage and issue monitoring Disease trending for all tests Aggregate data for reports Granular data for analysis No patient data uploaded
    13. 13. © InSTEDD , CC BY-NC-SA Population Interaction Screening and referral with PopCouncil BabyMonitor
    14. 14. © InSTEDD , CC BY-NC-SA System … or archipelago? The Other Ministry of Health App That Only Keeps Running Because WHO pays perdiems for support Some useful Ministry of Health SMS App The SMS app used that has been piloted in ___ district ONLY over the last 3 years The expensive SMS and IVR solution some vendor did but no one can get to the data Remember that summer when there was this intern that was Mary’s nephew and he was kind of a geek and he programmed a system and then he left but then a supervisor That data reporting app that was built by the university CS intern; no one knows who uses it but they sure tweet about it!
    15. 15. © InSTEDD , CC BY-NC-SA Bringing it back together
    16. 16. © InSTEDD , CC BY-NC-SA Bringing it back together Global Household Village District Province National Regional Events Indicators Outcomes? Incentives? Sharing Policy? Data Quality? Technology? Challenges for Integration:
    17. 17. © InSTEDD , CC BY-NC-SA International Data (MBDS Regional Network) Spatiotemporal visualizations and analysis
    18. 18. © InSTEDD , CC BY-NC-SA Tracking H1N1 in Real Time
    19. 19. © InSTEDD , CC BY-NC-SA Client Registry Shared Health Record Facility Registry Provider Registry Terminology Service Health Process Integration Medical Record Systems Lab Mobile Health Information Systems as health surveillance enabler
    20. 20. © InSTEDD , CC BY-NC-SA • Resource constrained environments can foster efficient, creative, leapfrog approaches • Effective surveillance starts with clear goals • Mobile tools are just one part of a portfolio • Mobiles bring unprecedented opportunities for disease surveillance – if done well
    21. 21. © InSTEDD , CC BY-NC-SA Thank You! Ed Jezierski CTO, InSTEDD @edjez edjez@instedd.org
    22. 22. © InSTEDD , CC BY-NC-SA Cloud-based Aggregator Sifting, cleanup and 1st phase of analytics WWW ICD9 Prescriptions Essence 2nd Phase Analytics Early Sensitization Context Prevalen ce UI & DB
    23. 23. © InSTEDD , CC BY-NC-SA
    24. 24. © InSTEDD , CC BY-NC-SA will bring 365 opportunitiesOur field reports show 2013 to make the right choices

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