WelcomemHealth for Logistics: Solving DataChallenges through Mobile Technology
To Ask a Question• Via Twitter: #mHealth4Log and@HealthSCM• Via the Webinar Chat window• If you have technical problems, c...
Resource Intensiveness ofMobile Solutions
Resource Intensiveness-Mobile Data Collection
Mobile Forms forData CollectionMegan NoelSC4CCM Project
What logistics data can thetool provide to programimplementers and decisionmakers?
Who is trained to use thetechnology?• Intuitive design interface• Data collectors need basic training –SC4CCM held 7-8 day...
What kinds of hardware areneeded/can be used?• Design: Computer with internet (high speedpreferred), and mobile device to ...
What software is used andapproximately what does itcost?• The application is called Magpi, availablefor free download• Add...
Data SecurityPhone• Password protected on all devices• Encryption• All Blackberry, iPhone/iPad• Some Android (not all devi...
Data Outputs
Basic AnalysisLabel Name Code Value %A Yes 1 44 59.5B No 0 9 12.2Total 53 71.7Is the stock card available forcotrimoxazole...
Advantages• Easy to design data collection tools• Eliminates need for data entry before viewingdata, allows trouble shooti...
Limitations• Limited ability to perform calculationswithin the program – do this after data arecollected, ex.OFR, stock st...
Programs:• Available programs using ODK (OpenData Kit) platforms:– iFormBuilder, FormHub, ODK Collect, KoBoToolbox• Propri...
Thank you!
Resource Intensiveness-Sending SMS to a Database
Using Basic SMS Systemsfor Logistics DataMike FrostUSAID | DELIVER PROJECT
In a typical paper-basedLMIS, detail is often lostbetween levelsFacilityDistrictRegion
Transmitting essentiallogistics data via SMScan help
17670 # 23 # 0 # 71 # 2 # 0 # 41 # 30 # 2 # 0Send the above message at the end of every Friday:•Start the message with 176...
The options are growing…
Activities• Assessment activity• Design (products, data elements, forms,dashboard, etc.)• Training• Testing
Costs• Any assistance with assessment• Any assistance with design• Magpi pro user license (5,000 USDannual. SMS? Gateway?)...
Use Cases• Limited set of facilities• Limited set of products• Concept testing• Sentinel Sites
Thanks
Resource Intensiveness-Existing Mobile Logistics Platforms
Using aCustomizable PlatformLeona RosenblumJohn Snow, Inc.
What logistics data can thetool provide to programimplementers and decisionmakers?• Routine logistics data• Snapshot surve...
Who is trained to use thetechnology?• Data entry- All levels• Dashboards and reporting- Supervisors,decision makers
What kinds of hardware areneeded/can be used?• Basic feature phones- send data by SMS• Smart phones- design forms for more...
What software is used andapproximately what does itcost?• Several software platforms exist, withmultiple pricing models.• ...
Why choose a customizableplatform?• Robust system• Pre-tested• Upgrades• Customer Service
Why not?• Not open source• Funding• Limits to customizability• Sustainability
What are some options?• Mango-Greenmash• LogiMobile and LogiWeb-Logistimo• CommTrack-Dimagi• Others?
Thank You
Resource Intensiveness-Develop a System
ILSGateway: Developing aMobile System to Improvethe Availabilityof Essential MedicinesMarasi MwenchaUSAID | DELIVER PROJEC...
Integrated Logistics System (ILS)Supply Chain Challenges• Stock outs of essential medicines• Infrequent adherence to repor...
ILSGateway: The Solution• The ILSGateway is a mobile health alertand reporting system designed tosupport and strengthen th...
What logistics data does theILSGateway provide programimplementers and decisionmakers?• Stock on hand• Losses & adjustment...
What kind of hardware arerequired to be used?• Personal cell phone• Personal computer with web connectivity
Who is trained to use thetechnology?• MOHSW program managers• District Pharmacists and Medical Officers• Health care worke...
What software is used andapproximately what does itcost?• RapidSMS – an open source platform• SMS aggregation services• In...
Pros of building on RapidSMS• Robust platform• Open source• Multiple developers available for support• Readily customizabl...
Challenges encountered• Time frame it took to build system• Cost for customizations• System limitations
Impact of mHealth on Supply Chain• increase in reporting rates &adherence to reporting groups• improvement in attention to...
Thank You
Questionsiaphl@jsi.com
mHealth for Logistics: Solving Data Challenges Through Mobile Technology
mHealth for Logistics: Solving Data Challenges Through Mobile Technology
mHealth for Logistics: Solving Data Challenges Through Mobile Technology
mHealth for Logistics: Solving Data Challenges Through Mobile Technology
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mHealth for Logistics: Solving Data Challenges Through Mobile Technology

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Achieving visibility into logistics data at lower levels of the health system is always a challenge for logisticians. Developed by IAPHL and JSI, the presentation “mHealth for Logistics: Solving Data Challenges through Mobile Technology” is an introduction to the ways in which mobile technology can improve your logistics programs. The purpose of this presentation is to give an overview of several of the mobile solutions available to program implementers.

