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Using Mobile Technologies to Improve Maternal Health

  1. 1. Mobile Technologies for Healthcare Alex Little & Florida Alemayhu BarCamp Ethiopia 2011 http://digital-campus.org © 2011
  2. 2. mHealth ● Using mobile technologies to improve healthcare ● Lots of potential: ● data collection ● point of care support ● telemedicine/remote diagnosis ● So far little evidence of what really works and what may be scalable http://digital-campus.org © 2011
  3. 3. Our programme ● As yet, little use of mHealth in Ethiopia ● Evalutation of the feasibility of using mobile technologies (smartphones) to improve maternal health ● Working with Health Extension Workers in Tigray http://digital-campus.org © 2011
  4. 4. Stage 1: HEW interviews ● Interviews with HEWs and assess technical aspects. Findings: ● GPRS coverage much better than expected ● Technically worked well ● Lack of electricity at many health posts ● Language/date format ● HEWs very keen on using the smartphones http://digital-campus.org © 2011
  5. 5. Stage 2: Smartphones to HEWs Training HEWs in how to use smartphones and practice using the data collection application http://digital-campus.org © 2011
  6. 6. Protocol development ● Protocol is a standard medical care questionnaire ● Acts as reminder to HEWs to ensure they are asking all the correct information ● Information can be used to help risk assess patients ● HEWs/Midwives can focus on those most at risk of having complications during pregnancy/labour http://digital-campus.org © 2011
  7. 7. Workflow 1 1. Data collected in the field using smartphones 2. Data automatically uploaded to server whenever GPRS connection available 3. Data instantly available via the scorecard dashboard 2 3 Internet http://digital-campus.org © 2011
  8. 8. Scorecard Dashboard ● Graphical display of data submitted ● Highlight patients most at risk ● Missing appointments ● Protocols submitted by each HEW/Midwife http://digital-campus.org © 2011
  9. 9. Technology Development http://digital-campus.org © 2011
  10. 10. Hardware ● Used HTC Hero phones – smartphones getting cheaper all the time – could also use any other Android phone ● Solar lamp/chargers ● Dual battery chargers http://digital-campus.org © 2011
  11. 11. Solar charging ● Testing out different solar systems for charging phones ● Many different products available, we're testing: ● D-light ● Glowstar http://digital-campus.org © 2011
  12. 12. Software Demo http://digital-campus.org © 2011
  13. 13. Data Collection Applications ● Many different data collection applications: ● EpiSurveyor ● Sana/OpenMRS ● OpenXData ● OpenDataKit (ODK) http://digital-campus.org © 2011
  14. 14. OpenDataKit http://opendatakit.org/ ● ODK Aggregate – server app – runs either on your own server or on Google App Engine ● ODK Collect – client application for Android ● ODK Build – to help build form XML http://digital-campus.org © 2011
  15. 15. Ge'ez keyboard To help HEWs enter data – they can use a Ge'ez keyboard for entering Amharic/Tigrinyan text http://digital-campus.org © 2011
  16. 16. Customised Client app Developed the ODK Client application so dates can be entered in Ethiopian data format http://digital-campus.org © 2011
  17. 17. Pregnancy Calculator Developed a small Android app to help calculate the expected delivery date http://digital-campus.org © 2011
  18. 18. Scorecard Development ● Developed in PHP ● Links to ODK database ● Still under development - getting feedback from medical professionals http://digital-campus.org © 2011
  19. 19. Overview ● So far, technology is working well ● Big test is over the next few months once the HEWs and midwives start to use the technology for real ● More development needed for the scorecard and client phone applications http://digital-campus.org © 2011
  20. 20. Thanks! Further info: http://digital-campus.org Alex Little: alex@alexlittle.net Florida Alemayhu:jesaflor@yahoo.com http://digital-campus.org © 2011

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