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David deakin on Tearfund and Mobile Technologies for Social Change
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David deakin on Tearfund and Mobile Technologies for Social Change

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David Deakin from Tearfund, a long established International Development Agency, talks about the role of technology in supporting HIV programmes and patients in Africa

David Deakin from Tearfund, a long established International Development Agency, talks about the role of technology in supporting HIV programmes and patients in Africa

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David deakin on Tearfund and Mobile Technologies for Social Change David deakin on Tearfund and Mobile Technologies for Social Change Presentation Transcript

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