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M - H E A LT H S O L U T I O N S F O R
A N O VA H E A LT H I N S T I T U T E
B E T H B O Y E R , R A C H E L F O N G , E M I LY F R I S C H , L A U R E N M C K E A N , N I C O L E P H A N , C AT I E T O B I N , J O A N N A W I L L I A M S
S A LT C O N S U LT I N G T E A M
M O PA N I
D I S T R I C T,
L I M P O P O
P R O V I N C E I N
S O U T H A F R I C A
M O B I L E
H E A LT H U N I T S
FA M I LY F R E E P R O J E C T
HIV Services
Pre-packaged ART
Chronic Care Services
Adherence Clubs
Screenings
C U R R E N T PA P E R B A S E D S Y S T E M
M O B I L E H E A LT H U N I T PAT I E N T D ATA C O L L E C T I O N
P R O B L E M S W I T H PA P E R B A S E D S Y S T E M
• Paper registers can be lost—all information lost
• May forget to bring register on mobile health
unit
• No back up
• Still need to manually enter data into system
and interpret what was written
• More difficult to track patient’s past visits
• No assistance or flagging system for nurse and
lay counsellors when seeing patients
W H AT A N O VA A S K E D U S T O D O :
• Design a system to:
• effectively collect patient information for all mobile health
unit (MHU) client
• assist nurse and lay counsellors to effectively detect health
problems, flag clients who need routine examinations or
follow up at their nearest healthcare facility
• Enable data to feed into the Health Information System used
by the South African Department of Health
• Feasibility and cost-effective analysis
M O B I L E P H O N E U S E I N S O U T H A F R I C A
40% use of internet
browsing via phones
89% of South Africans have a mobile phone
55% have Nokia or
similar type of cell
phone
34% have a smart
phone
N E T W O R K S I N S O U T H A F R I C A
• Vodacom
• MTN
• Cell C
• Telkom
V O D A C O M
10,200 cellular
towers in
South Africa
99.8%
population
covered
84% 3G
reliability
3G
96% 3G data
population
coverage
• Create apps for
free using
Community Plan
• Can be used
offline
• Can be synced to
other data systems
(i.e. Tier.net and
DHIS)
CommCare Mobile
Data is entered into
CommCare forms
CommCare HQ
Website
Access and
download data
• Proven the need for a new method of patient
data collection
• Described what the client asked us to provide
• Selected a platform to meet the client’s needs
• Provided evidence on feasibility of
implementing an m-Health solution in the
client’s setting
S O FA R W E H AV E …
P R E S E N T I N G O U R
A P P : A N O VA M O B I L E
PAT I E N T R E G I S T R AT I O N
PAT I E N T R E G I S T R AT I O N
“Yes”
“No”
S C R E E N I N G
S C R E E N I N G : G U I D E S F O R C A R E
S C R E E N I N G : P R O M P T S
S C R E E N I N G : H E L P B U T T O N
H I V A D H E R E N C E C L U B
F O R M : I N P R A C T I C E
H I V A D H E R E N C E C L U B F O R M
PAT I E N T N O T P R E S E N T:
PAT I E N T I S P R E S E N T:
A S S E S S M E N T: W E I G H T
A S S E S S M E N T: A R T
A S S E S S M E N T: L A B S
A S S E S S M E N T: E D U C AT I O N
I M P L E M E N TAT I O N
Supply mobile health unit
workers with Vodacom Smart
Speed phone (with data plan)
Provide trainings for unit and facility
staff to properly use and analyze.
User manual included.
C O S T S :
• Smart phone
One time investment
(replace as needed)
• Data plan
Ongoing cost
• Training
One time
investment
F U T U R E S T E P S
• Add chronic care form
• Break adherence club forms into separate forms
based on adherence club schedule (Lab or
Consult days)
• Add SMS text reminders for patients
A N O VA M O B I L E
Q U E S T I O N S ?
