Community Health and Mhealth

community health and mhealth

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?

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

Nutrition
Bottlenecks to fix: Getting data more quickly to another level (MOH) for useful, timely analysis
Baseline, endline surveys
Mapping coverage (using GPS in phone)
Monitoring

Tuberculosis
Bottlenecks to fix: Improve adherence through text messaging.
Community-based troubleshooting during case management, e.g. adverse effects, missing patient
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.

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
Baseline
Evaluation
Monitoring
Adherence

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.

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.

Concern WorldwideMalawi competition results

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

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.

Community Health and Mhealth

by jehill3 on May 04, 2010

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Community Health and Mhealth — Presentation Transcript