AMREF Presentation Uganda, 29 april 2011Presentation Transcript
Collaborations on mHealth in Uganda AMREF Senior Management Meeting , 29 April 2011 Bas Hoefman Bhoefman@texttochange.com +256 779890945
Developing countries have more mobile phones than “developed” countries
Mobile subscriptions: developingvsdeveloped Source: ITU World Telecommunications
There are about 12 Million mobile subscribers in Uganda 70% has access to mobile phones
NGO founded in 2007 in Amsterdam
TTC develops Interactive and Incentive based mobile programs
Pioneer in mHealth in Africa
Mobile Tools for Health, Education & Social Impact: SMS, Voice, Data
First TTC program in Mbarara
Target: 15.000 Celtel subscibers
Results: 20 % response rate
Uptake in HCT of +40% at AIC
Built our own platform + toll free short code
mHEALTH Family planning/ rep health HIV/ AIDS PMTCT TB Medicine adherence Antentatel care Mobilisation health services Drug stock outs Data collection M Learning / training Text to Change has active programs in 6 countries (red) and upcoming programs in 8 more (yellow)
Question Do you think a healthy looking person can have HIV? Yes No To reply send: QUIZ<space><answer nr> to 8181 Response to answer correct! Someone who looks healthy may be HIV positive and could infect others. To know your own and your partners’ status, you should test for HIV together. Users participate in free Health quizzes
Incentives with monetary value Examples:
Airtime Barcelona shirt Mosquito net
Text to Change Campaigns Aids information Centre Uganda (AIC) Arua, January 2009. Target group: 10.000 MTN mobile subscribers in Arua Program focus: HIV/AIDS Awareness and promote uptake of couple HCT Net Response Rate: 21 % Uptake of HCT services at AIC: + 35% Media: Radio, Newspapers, Posters. United Nations – ECOSOC ‘Texting 4 Health campaign’, Jinja, Uganda, June 2009 Target Group: 10.000 MTN subscribers in Jinja Program focus: HIV/AIDS, Malaria and Child Health Net Response Rate: 23 % Media: Radio, Newspapers.
Other campaigns Health Child – IICD, Jinja, Uganda, 2009-2010 Target group : 3500 people in Jinja Program focus: Program focus: HIV/AIDS Awareness and promote uptake of VCT, malaria, family planning, prevention of mother to child transmission (PMTCT), increase access to health services Media: radio, flyers, SMS Deutscher Entwicklungsdienst (DED), Lira, Uganda 2010 Target group : 7000 people in Lira Program focus: HIV/AIDS awareness and promotion and use of HIV testing and counseling services. Media: radio, flyers, SMS Response rate: 53%
Example of uptake in HIV testing Tomorrow there is FREE HIV testing at the clinic in Lira. Please come and bring your partner! Tell your friends and family to come also! Week in which message was sent
Combining strengths: Public Private Partnerships
M4RH Program in Kenya &Tanzania Partner: Family Health Int. .
EPMTCT/ Mother Reminderprogramin rural Uganda
Increase number of ANC visitsto a minimum of 4.
Increase PMTCT uptake & adherencefor HIV positive pregnant women
Increase number of women delivering at the health clinic
Provide postnatal support; examples: info about nutrition and hygiene.
Use SMS to Improve TB and HIV treatment adherence and Improving access to Services Research partner: The Infectious Diseases Institute (IDI)
Reminders Medicine Please do not forget to take your TB medicine to reduce the risk for further spread of TB. Please beep 0784121381 if you have any problems. Information HIV changes your life, but don't panic. If you live healthy and take medication when you need to, you can live a good, long life.
Question Increasing knowledge & raising awareness How can TB be transmitted? At birth Shaking hands with people with TB By breathing in air containing TB bacteria To reply type: 1<space> <Answer Nr> to 8181 Response to answer This is correct. Always cover your nose and mouth when coughing to prevent TB from spreading to your family and friends.
6 months 2 groups: 224 Patients Baseline adherence: 85% with 75% greater than 95%. End of the study: 90% had a and adherence of greater than 95% Viral load tests : a very high level of viral suppression Kawempe HomecareART AdherenceStudy SMS effective tool to increase awareness levels
Promotion of Medical Male Circumcision via SMS
To learn about Male circumcision and its advantages send:
TOHARA to 1504
To enquire on sites offering MC services
send: WAPI to 1504 This is a free service!
To receive Post Operative Text Messages send :BAADA to 1504 This is a free service!
Post Operative Text Messages send :BAADA to 1504: Day 1: If you notice severe pain, soaking blood of the bandage, inability to pass urine or severe swelling of the penis please go back to the Male Circumcision service center.
Partnership AMREF & TTC: AMREF: strong local presence, extensive experience and experts in health content Text to Change: specialist in mHealth projects Combined efforts in conducting research on the impact of mHealth Joint proposal development to attract funds to support future AMREF / TTC mHealth activities
Potential Collaboration AMREF and TTC: 1. Stop TB project 2. Malaria ,AIDS and TB integrated project 3. e/mLearning –upgrading of Nurses & Midwives 4. Medical Male Circumcision to reduce HIV and other STIs Uganda Proposed mHealth activities: TB and HIV/AIDS Drug Adherence mLearning and Training Awareness creation & Sensitisation Data collection
mLearning: eMclopedia Information system for reference. Navigate the system by SMS: --> Send one message to select an option <-- Receive back message(s) with the next menu
Remote Data collection: (Social) incentives
Thank you very much ! We are looking forward to a long and fruitful partnership. www.texttochange.com