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mHealth for Logistics: Solving Data Challenges Through Mobile Technology

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mHealth for Logistics: Solving Data Challenges Through Mobile Technology

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Achieving visibility into logistics data at lower levels of the health system is always a challenge for logisticians. Developed by IAPHL and JSI, the presentation “mHealth for Logistics: Solving Data Challenges through Mobile Technology” is an introduction to the ways in which mobile technology can improve your logistics programs. The purpose of this presentation is to give an overview of several of the mobile solutions available to program implementers.

We begin by presenting the least resource-intensive intervention and work our way up to the most robust mobile information systems. Categories of tools that are covered include: mobile forms for data collection; basic SMS databases for routine reporting; paying for a customizable generic platform; and working with a developer to build a new system to your specifications from scratch. The presentation also explains practical aspects of implementing mobile solutions, such as costs and human resources required, to help viewers gauge which options best meet their needs.

This presentation was given as a webinar on May 26, 2013. To view a recording of the webinar, go to https://jsi.webex.com/jsi/lsr.php?AT=pb&SP=MC&rID=71779802&rKey=057d4c3e85b68164

Achieving visibility into logistics data at lower levels of the health system is always a challenge for logisticians. Developed by IAPHL and JSI, the presentation “mHealth for Logistics: Solving Data Challenges through Mobile Technology” is an introduction to the ways in which mobile technology can improve your logistics programs. The purpose of this presentation is to give an overview of several of the mobile solutions available to program implementers.

We begin by presenting the least resource-intensive intervention and work our way up to the most robust mobile information systems. Categories of tools that are covered include: mobile forms for data collection; basic SMS databases for routine reporting; paying for a customizable generic platform; and working with a developer to build a new system to your specifications from scratch. The presentation also explains practical aspects of implementing mobile solutions, such as costs and human resources required, to help viewers gauge which options best meet their needs.

This presentation was given as a webinar on May 26, 2013. To view a recording of the webinar, go to https://jsi.webex.com/jsi/lsr.php?AT=pb&SP=MC&rID=71779802&rKey=057d4c3e85b68164

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mHealth for Logistics: Solving Data Challenges Through Mobile Technology

