This document summarizes a presentation about Shout-it-Now (S-N), an organization that uses mobile labs and technology to educate and test people for HIV in South Africa. It discusses: 1) S-N's background, approach, key results including testing over 413,000 people and linking over 90% of HIV+ clients to clinics. 2) The health challenges in South Africa, including high HIV prevalence rates and many people never being tested. 3) How S-N uses mobile labs, engaging videos, and biometrics to register and test people in schools and communities. 4) How S-N started using the simulation software SIMUL8 to model and improve their business

1. SIMUL8 & Shout-it-Now
19-Nov-2015

2. S-N Agenda
Shout-it-Now Background
3 Minute Video
The Problems we are solving using SIMUL8
Q & A

3. Shout-it-Now Background Who We Are:
 Founded in 2007 by South African social scientists and USA technology & marketing executives.
Organized in both SA & USA
 Our Approach:
 Celebrities, technology, VCTR and incentives
 Key Results:
 413,000 people educated & tested
 Each team of 14 screens 28,000 people per yr @ R160 ea. (Now 43,000 in 2016)
 99.54% of people who go through on-line video go for HIV test
 90% Link HIV+ clients to clinics with Call Centre ~ 45 days
 Biometric and on-line tracking for longitudinal data
 Prime Recipient of PEPFAR funds & operating in 4 Provinces
 Past & Future:
 Initial Focus on Learners
 Moved to community based testing
 Added Primary Health Screening
 Move towards for-profit model

4. Health Challenges in South Africa
6.8M living with
~19% of adults are HIV+
400K new infections per yr.
62% of men & 47% of women
have NEVER been tested (2012
data)
SA has world largest HIV ART
Programme
42% of ART-eligible HIV+
patients are on treatment
Women 15-24 yr account for 25% of new infections

5. Mobile Labs in schools &
communities
Register
each
person
using
biometrics
Choice of
relevant &
engaging
content
Interactive bi-
directional dialogue
with clients
Actionable
items (i.e.
screening)
Follow-up
motivation
&
integration
w/ Partners
Taking it to the people

6. The 3 Minute Virtual Tour

7. Originally working within scheduled classrooms
 Excel spreadsheets painful but doable
Expanded into Community Based services
Excel spreadsheets became a nightmare
Initially 12 Different steps & functions
Variable times, skills, and always a commitment to
quality
Why SIMUL8?
“Nobody Believed HIV testing could work like McDonalds”

8. Step 1 – Hire a consultant  Univ. of Cape
Town Operations Research Department
Step 2 – Learn from Consultants
Step 3 – License SIMUL8
Step 4 - Model the hell out of business
Step 5 – Revise with Actual results
Why SIMUL8?
Iterate!

9. 4 Major Revisions to our business processes:
* Fast * Accurate * Easy
Simul8 took the time to understand our business
Co-Creation Process – Consulting + DIY = Success
Why SIMUL8?

10. Recruiting
Registration
Computer Lab
Pre-Counseling
Test Reader
Post Counselling HIV-
Post Counseling HIV+
Confirmatory HIV Test
CD4 Test
Call Center – Original Call
Call Center – Follow-up Calls
Example: Requirements

11. SIMUL8 Analysis

12. SIMUL8 is part of our business process
Provides Confidence & Creditability
New SMART Programme launched in November 2015:
 2014/15 target was 150 Clients per team per day
 2015/16 target is 225 to 300
 Since Launch Avg. 254 clients
2016 – Providing Medication as a Social Enterprise
Conclusion

13. Questions & Answer Session