We begin by presenting the least resource-intensive intervention and work our way up to the most robust mobile information systems. Categories of tools that are covered include: mobile forms for data collection; basic SMS databases for routine reporting; paying for a customizable generic platform; and working with a developer to build a new system to your specifications from scratch. The presentation also explains practical aspects of implementing mobile solutions, such as costs and human resources required, to help viewers gauge which options best meet their needs.

This presentation was given as a webinar on May 26, 2013. To view a recording of the webinar, go to https://jsi.webex.com/jsi/lsr.php?AT=pb&SP=MC&rID=71779802&rKey=057d4c3e85b68164

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  • SC4CCM has used Magpi/Episurveyor for 6 large evaluations as well as program monitoring activities in all 3 program countries: Malawi, Rwanda and Ethiopia
  • Can be considered a low cost/low effort method, but keep in mind large surveys still require a lot of resources (eg. advance planning, time, staff, materials)
  • DataDyne ’s Magpi (formerly EpiSurveyor): “the fastest, easiest, least expensive way to collect data on mobile devices.”
  • SC4CCM Malawi Midline 2013
  • Logistics staff at central, regional, district, service delivery point are trained to enter data Supervisors, district warehouse managers, higher level decision makers are trained to view reports and dashboards
  • Robust system, ready for immediate implementation Pre-tested, benefit from prior feature development, trouble shooting System upgrades, bug fixes, etc. are automatically included No need for high level of technology capacity within implementing organization
  • These are some of the challenges which led to the birth of the need for a mobile reporting system.
  • Begin by defining what a gateway is. A gateway is a is either hardware (phone) or software (in this case the ILSGateway system) that acts as a bridge between two networks so that data can be transferred between a number of computers. For example, when you send an e-mail to a friend or when you log in to a Web site, there is a gateway that allows the connection take place. Often, your connection to a Web site will involve many smaller connections to other servers along the way. In these cases, a number of gateways are used. In our case, using mobile phones and a website we will create a logistics information gateway. The mobile reporting system, to be known as the ILSGateway will in a combined effort seek support and strengthen the paper based integrated logistics system (ILS) while improving the availability and visibility of family planning commodities. Pilot is in 109 facilities and has been going on for 1 year
  • 97% of facilities improved their on-time submission rates for stock reports, which are critical for resupply decision making. A further 93% improved their stock counting exercises because of the routine mobile alerts they received. Importantly, 45% of facilities reported improved product availability, indicating the overall positive effect the ILSGateway has had on the essential medicine supply system in Tanzania.
  • mHealth for Logistics: Solving Data Challenges Through Mobile Technology

