David Deakin On Tearfund And Mobile Technologies For Social Change


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Presentation from our recent event held in London, UK "Mobile Technologies for Social Transformation"

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David Deakin On Tearfund And Mobile Technologies For Social Change

  1. 1. Mobile technologies for social changeDavid Deakin Tearfund<br />“People's behaviour makes sense if you think about it in terms of their goals, needs, and motives” Thomas Mann<br />
  2. 2. Outline<br />Introduction<br />- A personal story<br />Mobiles in HIV/healthcare development <br />Tearfund programmes<br />Previous experience<br />Existing projects<br />Future <br />
  3. 3. Tearfund www.tearfund.org<br />Christian<br />Relief<br />Development<br />Advocacy<br />Holistic<br />Transformation<br />10 yr Vision<br />50 million people released from poverty<br />Church & Communitymobilisation<br />
  4. 4. Berta<br />Belinha<br />A story of 2 mothers…<br />
  5. 5. Why a story about HIV/AIDS?<br />“Through its impacts on the labour force, households and enterprises, AIDS has played a more significant role in the reversal of human development than any other single factor.” <br />
  6. 6. Chimoio, Gondola, Mozambique<br />GNI ; c. $600 per person<br />HIV prevalence: 14-21%<br />1.5m living with HIV<br />100,000 deaths<br />400,000 orphans<br />
  7. 7. Belinha<br />A story of 2 mothers…<br />
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  12. 12. Consequences<br /><ul><li> Economic – loss of productivity from workers
  13. 13. Orphan burden - 12m orphans in Africa
  14. 14. Relationships - stigma</li></li></ul><li>Berta<br />A story of 2 mothers…<br />
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  16. 16. Donor Follow-up visit – March 2010<br />
  17. 17. What’s the difference?<br />
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  19. 19. Trained volunteer<br />
  20. 20. Communication challenges<br />Training information<br />‘Classic Home based Care’ versus ‘Access to treatment’<br />Volunteer attitude & behaviour change<br />Local services availability<br />Nearest availability of testing, treatment & monitoring<br />Transport support<br />Mentoring & encouragement<br />Overcoming stigma<br />Challenging sexual norms <br />
  21. 21. Tearfund – ‘Task shifting’ Operating model<br />Mobilise Volunteers to impact Clients <br />Community<br />Local Partner<br />Volunteers<br />Recruitment<br />Local<br />Tearfund<br />Clients<br />Training<br />MOH<br />
  22. 22. Mobile technology in healthcare/HIV World AIDS Conference 2010<br />Task shifting<br />Task-shifting of antiretroviral delivery from health care workers to persons living with HIV/AIDS: clinical outcomes of a community-based program in Kenya<br />Community-based care delivered to adults living with HIV by people living with HIV using mobile technologies provided care as safe and effective as clinic-based care<br />Reaching vulnerable groups<br />Opportunities to reach residence based female sex workers (RBFSW) through cell phones - an experience from Bangladesh<br />About 50% RBFSW possess and use cell phones to contact clients<br />Many peer educators use cell phones to contact RBFSW<br />Sexual Behaviour change<br />Brief cellphone-delivered counselling as a novel strategy to enhance the maintenance of HIV behavioural intervention efficacy: results from a supplemental treatment effectiveness trial<br />Lower chlamydia infections<br />Reduction in frequency of sex & Increase in condom protected sex<br />Improving adherence<br />Facilitators'-on-wheels: a model for HIV/AIDS education for people with disabilities by people with disabilities<br />‘uses cellphone technology to improve adherence rates and communicate relevant information’<br />Overview from Cell-life<br />Exploring the potential of mobile phone technology for prevention, care and treatment of HIV in South Africa: the case study of Cell-Life<br />they have great use in increasing the uptake of health services, providing information needed by people affected by HIV and linking patients and clinics<br />largely ineffective in direct behaviour change (e.g. changing someone´s mind to use a condom by sending an SMS)<br />
  23. 23. Tearfund Malawi <br />Pilot study – published in M4D 2008<br />Improving Home Based Care Through Mobile Phones in Malawi<br />Objectives<br />1 yr project in 2 areas of Malawi<br />Improve communication between rural home based care and hospital centres<br />Financially sustain the volunteers’ use of a mobile phone as an income generating activity<br />Results<br />Mixed success<br />Communication & referral helpful but phones used more for business<br />Income generating activities not sustained (coinciding with handset penetration)<br />Learning<br />Take account of rapidly changing market<br />Enable cost free access to pre-logged hospital numbers<br />
  24. 24. Film clip<br />
  25. 25. Prevention of Parent to Child Transmission of HIV (PPTCT)<br />1 in 5 maternal deaths due to HIV<br />90% of children living with HIV are infected by their mother<br />Without intervention 40% of babies will be HIV +ve<br />Intervention can reduce vertical transmission to <5%<br />
  26. 26. Guardians of our Children’s Health (GOOCH)<br />Toolkit for community mobilisation<br />Focus on parents<br />Reduce transmission of HIV<br />Reduce maternal & child mortality(MDGs 4, 5 & 6)<br />Tearfund<br />Partner<br />Master Trainers<br />Volunteers<br />Church & Community<br />
  27. 27. Nimbus project objectives<br />Does the JamiiX/Nimbus system: <br />improve the effectiveness & efficiency of achieving target outcomes through coaching & mentoring of volunteers?<br />Improve data collection efficiency to facilitate attribution of activities to outcomes? <br />
  28. 28. Mobiles in GOOCH<br />Key Elements<br /><ul><li>Training and Coaching with MT’s
  29. 29. Volunteers develop mentoring skills
  30. 30. Mobile only data collection </li></ul>Tearfund <br />Partner<br />Positive outcome = <br />Living your beliefs(Successful patients maychoose to become volunteers and ‘Mother buddies’<br />Education, Mentoring and Data Collection <br />
  31. 31. JamiiX Angel Interface<br /><ul><li> Updated training information
  32. 32. Best practice
  33. 33. Q&A
  34. 34. IM Counselling</li></li></ul><li>Aid Effectiveness<br />Objectives<br />Activities<br />Outcomes<br />Attribution<br />Impact<br />
  35. 35. Data Collection <br />Application sends off required numberof SMS’s with data to JamiiX web portal<br />Web Application populates<br />database<br />Confirmation SMS<br />Excel spreadsheet reportsand trend charts sent monthlyto Tearfund<br />
  36. 36. System Overview<br />JamiiX web application<br />Monthly Excel report for each country (emailed to country rep)<br />Clickertel Link <br />to JamiiX platform<br />Data sent to in countrySMS code<br />Nimbus collate monthly country <br />reports to produce consolidated <br />view with trend charts that can beaccessed online<br />SMS forms appon mobiles<br />Page 31<br />
  37. 37. Possible future applications (1)<br />Sexual Behaviour Change Accountability Groups<br />4 theories of behaviour change<br />Health Belief model<br />AIDS Risk Reduction Model<br />Stages of Change<br />Theory of Reasoned Action<br />
  38. 38. <ul><li>Self Help (Savings) Groups</li></ul>Possible future applications (2)<br />
  39. 39. Possible future applications (3)<br /><ul><li>Harm reduction in Injecting Drug Users in Russia</li></li></ul><li>Possible future applications (4)<br /><ul><li>‘Blue-point’ Communities</li></li></ul><li>David.deakin’@tearfund.org<br />