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M Health Utilizing Mobile Technology

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M Health Utilizing Mobile Technology

  1. 1. "mHealth: Utilizing mobile technology to expand accessibility of government health and education services beyond urban areas" Cynthia Antwi, PMP Mobile Telemedicine Program Manager Botswana-UPenn Partnership Ryan Littman-Quinn Director of Mobile Health Informatics Botswana-Upenn Partnership 6th Annual E-Gov Africa Summit March 5-7 Gaborone, Botswana
  2. 2. Contents • Overview of Botswana-UPenn Partnership (BUP) • BUP Informatics and Telemedicine Background • Mobile Telemedicine: The Botswana Story… • Partners and Roles • Telemedicine Program Outline (Project Kgonafalo) • Access to Medical Resources • Lessons Learnt • Other great mhealth projects
  3. 3. Botswana-UPenn Partnership: 10 years in the making... • Government of Botswana, the University of Botswana and the University of Pennsylvania • UPenn is taking a broad interdisciplinary approach to train healthcare personnel throughout Botswana in prevention and treatment of HIV/AIDS and its complications
  4. 4. Botswana-Upenn Partnership: 10 years in the making... • To develop outstanding post-graduate training programs at the University of Botswana • Development of Treatment Guidelines • Has the following main programs being: o HIV Care & Prevention o Women's Health Clinic o Adult TB program o Paeds TB: Contact tracing, Gastric Aspirate o Health Informatics & Telemedicine
  5. 5. BUP Informatics and Telemedicine Background • Dr. Carrie Kovarik launched teledermatology in 2007 • Facilitate & Foster local partnerships between public and private sector • Provide Technical Assistance and consultation on the implementation of Telemedicine projects • Health Informatics Capacity Building • 24 publications (journals/conferences) o Including comprehensive "mHealth in Botswana" papers/workshop at IST-Africa Conference 2011
  6. 6. Mobile Telemedicine : the Botswana Story • Challenging IT infrastructure & Internet Availability • Severe shortage of healthcare workers...
  7. 7. = 10 people In Botswana, there are roughly 5 doctors for every 12,500 people Diagram concept courtesy of UPenn Museum
  8. 8. Mobile phone revolution
  9. 9. % of world's population covered by mobile signal: 2003: 61% 2009: 90%
  10. 10. % of mobile devices owned by citizens in developing countries: 2000: 25% of 700 million 2009: 75% of 4 BILLION
  11. 11. Partners and Roles University of Botswana Orange Botswana Ministry of Health of Botswana
  12. 12. Telemedicine Program Outline Access to Specialty Care (“Project Kgonafalo”) • Mobile Oral Telemedicine • Mobile Cervical Cancer Screening • Mobile Teledermatology • Mobile Teleradiology Access to Medical Resources • National Treatment Guidelines SMS Query System • Mobile Telementoring
  13. 13. Access to Specialists: Project Kgonafalo • Mobile Oral Telemedicine • Mobile Cervical Cancer Screening • Mobile Teledermatology • Mobile Teleradiology
  14. 14. Mobile Oral Telemedicine Operations at a glance: • 6 Locations • 13 Clinicians Trained • 107 Successful Cases
  15. 15. Mobile Cervical Cancer Screening Operations at a glance: • 1 location • 2 nurses trained • 356+ patients seen o (96 part of a study) • Dependent on Visual Inspection with Acetic Acid (VIA) in Botswana...
  16. 16. Mobile Teledermatology Operations at a glance: • 2 locations • 3 nurses trained, 2 dermatologists with phones • 126 successful cases o (mostly part of study)
  17. 17. Mobile Teleradiology Operations at a glance: • 2 locations • 4 radiographers trained • 54 successful report requests
  18. 18. Before...
  19. 19. ... After
  20. 20. After (cont.)...
  21. 21. Government Ownership Strategies • Public Awareness Posters • Specialty coordinators phone trainings (Train the Trainer approach) • Ongoing Monitoring and Evaluation to better improve the service. • “User Buy- In” through educational workshops for healthcare workers
  22. 22. Public Awareness Posters
  23. 23. Specialty Coordinators / Training
  24. 24. Specialty Coordinators / Training
  25. 25. Specialty Coordinators / Training
  26. 26. Educational Workshops
  27. 27. Educational Workshops
  28. 28. Educational Workshops
  29. 29. Access to Medical Resources • National Treatment Guidelines SMS Query System • Mobile Learning (mLearning) with University of Botswana School of Medicine (UBSOM) Residency Program
  30. 30. SMS Query System Operations at a glance: • 80 Participants in focus group • Technological setbacks prevented growth • Big plans for revival, including transitioning to USSD
  31. 31. UBSOM mLearning Operations at a glance: • Android phones with medical and drug information apps: o e.g. Dynamed, Archimedes, Medscape, ePocrates Rx, and 5- Minute Clinical Consult • Phone users by residency program: o Internal Medicine: 8 o Paediatrics: 8 o Emergency Medicine: 4 o Family Medicine: 8 o Faculty: 5 o Total: 33
  32. 32. UBSOM mLearning Training
  33. 33. 2012 and Beyond... • 2012 planned scale up: o Remote consultation  We are in the process or rolling out the M&E framework on those sites  40 devices  25 new locations o UBSOM (potential)  50+ devices • Wharton and UB Business School collaborations Explore more specialties o IT and integration
  34. 34. Lessons Learnt • Lean on the expertise in the various specialities, to better develop the solution • Partnerships between public and private sector • Stakeholder engagement and continuous communication • Continuous Monitoring & Evaluation
  35. 35. Conclusion….. • Mobile technologies can also be applied to other areas like agriculture and provision of public services • Continuously growing industry • Mobile technologies can better connect a government to its citizens and improve government services throughout the country.
  36. 36. Thanks!

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