    1. 1. WelcomemHealth for Logistics: Solving DataChallenges through Mobile Technology
    2. 2. To Ask a Question• Via Twitter: #mHealth4Log and@HealthSCM• Via the Webinar Chat window• If you have technical problems, contactBen Bruno at bbruno@worlded.org
    3. 3. Resource Intensiveness ofMobile Solutions
    4. 4. Resource Intensiveness-Mobile Data Collection
    5. 5. Mobile Forms forData CollectionMegan NoelSC4CCM Project
    6. 6. What logistics data can thetool provide to programimplementers and decisionmakers?
    7. 7. Who is trained to use thetechnology?• Intuitive design interface• Data collectors need basic training –SC4CCM held 7-8 day training on Magpiand SC, including 2-day pre-test• Simple to enter, edit, save, and send datausing forms
    8. 8. What kinds of hardware areneeded/can be used?• Design: Computer with internet (high speedpreferred), and mobile device to verify functionswork correctly• Data collection: any of 47 models of mobiledevice (brands include Nokia, Samsung,SonyEricsson, Apple, Android)• Nokia e71, used by SC4CCM, costs around$120
    9. 9. What software is used andapproximately what does itcost?• The application is called Magpi, availablefor free download• Additional costs for greater storage space,special features• Data can be loaded and sent to the onlinedatabase by cellular, wifi, or cableconnection to the mobile device
    10. 10. Data SecurityPhone• Password protected on all devices• Encryption• All Blackberry, iPhone/iPad• Some Android (not all devices)Transmission/Uploading• Encrypted to 256 bit strong standardOnline•Password protected, encrypted, backed up 4x daily(including to remote site), monitored 24/7/365
    11. 11. Data Outputs
    12. 12. Basic AnalysisLabel Name Code Value %A Yes 1 44 59.5B No 0 9 12.2Total 53 71.7Is the stock card available forcotrimoxazole 120mg tabs?Measure ValueMean 89742.2Maximum 816400.0Minimum 0.0What is the physical count (usablestock only) of cotrimoxazole 480mgtabs today?
    13. 13. Advantages• Easy to design data collection tools• Eliminates need for data entry before viewingdata, allows trouble shooting if needed whileteams are still in the field• Flexible to accept many kinds of data – opentext, bivariate, multiple response, coded-numeric or text• Multiple ways to transmit data to site• Relatively low cost
    14. 14. Limitations• Limited ability to perform calculationswithin the program – do this after data arecollected, ex.OFR, stock status• Smart phones can be prohibitivelyexpensive for community and lowresource settings• Heavy front end work (design and training)required for larger data collection activities
    15. 15. Programs:• Available programs using ODK (OpenData Kit) platforms:– iFormBuilder, FormHub, ODK Collect, KoBoToolbox• Proprietary software:– Magpi, CommCare*All require some programming skills exceptMagpi
    16. 16. Thank you!
    17. 17. Resource Intensiveness-Sending SMS to a Database
    18. 18. Using Basic SMS Systemsfor Logistics DataMike FrostUSAID | DELIVER PROJECT
    19. 19. In a typical paper-basedLMIS, detail is often lostbetween levelsFacilityDistrictRegion
    20. 20. Transmitting essentiallogistics data via SMScan help
    21. 21. 17670 # 23 # 0 # 71 # 2 # 0 # 41 # 30 # 2 # 0Send the above message at the end of every Friday:•Start the message with 17670•Separate every entry with #•Do not use spaces•Enter information for every product, in the order indicatedCode CONDOMSIssuedCONDOMSReceivedCONDOMSPhysicalcountMICROGYNONIssuedMICROGYNONReceivedMICROGYNONPhysicalcountDEPOIssuedDEPOReceivedDEPOPhysicalCountSend every Friday (Family Planning)7797805460
    22. 22. The options are growing…
    23. 23. Activities• Assessment activity• Design (products, data elements, forms,dashboard, etc.)• Training• Testing
    24. 24. Costs• Any assistance with assessment• Any assistance with design• Magpi pro user license (5,000 USDannual. SMS? Gateway?)• Training
    25. 25. Use Cases• Limited set of facilities• Limited set of products• Concept testing• Sentinel Sites
    26. 26. Thanks
    27. 27. Resource Intensiveness-Existing Mobile Logistics Platforms
    28. 28. Using aCustomizable PlatformLeona RosenblumJohn Snow, Inc.
    29. 29. What logistics data can thetool provide to programimplementers and decisionmakers?• Routine logistics data• Snapshot survey data• Supervision data
    30. 30. Who is trained to use thetechnology?• Data entry- All levels• Dashboards and reporting- Supervisors,decision makers
    31. 31. What kinds of hardware areneeded/can be used?• Basic feature phones- send data by SMS• Smart phones- design forms for morecomplex data capture• Computer with internet connection-manage system
    32. 32. What software is used andapproximately what does itcost?• Several software platforms exist, withmultiple pricing models.• All include an online platform for buildingforms and managing data.• Pricing plans are per user, per facility,and can include training.
    33. 33. Why choose a customizableplatform?• Robust system• Pre-tested• Upgrades• Customer Service
    34. 34. Why not?• Not open source• Funding• Limits to customizability• Sustainability
    35. 35. What are some options?• Mango-Greenmash• LogiMobile and LogiWeb-Logistimo• CommTrack-Dimagi• Others?
    36. 36. Thank You
    37. 37. Resource Intensiveness-Develop a System
    38. 38. ILSGateway: Developing aMobile System to Improvethe Availabilityof Essential MedicinesMarasi MwenchaUSAID | DELIVER PROJECTTANZANIA
    39. 39. Integrated Logistics System (ILS)Supply Chain Challenges• Stock outs of essential medicines• Infrequent adherence to reporting groups• Difficulties with ordering and reporting• Absence of facility level data for decision-makers• Insufficient logistics supervision at health facilities• Need to empower new and untrained staff
    40. 40. ILSGateway: The Solution• The ILSGateway is a mobile health alertand reporting system designed tosupport and strengthen the ILS by:– Expanding the accessibility toand visibility of logistics data– Improving the use of logisticsdata for supply chaindecision-making
    41. 41. What logistics data does theILSGateway provide programimplementers and decisionmakers?• Stock on hand• Losses & adjustments• Calculated consumption• Supervision frequency• Lead times• Reporting rates• Stock outs• GIS reports
    42. 42. What kind of hardware arerequired to be used?• Personal cell phone• Personal computer with web connectivity
    43. 43. Who is trained to use thetechnology?• MOHSW program managers• District Pharmacists and Medical Officers• Health care workers from health facilities• Medical Stores Department• NGOs
    44. 44. What software is used andapproximately what does itcost?• RapidSMS – an open source platform• SMS aggregation services• Initial cost of ~$50,000• With subsequent enhancements the totalspent to date has been ~$200,000
    45. 45. Pros of building on RapidSMS• Robust platform• Open source• Multiple developers available for support• Readily customizable for the country needs
    46. 46. Challenges encountered• Time frame it took to build system• Cost for customizations• System limitations
    47. 47. Impact of mHealth on Supply Chain• increase in reporting rates &adherence to reporting groups• improvement in attention toinventory management• increase in productavailability at health facilities• Increased accountability,transparency and responsibility• Growing use of data for supplychain managementImproved supplychain performance
    48. 48. Thank You
    49. 49. Questionsiaphl@jsi.com

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