Using Technology to Dam the HIV/AIDS Treatment Cascade

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A presentation given at Stanford on using technology to dam the HIV/AIDS treatment cascade.

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Using Technology to Dam the HIV/AIDS Treatment Cascade

  1. 1. HIV / AIDSusing technology to dam the cascade Presentation by InSTEDD: Caricia Catalani, DrPH, MPH Innovative Support to Emergencies Diseases and Disasters Brooke Estin
  2. 2. the issues | global the scale
  3. 3. the issues | global the scale
  4. 4. the context
  5. 5. the context | HIV around the worldregional adult HIV prevalence 15 - 50 5 - 15 1-5 0.5 - 1.0 0.1 - 0.5 0.0 - 0.1 no data (2009) (%)
  6. 6. the context | HIV around the world 33.2 million
  7. 7. the context | HIV around the world 33.2 million Middle East & Eastern Europe Latin North America & Sub-SaharanCaribbean North Africa & Central Asia America Western/Central Europe Asia Africa240,000 460,000 1.4m 1.4m 2.3m 4.9m 22.5m
  8. 8. 17 million 2.5 million women children
  9. 9. 30 million have lost parents children to HIV/AIDS
  10. 10. the context | HIV around the world Number of people on antiretroviral therapy (millions)86420 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
  11. 11. the context | HIV around the world regional adult HIV treatment 81 - 100 61 - 80 41 - 60 21 - 40 1 - 20 no data (2009) (%)
  12. 12. the context | HIV around the world 5 million
  13. 13. @ONE Campaign33.2 million 5 million infected in treatment
  14. 14. the problem
  15. 15. the problem | the cascade Tested Enrolled CD4 Eligible Short-term Long-term HIV positive in care tested begin ARTs adherence adherence
  16. 16. the problem | the cascade why? Tested Enrolled CD4 Eligible Short-term Long-term HIV positive in care tested begin ARTs adherence adherence
  17. 17. the problem | the cascade POLICY CLINICS/ORG INDIVIDUAL
  18. 18. the issues | the cascade so what helps?
  19. 19. the approach | where to look? the field the literature local global
  20. 20. the approach | where to look? the social the technical people tools
  21. 21. the approach | where to look? online offline resources resources
  22. 22. the approach | where to look? engage with understand people in global best their context practices
  23. 23. the approach | social + technical
  24. 24. mission Our mission is to improve global health, safety and sustainable development through 4 areas: Creating Collaboration Technologies Ensuring Usefulness and Impact Collaborating with PeopleBuilding Capacitywithin communities to foster a local culture of innovation
  25. 25. missionOur Our mission is to improve global health, safety and sustainable development through: mission is to improve global health, safety and sustainable development through 4 areas: Ensuring Usefulness and Impact Collaborating with People Building Capacity Creating Collaboration Technologies for social good
  26. 26. missionOur Our mission is to improve global health, safety and sustainable development through: mission is to improve global health, safety and sustainable development through 4 areas: Creating Collaboration Technologies Ensuring Usefulness and Impact Building Capacity Collaborating with People through a bottom up design and development process
  27. 27. missionOur Our mission is to improve global health, safety and sustainable development through: mission is to improve global health, safety and sustainable development through 4 areas: Creating Collaboration Technologies Collaborating with People Building Capacity Ensuring Usefulness and Impact through research and evaluation
  28. 28. Muddy Boot Doctors
  29. 29. Out of the Office Engineers
  30. 30. Community Based Researchers
  31. 31. Domain Experts
  32. 32. Creative Communicators
  33. 33. Resourceful Business Managers
  34. 34. Local Leadership
  35. 35. projectsOur approach facilitates collective Argentina Haiti Mexico Thailand action by local partners, and is Bangladesh Indonesia Mozambique USA being successfully applied Cambodia Kenya Rwanda Vietnam China Laos Ghana Zimbabwe globally.
  36. 36. tools platformKEY Our mission FEATURES BENEFITS & is to improve global health, safety and sustainable development through: free and open source customizable use independently or together realtime alerts data synchronization works on any phone works with low signal most don’t require internet many don’t require literacy cheap, fast & easy
  37. 37. tools Verboice is a customizable application thatempowers users to build their own interactive voice response systems.
  38. 38. tools Verboice is a customizable application thatempowers users to build their own interactive voice response systems.
  39. 39. tools Baby Monitor is anunconventional approach to service delivery along the birth continuum in remote locations by creating an interactive voice response application for mobile phones that is designedfor mothers as end‑users.
  40. 40. tools Resource Mapping helps people to collaboratively tracktheir work, resources and results geographically and through SMS.
  41. 41. tools Resource Mapping helps people to collaboratively tracktheir work, resources and results geographically and through SMS.
  42. 42. toolsRemindem allows you to set up a list of tips, reminders and advice that people can subscribe to via text messages. You can schedule the messages based on a schedule you define.
  43. 43. toolsRemindem allows you to set up a list of tips, reminders and advice that people can subscribe to via text messages. You can schedule the messages based on a schedule you define.
  44. 44. Cool tools.
  45. 45. but what reallyworks?
  46. 46. the opportunity | win-win systematic review of the literature
  47. 47. the opportunity | win-win find the gold in the rubble
  48. 48. the opportunity | win-win select few invited to apply for fellowship
  49. 49. the opportunity | win-win intellectual community
  50. 50. Innovative Support to Emergencies Diseases and Disasterswww.instedd.org

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