Mobile medic nadim mahmud

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  • Talking about tech innovation in low-resource, global health contexts. Important to explain what that context is, for us. Use low-cost mobile technology to create connected, coordinated healthcare systems that save more lives.
  • Countries with health worker shortages
  • AIDS prevalence (proportionality map)
  • Tuberculosis
  • Malaria endemicity map. These maps overlay very well with those countries that have health worker shortages.
  • Countries with health worker shortages
  • The 5 billionth cell phone subscriber was recorded in July, btw. In stark contrast to access to Internet at ~10% in Malawi. Computer literacy is also very much lower than mobile literacy in Malawi.
  • Our flagship pilot was in Namitete, Malawi
  • Started work in Malawi at St. Gabriel’s Hospital where...
  • 2 doctors serve 250,000 people spread 100 miles in every direction. St. Gabe’s typifies the struggle of the health worker shortage.
  • Around St. Gabriel’s 500 community health workers work in remote villages to help decentralize care, but volunteers like Dickson walk 40 miles each way to hand-deliver updates on patients. adherence rates suffer, clinicians are unaware of patient statuses, immobile patients cannot receive emergency care, remote health workers lack support, new illnesses are not identified
  • CHW empowerment - when they aren’t paid with money…
  • Expanded to 75 CWS during next 2-3 weeks. Will expand to 50 more in next 2 months.
  • Impact -- Patients with urgent needs receive emergency care.
  • And the cost to run the program was only $500 (SMS text messages)
  • The definition of high-tech is not universal. This is the frontier in many settings, and that needs to be respected.
  • Impact -- Fewer stockouts, less waste, more patients receive vital drugs.
  • Centralization of data lends itself to an EMR! Light-weight medical records system that can accept forms!
  • How is it being used? Being piloted in Mali as a full-fledged records system for the patients. Also used to automate SMS reminders for vaccines in India.
  • Vaccine project in Kurnool, India
  • Mobile medic nadim mahmud

    1. 1. Nadim Mahmud Co-founder Chief Research Officer @nadimmahmud @medic
    2. 2. There is a 4.4 million global health worker shortage - WHO
    3. 9. <ul><li>Cell phones are becoming ubiquitous </li></ul>
    4. 13. 73% of all mobile users are in the developing world By 2012, 50% of individuals living in remote areas in the world will have mobiles The fastest growth is projected to occur in Asia and Africa
    5. 16. 250,000 100 2 people miles doctors
    6. 18. 15
    7. 22. Text message network
    8. 26. Injury Emergency Care CHW alerts the clinic Clinic dispatches resources Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44. 150 patients over 6 months
    9. 27. Impact in six months: 1. Saved $3,500 in motorcycle fuel 2. Saved 2,100 staff hours 3. Doubled enrollment in Tuberculosis treatment program Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
    10. 29. FrontlineForms
    11. 32. STOCK LEVELS Clinics upload reports for vital stock levels Reports are monitored at central office Restocking based on need Stock Levels
    12. 33. PatientView
    13. 40. Help create connected, coordinated health systems that save lives.
    14. 41. [email_address] twitter: @nadimmahmud

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