AMREF Presentation Uganda, 29 april 2011
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AMREF Presentation Uganda, 29 april 2011

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    AMREF Presentation Uganda, 29 april 2011 AMREF Presentation Uganda, 29 april 2011 Presentation 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
      • HIV/AIDS Quiz
      • 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
      • Merchandise
      • Health products
      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
      • Scalable
      • Sustainable
      Remote Data collection: (Social) incentives
    • Thank you very much !
      We are looking forward to a long and fruitful partnership.
      www.texttochange.com