AMREF Presentation Uganda, 29 april 2011


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AMREF Presentation Uganda, 29 april 2011

  1. 1. Collaborations on mHealth in Uganda<br />AMREF Senior Management Meeting , <br />29 April 2011<br />Bas Hoefman <br /> <br />+256 779890945<br />
  2. 2. Developing countries have more mobile phones than “developed” countries<br />
  3. 3. Mobile subscriptions: developingvsdeveloped<br />Source: ITU World Telecommunications<br />
  4. 4. There are about 12 Million mobile subscribers in Uganda <br />70% has access to mobile phones<br />
  5. 5. <ul><li>NGO founded in 2007 in Amsterdam
  6. 6. TTC develops Interactive and Incentive based mobile programs
  7. 7. Pioneer in mHealth in Africa
  8. 8. Mobile Tools for Health, Education & Social Impact: SMS, Voice, Data </li></li></ul><li><ul><li>First TTC program in Mbarara
  9. 9. Target: 15.000 Celtel subscibers
  10. 10. HIV/AIDS Quiz
  11. 11. Results: 20 % response rate
  12. 12. Uptake in HCT of +40% at AIC
  13. 13. Built our own platform + toll free short code </li></li></ul><li>mHEALTH<br />Family planning/ rep health<br />HIV/<br />AIDS<br />PMTCT<br />TB <br />Medicine<br />adherence<br />Antentatel care <br />Mobilisation health services<br />Drug stock outs<br />Data collection<br />M Learning / training <br />Text to Change has active programs in 6 countries (red) and upcoming programs in 8 more (yellow)<br />
  14. 14. Question<br />Do you think a healthy looking person can have HIV?<br />Yes<br />No<br />To reply send: QUIZ<space><answer nr> to 8181<br />Response to answer<br />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.<br />Users participate in free Health quizzes <br />
  15. 15.
  16. 16. Incentives with monetary value<br />Examples:<br /><ul><li>Airtime
  17. 17. Merchandise
  18. 18. Health products</li></ul>Airtime<br />Barcelona shirt<br />Mosquito net<br />
  19. 19. Text to Change Campaigns<br />Aids information Centre Uganda (AIC) Arua, January 2009.<br />Target group: 10.000 MTN mobile subscribers in Arua<br />Program focus: HIV/AIDS Awareness and promote uptake of couple HCT<br />Net Response Rate: 21 %<br />Uptake of HCT services at AIC: + 35%<br />Media: Radio, Newspapers, Posters.<br />United Nations – ECOSOC ‘Texting 4 Health campaign’, Jinja, Uganda, June 2009<br />Target Group: 10.000 MTN subscribers in Jinja<br />Program focus: HIV/AIDS, Malaria and Child Health<br />Net Response Rate: 23 %<br />Media: Radio, Newspapers.<br />
  20. 20. Other campaigns<br />Health Child – IICD, Jinja, Uganda, 2009-2010 <br />Target group : 3500 people in Jinja<br />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<br />Media: radio, flyers, SMS<br />Deutscher Entwicklungsdienst (DED), Lira, Uganda 2010<br />Target group : 7000 people in Lira<br />Program focus: HIV/AIDS awareness and promotion and use of HIV testing <br /> and counseling services.<br />Media: radio, flyers, SMS<br />Response rate: 53%<br />
  21. 21. Example of uptake in HIV testing<br />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!<br />Week in which message was sent<br />
  22. 22. Combining strengths: Public Private Partnerships<br />
  23. 23. M4RH Program in Kenya &Tanzania<br />Partner: Family Health Int. <br />.<br />
  24. 24. EPMTCT/ Mother Reminderprogramin rural Uganda<br /><ul><li>Increase number of ANC visitsto a minimum of 4.
  25. 25. Increase PMTCT uptake & adherencefor HIV positive pregnant women
  26. 26. Increase number of women delivering at the health clinic
  27. 27. Provide postnatal support; examples: info about nutrition and hygiene.</li></li></ul><li>Use SMS to Improve TB and HIV treatment adherence and Improving access to Services<br />Research partner: <br />The Infectious Diseases Institute (IDI) <br />
  28. 28. Reminders<br />Medicine<br />Please do not forget to take your TB medicine to reduce the risk for further spread of TB. <br />Please beep 0784121381 if you have any problems.<br />Information<br />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. <br />
  29. 29. Question<br />Increasing knowledge & raising awareness<br />How can TB be transmitted? <br />At birth<br />Shaking hands with people with TB<br />By breathing in air containing TB bacteria <br />To reply type: 1<space><br /><Answer Nr> to 8181<br />Response to answer<br />This is correct. Always cover your nose and mouth when coughing to prevent TB from spreading to your family and friends.<br />
  30. 30. 6 months<br />2 groups: 224 Patients<br />Baseline adherence: 85% with 75% greater than 95%.<br />End of the study: 90% had a and adherence of greater than 95% <br />Viral load tests : a very high level of viral suppression <br />Kawempe HomecareART AdherenceStudy<br />SMS effective tool to increase awareness levels <br />
  31. 31. Promotion of Medical Male Circumcision via SMS<br /><ul><li>To learn about Male circumcision and its advantages send: </li></ul>TOHARA to 1504<br /><ul><li>To enquire on sites offering MC services </li></ul>send:<br />WAPI to 1504<br />This is a free service!<br />
  32. 32. To receive <br />Post Operative Text Messages send :BAADA to 1504<br />This is a free service!<br />
  33. 33. Post Operative Text Messages send :BAADA to 1504:<br />Day 1:<br />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.<br />
  34. 34. Partnership AMREF & TTC: <br />AMREF: strong local presence, extensive experience and experts in health content<br />Text to Change: specialist in mHealth projects<br />Combined efforts in conducting research on the impact of mHealth <br />Joint proposal development to attract funds to support future AMREF / TTC mHealth activities<br />
  35. 35. Potential Collaboration AMREF and TTC:<br />1. Stop TB project<br />2. Malaria ,AIDS and TB integrated project<br />3. e/mLearning –upgrading of Nurses & Midwives<br />4. Medical Male Circumcision to reduce HIV and other <br /> STIs Uganda <br />Proposed mHealth activities:<br />TB and HIV/AIDS Drug Adherence<br />mLearning and Training <br />Awareness creation & Sensitisation <br />Data collection<br />
  36. 36. mLearning: eMclopedia<br />Information system for reference.<br />Navigate the system by SMS:<br />--> Send one message to select an option<br /><-- Receive back message(s) with the next menu <br />
  37. 37. <ul><li>Scalable
  38. 38. Sustainable</li></ul>Remote Data collection: (Social) incentives<br />
  39. 39.
  40. 40. Thank you very much !<br />We are looking forward to a long and fruitful partnership.<br /><br />