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Ict4 d sep 23

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Ict4 d sep 23

  1. 1. Innovative Technology Development<br />4<br />Bobby Jefferson, Anita Dartar Garten, Abby Clay<br />ICT4 Development Conference<br />Sep 2010<br />
  2. 2. Futures Group<br />Our Mission<br />Futures Group develops and delivers innovative, locally relevant, evidence-based solutions to improve the health and well-being of people worldwide.<br />Futures Group Program Areas<br />Population, Maternal and Child Health<br />HIV and AIDS, Infectious Diseases<br />Gender<br />Our Reach<br /> 25 Office Locations<br /> 450 Staff World Wide<br />Futures Group Technical Services<br />Health Informatics<br />Strategic Information<br />Modeling ,Forecasting, Economic Analysis<br />Policy and Advocacy<br />Our Clients<br />USAID CDC DFID<br />Global Fund WHO<br />Gates Foundation Packard Foundation European Union GTZ<br />
  3. 3. Consortium<br />Nigeria, Kenya, Uganda, Tanzania, Rwanda, Zambia, South Africa, Haiti <br /> Guyana, Ethiopia244 ART Health facilities 112 Satellites 535 PMTCT sites<br />Rural, remote, faith based mission hospitals “serving poorest of poor” <br />No power, intermittent power, No IT staff, No internet, Sparse mobile coverage<br />Nurses, Clinicians, Adherence Counselors, need health data, M&E program data in knowledge repository <br />Lack of referrals or linkage to existing technology systems <br />Cost effectiveness and sustainability -- no funds for proprietary licenses, or yearly maintenance fees<br />
  4. 4.
  5. 5. Futures Group<br />eHealthmHealth approach<br />creative common approach Use of freely available, reusable, tools, “coded in country”<br />Offline Solutions, Disconnected model<br />Reusable software and technology across countries and programs<br />Programmers and IT staff in country<br />Low costs, Inexpensive $250-$350 Netbooks Solar mobile phones, SMS <br />
  6. 6. IQCare – Go from Paper to mobile health tablet for EMR<br />
  7. 7.
  8. 8. Physician conducts consultation with data already in IQCare<br />
  9. 9. Lab scientist retrieves ordered tests from IQCare, conducts tests and enters results into database <br />
  10. 10. Interoperability<br />DonorsOGAC, CDC, HRSA, USAIDMOH National Reports<br />(Kenya , Uganda, Nigeria, Rwanda-IQChart)<br />District Indicators, <br />DHIS v2.0 software, <br />Next Gen <br />Indicators (NGI), <br />HIV/QUAL, HEALQUAL<br />Intel, <br />Netbooks, low cost, <br />low power<br /> Inveneo<br />Laboratory Partners<br />OpenELIS<br />Bika Labs<br />TherapyEdge<br />EMR SystemIQCare<br />(Facility Level)<br />HL7<br />Pharmacy , Supply Chain<br />Management Sciences Health,<br />ARV dispensing tool (ADT)<br />SCMS, Crown Agents, <br />IQTools<br />Other EMR (OpenMRS,Baobab<br />Careware, SMARTCare,iSante, CTC2)<br />Clinical/Medical Partners<br />School of Medicine, Faith Based Orgs<br />Mennonite Christian Charities<br />In-country ICOBI, CHAK, IMA<br />Health Indicators <br />Immunization, Well Baby,WHO -3ILPMS Integrated HIV, TB, PMTCT<br />Community Mobile health solutionsDimagi, D-Tree, MIT Media Labs, <br />mHealth Alliance, <br />Financial Mgmt Partners<br />Pastel Software,<br />Tableau Dashboard<br />CMMB<br />
  11. 11. Futures Field<br />Team<br />PMTCT Monthly Report<br />No computers at all PMTCT sites<br />No funds to purchase SmartPhones, iPhones<br />Limited internet bandwidth<br />
  12. 12.
  13. 13. IQSMS - Timely, Quality Reporting by Health Workers<br />
  14. 14. IQSMS User Level<br /><ul><li>Data Type Validation
  15. 15. Report Duplication Check
  16. 16. Report formatting
  17. 17. Data validation</li></ul>Paper Report SMS<br />
  18. 18. IQSMS Reporting<br />IQSMS software, Immediately Messages Health Care Worker if PMTCT Report fails Data Quality checks and alerts SI staff<br />Only after passing All Data Quality rules, IQSMS software adds PMTCT report to aggregate database <br />PMTCT Report<br />Immediate Data Quality Alert<br /> Pass or Fail <br />
  19. 19. IQSMS Benefits <br /><ul><li>Submission via low cost mobile phones in the field</li></ul>IQSMS project takes advantage of mobile phones already owned by health worker. By using a familiar device, training requirements are similar to paper based training<br /><ul><li>Low cost of SMS submission ($0.04 per SMS)
  20. 20. Fuel and Transport cost savings in staff travel and reliable data submission</li></ul>Health Care Workers no longer required physically to transport paper reports or fax PMTCT reports to central project offices. <br /><ul><li>PMTCT Data can be made accessible to a wider audience (local, district, region, levels
  21. 21. Health facilities interested to know how their statistics compare with others in their districts</li></li></ul><li> M&E Electronic Reporting System<br />Solar Power Cell phones<br />PDA device<br />Ms Access Database<br />Web Internet Desktop<br />Excel Only<br />
  22. 22. Futures Group<br />Visual Dashboards for Analysis<br />
  23. 23. Futures Group<br />Visual Dashboards for Analysis<br />
  24. 24. Futures Group<br />Southern Sudan<br />Rwanda<br />Intra Health International <br />ICAP Columbia University 44 sites<br />Intra Health International 17 sites<br />Elizabeth Glaser EGPAF 16 sites<br />Family Health Inter FHI 45 sites<br />Catholic Relief Services 13 sites<br />Kenya<br />Catholic Relief Services<br />Pathfinder International<br />Gertrude Children Hospital <br />Nigeria<br />Uganda<br />Mennonite Christian Charities<br />Catholic Relief Services<br />Catholic Relief Services <br />John Snow International<br />Rakai Health Services Vaccine Research<br />“After successful assessment, the IQ Care system developed and supported by the Futures Group and Catholic Relief Services came up top in terms of overall features (technical and non technical) and also in terms of largest number of installations “<br />WHO sponsored EMR Assessment Report , Kenya May 2009<br />
  25. 25. Futures Group<br />Thank You<br />Bobby Jefferson bjefferson @ futuresgroup<br />Lanette Burrows lburrows @ futuresgroup<br />Futures SI Advisor in-country<br />www.futuresgroup.com<br />www.iqstrategy.net<br />

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