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Introduction to mHealth in Tanzania

Introduction to mHealth in Tanzania



presentation given at mobile money inclusion summit 11 November 2011

presentation given at mobile money inclusion summit 11 November 2011



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  • Who is involved in mHealth in Tanzania
  • Where are mHealth projects in Tanzania
  • Using M-PESA money transfer women from the poorest communities receive the funds for transport costs to hospital.  Within an hour of referral, funds are sent via M-PESA to cover the families travel costs to hospital.  On arrival the patient presents their ticket value and if correct the hospital forwards a $3.3 incentive payment via M-PESA to the referring doctor. Using this simple infrastructure the number of patients treated for obstetric fistula at CCBRT rose from 162 surgeries in 2009 to 268 surgeries in 2010, an increase of 65% in just one year.   However, thousands of women continue to suffer. 

Introduction to mHealth in Tanzania Introduction to mHealth in Tanzania Presentation Transcript

  • Introduction to mHealthImproving access to high quality health care Steve Ollis D-tree International
  • Overview What is mHealth? mHealth in Tanzania Examples of projects Challenges
  • What is mHealth? The practice of medicine and public health, supported by mobile devices. The term is most commonly used in reference to using mobile communication devices, such as mobile phones and PDAs, for health services and information. The adoption of mHealth seeks to take advantage of the explosion in mobile devices available worldwide
  • mHealth hits every part of the health system Whole system EpiSurveyor, Child Count+, disease efficiency surveillance, data Public health mining EMRs improvement research12580 appt. Telstra/Ericssonbooking (China), breast cancerFrontline SMS: screening, 3GMedic, EMRs, Doctor, SanaSproxil Information Primary care and self help Medicine Link (China), MiQuit, Freedom HIV/AIDS, Wellcore emergency Mobile Medline Plus response, Orange Smartnumbers, Frontline SMS ManagementDirectly observed Emergency of long-termtreatments, Ginger.io, careself-management conditionsapplications
  • mHealth and health market innovations focus in thedeveloping world and rural populationsGeographic mapping of programs withconcentrations in South Asia and East Africa Target populations Children <5 167 Children >5 115 Young adults (13-24) 136 Elderly 14 Men 77 Women 277 Disabled 18 Ethnic minority 17 Formal sector workers 32 Informal sector workers 46 General population 522Target geography Military 13Urban/Peri-Urban/Rural 404Rural 332Urban 158Peri-Urban 126Source: CHMI
  • And mobile technology is particularly enabling in certain areas of need: Area of need Examples Remote health workers and Bringing healthcare to unserved or underserved populations patients enabled through data and communication Standardization, capture and Increasing the effectiveness and reducing communication of patient and the costs of healthcare delivery supply data enabled Improving the effectiveness of public Communication to large health programs (incl. research) and populations—both targeted preventing illness (incl. behavior change) and general—is enabled Remote monitoring and Treating chronic diseases, and keeping diagnostics of patients people out of hospital enabled to reduce costsSource: China Mobile
  • Tanzania mHealth Vision EstablishedmHealth in Tanzania, driven by the general public, will improve healthcareoutcomes throughout the nation. Specifically, mHealth will be:• Impactful • Transparent• Sustainable • Coordinated• Scalable • Innovative• Secure Tanzania known as a world leader in mHealth
  •  DiseaseMap surveillance  Logistics  Telemedicine  Clinical decision support  Health messaging  Community Health workers  Mobile money  More!
  • mHealth Tanzania Partnership Innovative public-private-partnership, working closely with the Ministry of Health and Social Welfare of Tanzania, USG CDC, and numerous Tanzanian and international public and private sector partners Convenes multiple sectors, combining expertise and resources to implement sustainable and scalable public health programs that leverage the booming mobile phone infrastructure in Tanzania
  • Partnership Approach Scale nationally, mobile-centric information solutions that leverage mobile phones primarily, as well as PCs, smart phones, the web, and fixed line phone lines Work in concert with initiatives underway in the MOHSW and COSTECH, including integration with the national enterprise architecture Leverage expanding private sector interest in ‘mHealth’ and ‘mMoney’ to develop long-term sustainable PPPs Collaborate with other governmental and non-governmental implementing partners
  • Tanzania mHealth Community of Practice Over 90 members from over 30 organizations across government, industry and non governmental sector Co-chaired by Ministry of Health and D-tree International Quarterly meetings and 4 technical working groups Share experiences and challenges and identify potential collaborations http://groups.google.com/group/tanzania-mhealth
  • Direct to client communications
  • Clinical Decision Support
  • IDSR System  Health facility workers report disease surveillance data by making a free call from the field using any mobile phone  Diseases reported follow WHO standards:  Diseases of Public Health Importance  Epidemic-prone Diseases  Diseases Targeted for Eradication / Elimination  Real-time SMS & email alerts are generated by the system for follow-up and action
  • Mobile money to facilitate care
  • Community Health Workers Over 250 HBCPs in Dar using mobile phones to provide care Reminder option for pending referrals and visits to clients Supervisors Update and reminders for overdue visits (SMS)
  • Challenges Identified• No scaling plan • Lack of private sector incentives• Lack of Data • Infrastructure: power and Standards/Interoperability network coverage• Cost • Siloed Funding• Trust • MoHSW Procurement• Knowledge Gap • Human Resources Gap• Communication • Managing Collaboration• Privacy and Security • Phone Adoption
  • Asanteni!For more information:Steve Olliswww.d-tree.orgsollis@d-tree.org+255 783 346 070