Namitete, Malawi
St. Gabriel’s Hospital250,000  people 100  miles   2  doctors
100phones$10 each
Emergency Care                                              CHW alerts the clinic                                         ...
Emergency Care                                              CHW alerts the clinic                                         ...
Patient Tracking                     Patient misses                        appointment                                    ...
Patient Tracking                                                                                      2100 hours saved    ...
ManagementMahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in...
Stock Levels                                Restocking based on need                                                      ...
Symptom MonitoringMahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communicatio...
Symptom Monitoring                                                                                                   2x nu...
Image courtesy Logan Abassi, UNDP
80,000 SMS
“My name is J___ ____ my brother is working in Unicef  and I live in ____ I have 2 people that is still alive         unde...
Graphic by Abraham Flaxman
What do we have?
Image courtesy of Global Cycle Solutions
Mobile moneyImages courtesy of http://www.safaricom.co.ke
Mobile + radio                                                         50% in West Africa                                 ...
Real systems
diverse low end phones
SIM apps
MMS-based diagnosticsImages courtesy of the Fletcher Lab at UC Berkeley, Diagnostics for All, Dr. Ozcan’s lab at   Image f...
Machine learning Image from http://www.cs.jhu.edu/~jason/465/
2,364 people accessing emergency care.
10,795 patients remaining in care across 3infectious disease treatment and prevention                 programs.
858 new TB patients identified and       entered into care.
2,690 health workers reporting stocks 112x faster and 4x cheaper, serving          270,800 people.
1,036 health workers doing remotetreatment consults 100x faster, serving           71,820 people.
356,637 patients
1.78 million people
500,000 cell phones per day       “Cell Phones #2” by Chris Jordan, Atlanta 2005
300,000
josh@medicmobile.org
Hope Phones slides
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Hope Phones slides

  1. 1. Namitete, Malawi
  2. 2. St. Gabriel’s Hospital250,000 people 100 miles 2 doctors
  3. 3. 100phones$10 each
  4. 4. Emergency Care CHW alerts the clinic Clinic dispatches Injury resourcesMahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  5. 5. Emergency Care CHW alerts the clinic Clinic dispatches Injury resources 150 patients over 6 monthsMahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  6. 6. Patient Tracking Patient misses appointment CHW reports patient’s status CHW receives alert CHW locates and checks in with patientMahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  7. 7. Patient Tracking 2100 hours saved $3,500 saved Patient misses appointment CHW reports patient’s status CHW receives alert CHW locates and checks in with patientMahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  8. 8. ManagementMahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  9. 9. Stock Levels Restocking based on need STOCK LEVELS Reports are monitored at Clinics upload reports central office for vital stock levels
  10. 10. Symptom MonitoringMahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  11. 11. Symptom Monitoring 2x number of TB patientsMahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  12. 12. Image courtesy Logan Abassi, UNDP
  13. 13. 80,000 SMS
  14. 14. “My name is J___ ____ my brother is working in Unicef and I live in ____ I have 2 people that is still alive under the building still ! Send Help!”
  15. 15. Graphic by Abraham Flaxman
  16. 16. What do we have?
  17. 17. Image courtesy of Global Cycle Solutions
  18. 18. Mobile moneyImages courtesy of http://www.safaricom.co.ke
  19. 19. Mobile + radio 50% in West Africa 40% on mobilePhoto credits: Kate Kelly, developingradiopartners.org
  20. 20. Real systems
  21. 21. diverse low end phones
  22. 22. SIM apps
  23. 23. MMS-based diagnosticsImages courtesy of the Fletcher Lab at UC Berkeley, Diagnostics for All, Dr. Ozcan’s lab at Image from givengain.com
  24. 24. Machine learning Image from http://www.cs.jhu.edu/~jason/465/
  25. 25. 2,364 people accessing emergency care.
  26. 26. 10,795 patients remaining in care across 3infectious disease treatment and prevention programs.
  27. 27. 858 new TB patients identified and entered into care.
  28. 28. 2,690 health workers reporting stocks 112x faster and 4x cheaper, serving 270,800 people.
  29. 29. 1,036 health workers doing remotetreatment consults 100x faster, serving 71,820 people.
  30. 30. 356,637 patients
  31. 31. 1.78 million people
  32. 32. 500,000 cell phones per day “Cell Phones #2” by Chris Jordan, Atlanta 2005
  33. 33. 300,000
  34. 34. josh@medicmobile.org
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