S A LT C O N S U LT I N G T E A M

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HMIS Presentation

  • 1. M - H E A LT H S O L U T I O N S F O R A N O VA H E A LT H I N S T I T U T E B E T H B O Y E R , R A C H E L F O N G , E M I LY F R I S C H , L A U R E N M C K E A N , N I C O L E P H A N , C AT I E T O B I N , J O A N N A W I L L I A M S S A LT C O N S U LT I N G T E A M
  • 2. M O PA N I D I S T R I C T, L I M P O P O P R O V I N C E I N S O U T H A F R I C A
  • 3. M O B I L E H E A LT H U N I T S FA M I LY F R E E P R O J E C T
  • 4. HIV Services Pre-packaged ART Chronic Care Services Adherence Clubs Screenings
  • 5. C U R R E N T PA P E R B A S E D S Y S T E M M O B I L E H E A LT H U N I T PAT I E N T D ATA C O L L E C T I O N
  • 6.
  • 7. P R O B L E M S W I T H PA P E R B A S E D S Y S T E M • Paper registers can be lost—all information lost • May forget to bring register on mobile health unit • No back up • Still need to manually enter data into system and interpret what was written • More difficult to track patient’s past visits • No assistance or flagging system for nurse and lay counsellors when seeing patients
  • 8. W H AT A N O VA A S K E D U S T O D O : • Design a system to: • effectively collect patient information for all mobile health unit (MHU) client • assist nurse and lay counsellors to effectively detect health problems, flag clients who need routine examinations or follow up at their nearest healthcare facility • Enable data to feed into the Health Information System used by the South African Department of Health • Feasibility and cost-effective analysis
  • 9. M O B I L E P H O N E U S E I N S O U T H A F R I C A 40% use of internet browsing via phones 89% of South Africans have a mobile phone 55% have Nokia or similar type of cell phone 34% have a smart phone
  • 10. N E T W O R K S I N S O U T H A F R I C A • Vodacom • MTN • Cell C • Telkom
  • 11. V O D A C O M 10,200 cellular towers in South Africa 99.8% population covered 84% 3G reliability 3G 96% 3G data population coverage
  • 12. • Create apps for free using Community Plan • Can be used offline • Can be synced to other data systems (i.e. Tier.net and DHIS) CommCare Mobile Data is entered into CommCare forms CommCare HQ Website Access and download data
  • 13. • Proven the need for a new method of patient data collection • Described what the client asked us to provide • Selected a platform to meet the client’s needs • Provided evidence on feasibility of implementing an m-Health solution in the client’s setting S O FA R W E H AV E …
  • 14. P R E S E N T I N G O U R A P P : A N O VA M O B I L E
  • 15.
  • 16. PAT I E N T R E G I S T R AT I O N
  • 17. PAT I E N T R E G I S T R AT I O N
  • 19. S C R E E N I N G
  • 20. S C R E E N I N G : G U I D E S F O R C A R E
  • 21. S C R E E N I N G : P R O M P T S
  • 22. S C R E E N I N G : H E L P B U T T O N
  • 23. H I V A D H E R E N C E C L U B F O R M : I N P R A C T I C E
  • 24. H I V A D H E R E N C E C L U B F O R M
  • 25. PAT I E N T N O T P R E S E N T:
  • 26. PAT I E N T I S P R E S E N T:
  • 27. A S S E S S M E N T: W E I G H T
  • 28. A S S E S S M E N T: A R T
  • 29. A S S E S S M E N T: L A B S
  • 30. A S S E S S M E N T: E D U C AT I O N
  • 31.
  • 32. I M P L E M E N TAT I O N Supply mobile health unit workers with Vodacom Smart Speed phone (with data plan) Provide trainings for unit and facility staff to properly use and analyze. User manual included.
  • 33. C O S T S : • Smart phone One time investment (replace as needed) • Data plan Ongoing cost • Training One time investment
  • 34. F U T U R E S T E P S • Add chronic care form • Break adherence club forms into separate forms based on adherence club schedule (Lab or Consult days) • Add SMS text reminders for patients
  • 35. A N O VA M O B I L E
  • 36. Q U E S T I O N S ? S A LT C O N S U LT I N G T E A M