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  • 1. Mobiles in Malawi a rural healthcare initiative
  • 2. Namitete, Malawi
  • 3. St. Gabriel’s Hospital - 1/4 million people - 100 miles in each direction - 2 doctors - 400+ CHWs
  • 4. FrontlineSMS + Healthcare
  • 5. Recycled cell $10/handset phones
  • 6. Labels ID #s
  • 7. CHW Training
  • 8. Now... • Requests for remote patient care • Tracking patients and doing follow-ups via SMS • Auto-replies with correct drug dosage/ usage info • HIV + TB drug adherence records • Patient status records • Coordinate and mobilize
  • 9. Medical response • 130 patients in 5 months • 500 hrs saved • 520 patient updates • $1,000 in fuel saved
  • 10. 400 ART adherence updates 900 hours of travel time saved
  • 11. 700 hours of follow-up time saved $2,000 in motorbike fuel saved 100 new patients enrolled in TB treatment program
  • 12. CHW in village with cell phone to FrontlineSMS at hospital to Gmail to iPhone at Stanford
  • 13. Translate Chichewa to English, and code every SMS...
  • 14. Symptoms within incoming text messages
  • 15. Things we had to figure out, on the ground: 1. Getting communication credit to the CHWs 2. Charging the phones
  • 16. “34_Units”
  • 17. What I’m doing now Malawi, Uganda, Burundi, Zambia, Mozambique, India, Kenya, Ghana, South Africa, Peru, Bangladesh, Haiti
  • 18. Thanks! www.jopsa.org Email: josh.nesbit@jopsa.org Skype: jlnesbit

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