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1. Mobile Technology for Community Health Aim: Use mobile phones to increase the quantity and quality of antenatal and postnatal care in Ghana. Funded by Bill & Melinda Gates Foundation
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3. Hot compresses used to deliberately mold the baby’s skull to give them a ‘special’ shape
28. MOTECH Nurse Feedback “I used to get two or three, but last month I had ten deliveries [at the facility] because the clients get the messages and they come. For postnatal they come. Even if they deliver at home they get the messages [from MOTECH] which make them come for postnatal.” “MOTECH has been good because it helps us with our reports. Sometimes our tallying gives us incorrect data. With the phones we know the data that we get at the end of the month is correct. CHPS Nurse CHPS Nurse Midwife “With MOTECH we get our clients easily because we get messages listing our defaulters. Some of them also because MOTECH sends them messages telling them to come. We get people coming here telling us that MOTECH has told them to come to the facility.” “When we see our clients for a child welfare clinic we gather them in a big group to educate them but often these meetings are big and noisy so not everyone picks up what you've said. That's why MOTECH is good because it provides 1:1 info to patients along with personalized reminder messages.” CHPS Nurse
34. Listening to client needs – highly customizable (language, time to receive message), flashing, accessibility for those without own phones.
35. Biggest upcoming challenge: development of business model, involving yet deeper partnerships and collaborations with telcos and tapping into a different demographic.
Editor's Notes
MoTeCH is Mobile Technology for Community Health. It is a project which aims to use mobile phones to increase the quantity and quality of antenatal care in rural Ghana. It is being piloted in the Upper East Region, with intention to scale nationally if successful. MoTeCH is a partnership between Ghana Health Service, Grameen Foundation and Columbia University, using a grant from the Bill and Melinda Gates Foundation.
Despite the success of CHPS, like any other healthcare system, it has it’s challenges. These challenges stem from issues in the communities that we serve, as well as the CHPS system itself
For the CHPS nurses there are challenges in the reporting systems which rely on cumbersome paper forms, which take 4 - 6 days per month to complete, detracting from the time the nurses are spending with their patients. Information which nurses record in their registers does not flow back to the nurse in a way that is useful for reporting or service provision.
MoTeCH aims to address some of the community-based issues by offering a mobile health information service for pregnant women, their husbands and families. The woman’s pregnancy is registered in the MoTeCH system along with her Estimated Due Date. MoTeCH then sends the patient’s mobile phone a message each week, containing information specific to that particular week of pregnancy. The information aims to give practical advice on how to deal with some of the challenges of pregnancy; physical, emotional and financial. It provides reminders about what healthcare women should be receiving, and gives users tips about where to deliver, how to breastfeed, how to care for the baby, and explains local myths. It is intended that this service encourages better health seeking behavior, leading to improved health outcomes.The service has been developed in collaboration with GHS policy makers and Upper East management, midwives, pregnant women and other community members. The content aims to address user’s knowledge gaps and support the work of the CHPS workers. Early and constant consultation with real potential users has helped MoTeCH to ensure they are creating a useful service.
MoTeCH aims to address some of the community-based issues by offering a mobile health information service for pregnant women, their husbands and families. The woman’s pregnancy is registered in the MoTeCH system along with her Estimated Due Date. MoTeCH then sends the patient’s mobile phone a message each week, containing information specific to that particular week of pregnancy. The information aims to give practical advice on how to deal with some of the challenges of pregnancy; physical, emotional and financial. It provides reminders about what healthcare women should be receiving, and gives users tips about where to deliver, how to breastfeed, how to care for the baby, and explains local myths. It is intended that this service encourages better health seeking behavior, leading to improved health outcomes.The service has been developed in collaboration with GHS policy makers and Upper East management, midwives, pregnant women and other community members. The content aims to address user’s knowledge gaps and support the work of the CHPS workers. Early and constant consultation with real potential users has helped MoTeCH to ensure they are creating a useful service.
MoTeCH is enabling nurses to enter some of the information on the simplified registers on to a mobile phone. Doing this enables us to automatically generate some of the nurses’ monthly reporting. It is hoped that this will reduce the amount of time that nurses spend on administrative tasks. By capturing patient data on the mobile phone MoTeCH is also able to send the nurses reminders about patients who are due or overdue for care. For instance we can send nurses’ lists of all antenatal defaulters. It is hoped that this will make it easier for nurses to follow up on patients, resulting in better coverage of care. The phones are simple, low cost handsets which will be provided by MoTeCH. The simplified registers and mobile phone service together aims to reduce the burden of reporting and patient tracking for the nurse – reducing the many different registers that are currently in existence….
MoTeCH is enabling nurses to enter some of the information on the simplified registers on to a mobile phone. Doing this enables us to automatically generate some of the nurses’ monthly reporting. It is hoped that this will reduce the amount of time that nurses spend on administrative tasks. By capturing patient data on the mobile phone MoTeCH is also able to send the nurses reminders about patients who are due or overdue for care. For instance we can send nurses’ lists of all antenatal defaulters. It is hoped that this will make it easier for nurses to follow up on patients, resulting in better coverage of care. The phones are simple, low cost handsets which will be provided by MoTeCH. The simplified registers and mobile phone service together aims to reduce the burden of reporting and patient tracking for the nurse – reducing the many different registers that are currently in existence….
MoTeCH will be launched in 2 districts in the Upper East Region in June 2010. The effectiveness of the program will be evaluated on three counts. A Time Use Study will be conducted in order to assess if MoTeCH is actually reducing the nurses’ administrative burdenThe quality and use of aggregated data will be analyzed to determine whether MoTeCH is increasing data accuracyPopulation-based surveys will detect MoTeCH’s impact on coverage of essential interventions, such as: - increased ANC 4+ attendance - increased skilled births - increased postnatal care for both mother and baby - improved vaccination coverage
MoTeCH will be launched in 2 districts in the Upper East Region in June 2010. The effectiveness of the program will be evaluated on three counts. A Time Use Study will be conducted in order to assess if MoTeCH is actually reducing the nurses’ administrative burdenThe quality and use of aggregated data will be analyzed to determine whether MoTeCH is increasing data accuracyPopulation-based surveys will detect MoTeCH’s impact on coverage of essential interventions, such as: - increased ANC 4+ attendance - increased skilled births - increased postnatal care for both mother and baby - improved vaccination coverage
MoTeCH will be launched in 2 districts in the Upper East Region in June 2010. The effectiveness of the program will be evaluated on three counts. A Time Use Study will be conducted in order to assess if MoTeCH is actually reducing the nurses’ administrative burdenThe quality and use of aggregated data will be analyzed to determine whether MoTeCH is increasing data accuracyPopulation-based surveys will detect MoTeCH’s impact on coverage of essential interventions, such as: - increased ANC 4+ attendance - increased skilled births - increased postnatal care for both mother and baby - improved vaccination coverage
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