Community Health and Mhealth

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Community Health and Mhealth

CORE Group Spring Meeting, April 30, 2010

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Community Health and Mhealth

  1. 1. community health and mhealth<br />
  2. 2. Agenda<br />Thinking about mHealth: Adam Slote, USAID<br />Mhealth feedback from CORE meeting participants: Ann H-J, CORE Group<br />Small Group work: devising an mHealth checklist/design challenges<br />Whole group report back<br />How should the Community Health Network move mhealth forward?<br />
  3. 3. Mhealth ideas from Working Groups<br />IMCI<br />Bottlenecks to fix: Support community case management process by answering specific queries of CHWs as they attend to clients day to day.<br />Referral to health facilities in Element 1 of the C-IMCI framework (linking communities with health facilities)<br />Intervention points:<br />Implementation: supervision of CHWs<br />Implementation: Referral to health facilities<br />M&E: to help collect and transfer data quickly<br />
  4. 4. Mhealth ideas from Working Groups<br />Nutrition<br />Bottlenecks to fix: Getting data more quickly to another level (MOH) for useful, timely analysis<br />Intervention points:<br />Baseline, endline surveys<br />Mapping coverage (using GPS in phone)<br />Monitoring<br />
  5. 5. Mhealth ideas from Working Groups<br />Tuberculosis<br />Bottlenecks to fix: Improve adherence through text messaging.<br />Community-based troubleshooting during case management, e.g. adverse effects, missing patient<br />Intervention points:<br />Case detection: link TB and HIV services if not colocated, contact tracing<br />Diagnosis: camera on microscope send sputum slide photo<br />Stigma reduction: text messages<br />World TB day mass text messaging.<br />
  6. 6. Mhealth ideas from Working Groups<br />HIV<br />Bottlenecks to fix: Bridge physical access to remote areas.<br />Help with adherence<br />Provide real time data<br />Coordination with CHWs and TTM—improve coordination, follow up with referrals<br />Intervention points:<br />Baseline<br />Evaluation<br />Monitoring<br />Adherence<br />
  7. 7. Mhealth ideas from Working Groups<br />Monitoring and Evaluation<br />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.<br />Intervention points: Whenever surveys are done (baseline, monitoring, midterm, final)<br />Instantly incorporate ongoing monitoring data, and make basic management data easily accessible. <br />
  8. 8. Mhealth ideas from Working Groups<br />Other suggestions<br />Assist in adherence to meds via texting, photo (camera phone) or video…virtual DOT for HIV, TB, malaria, etc.<br />Send SMS/text message reminders to keep appts or take meds or get vaccinated<br />Provision of price/market info to women entrepreneurs<br />Provision of info on health/nutrition topics, date/time/local of health fairs, GMP events, vaccination days. <br />
  9. 9. Concern WorldwideMalawi competition results<br />
  10. 10. One sender to one recipient/correspondent<br />SMS Booking<br />System<br />CHW calls <br />facility/dr<br />Family in labor <br />calls TBA<br />Two<br />way<br />flow <br />of <br />info<br />One<br />way<br />flow <br />of <br />info<br />Video-<br />based & <br />other<br />training <br />tools<br />M&E data<br />transfer<br />Volunteer<br />treatment <br />supporters<br />hotline<br />Mass text<br />msgs<br />Mass text msg<br />contests<br />One sender to many recipients <br />
  11. 11. Checklist/Design Challenges<br />3. Task<br />You are designing a program, and assessing whether mhealth application(s) should play a role. You have a midsized budget.<br />Design a checklist/list of questions that should be used to assess whether mhealth should be used, how, why, when, where.<br />Apply the checklist/questions to your topic/setting.<br />Be both creative and realistic.<br />1. Small Group ideas (choose one for your group)<br />Community action for home-based MCH<br />PD/Hearth<br />Care Groups addressing _____?<br />Community Case Mgmt<br />?<br />2. Choose a setting, including country. <br />

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