  1. 1. Welcome mHealth for Logistics: Solving Data Challenges through Mobile Technology
  2. 2. To Ask a Question • Via Twitter: #mHealth4Log and @HealthSCM • Via the Webinar Chat window • If you have technical problems, contact Ben Bruno at bbruno@worlded.org
  3. 3. Resource Intensiveness of Mobile Solutions
  4. 4. Resource Intensiveness- Mobile Data Collection
  5. 5. Mobile Forms for Data Collection Megan Noel SC4CCM Project
  6. 6. What logistics data can the tool provide to program implementers and decision makers?
  7. 7. Who is trained to use the technology? • Intuitive design interface • Data collectors need basic training – SC4CCM held 7-8 day training on Magpi and SC, including 2-day pre-test • Simple to enter, edit, save, and send data using forms
  8. 8. What kinds of hardware are needed/can be used? • Design: Computer with internet (high speed preferred), and mobile device to verify functions work correctly • Data collection: any of 47 models of mobile device (brands include Nokia, Samsung, SonyEricsson, Apple, Android) • Nokia e71, used by SC4CCM, costs around $120
  9. 9. What software is used and approximately what does it cost? • The application is called Magpi, available for free download • Additional costs for greater storage space, special features • Data can be loaded and sent to the online database by cellular, wifi, or cable connection to the mobile device
  10. 10. Data Security Phone • Password protected on all devices • Encryption • All Blackberry, iPhone/iPad • Some Android (not all devices) Transmission/Uploading • Encrypted to 256 bit strong standard Online •Password protected, encrypted, backed up 4x daily (including to remote site), monitored 24/7/365
  11. 11. Data Outputs
  12. 12. Basic Analysis Label Name Code Value % A Yes 1 44 59.5 B No 0 9 12.2 Total 53 71.7 Is the stock card available for cotrimoxazole 120mg tabs? Measure Value Mean 89742.2 Maximum 816400.0 Minimum 0.0 What is the physical count (usable stock only) of cotrimoxazole 480mg tabs today?
  13. 13. Advantages • Easy to design data collection tools • Eliminates need for data entry before viewing data, allows trouble shooting if needed while teams are still in the field • Flexible to accept many kinds of data – open text, bivariate, multiple response, coded- numeric or text • Multiple ways to transmit data to site • Relatively low cost
  14. 14. Limitations • Limited ability to perform calculations within the program – do this after data are collected, ex.OFR, stock status • Smart phones can be prohibitively expensive for community and low resource settings • Heavy front end work (design and training) required for larger data collection activities
  15. 15. Programs: • Available programs using ODK (Open Data Kit) platforms: – iFormBuilder, FormHub, ODK Collect, KoBo Toolbox • Proprietary software: – Magpi, CommCare *All require some programming skills except Magpi
  16. 16. Thank you!
  17. 17. Resource Intensiveness- Sending SMS to a Database
  18. 18. Using Basic SMS Systems for Logistics Data Mike Frost USAID | DELIVER PROJECT
  19. 19. In a typical paper-based LMIS, detail is often lost between levels Facility District Region
  20. 20. Transmitting essential logistics data via SMS can help
  21. 21. 17670 # 23 # 0 # 71 # 2 # 0 # 41 # 30 # 2 # 0 Send the above message at the end of every Friday: •Start the message with 17670 •Separate every entry with # •Do not use spaces •Enter information for every product, in the order indicated Code CONDOMS Issued CONDOMS Received CONDOMS Physical count MICROGYNON Issued MICROGYNON Received MICROGYNON Physical count DEPO Issued DEPO Received DEPO Physical Count Send every Friday (Family Planning) 7797805460
  22. 22. The options are growing…
  23. 23. Activities • Assessment activity • Design (products, data elements, forms, dashboard, etc.) • Training • Testing
  24. 24. Costs • Any assistance with assessment • Any assistance with design • Magpi pro user license (5,000 USD annual. SMS? Gateway?) • Training
  25. 25. Use Cases • Limited set of facilities • Limited set of products • Concept testing • Sentinel Sites
  26. 26. Thanks
  27. 27. Resource Intensiveness- Existing Mobile Logistics Platforms
  28. 28. Using a Customizable Platform Leona Rosenblum John Snow, Inc.
  29. 29. What logistics data can the tool provide to program implementers and decision makers? • Routine logistics data • Snapshot survey data • Supervision data
  30. 30. Who is trained to use the technology? • Data entry- All levels • Dashboards and reporting- Supervisors, decision makers
  31. 31. What kinds of hardware are needed/can be used? • Basic feature phones- send data by SMS • Smart phones- design forms for more complex data capture • Computer with internet connection- manage system
  32. 32. What software is used and approximately what does it cost? • Several software platforms exist, with multiple pricing models. • All include an online platform for building forms and managing data. • Pricing plans are per user, per facility, and can include training.
  33. 33. Why choose a customizable platform? • Robust system • Pre-tested • Upgrades • Customer Service
  34. 34. Why not? • Not open source • Funding • Limits to customizability • Sustainability
  35. 35. What are some options? • Mango-Greenmash • LogiMobile and LogiWeb-Logistimo • CommTrack-Dimagi • Others?
  36. 36. Thank You
  37. 37. Resource Intensiveness- Develop a System
  38. 38. ILSGateway: Developing a Mobile System to Improve the Availability of Essential Medicines Marasi Mwencha USAID | DELIVER PROJECT TANZANIA
  39. 39. Integrated Logistics System (ILS) Supply Chain Challenges • Stock outs of essential medicines • Infrequent adherence to reporting groups • Difficulties with ordering and reporting • Absence of facility level data for decision-makers • Insufficient logistics supervision at health facilities • Need to empower new and untrained staff
  40. 40. ILSGateway: The Solution • The ILSGateway is a mobile health alert and reporting system designed to support and strengthen the ILS by: – Expanding the accessibility to and visibility of logistics data – Improving the use of logistics data for supply chain decision-making
  41. 41. What logistics data does the ILSGateway provide program implementers and decision makers? • Stock on hand • Losses & adjustments • Calculated consumption • Supervision frequency • Lead times • Reporting rates • Stock outs • GIS reports
  42. 42. What kind of hardware are required to be used? • Personal cell phone • Personal computer with web connectivity
  43. 43. Who is trained to use the technology? • MOHSW program managers • District Pharmacists and Medical Officers • Health care workers from health facilities • Medical Stores Department • NGOs
  44. 44. What software is used and approximately what does it cost? • RapidSMS – an open source platform • SMS aggregation services • Initial cost of ~$50,000 • With subsequent enhancements the total spent to date has been ~$200,000
  45. 45. Pros of building on RapidSMS • Robust platform • Open source • Multiple developers available for support • Readily customizable for the country needs
  46. 46. Challenges encountered • Time frame it took to build system • Cost for customizations • System limitations
  47. 47. Impact of mHealth on Supply Chain • increase in reporting rates & adherence to reporting groups • improvement in attention to inventory management • increase in product availability at health facilities • Increased accountability, transparency and responsibility • Growing use of data for supply chain management Improved supply chain performance
  48. 48. Thank You
  49. 49. Questions iaphl@jsi.com

Editor's Notes

  • SC4CCM has used Magpi/Episurveyor for 6 large evaluations as well as program monitoring activities in all 3 program countries: Malawi, Rwanda and Ethiopia
  • Can be considered a low cost/low effort method, but keep in mind large surveys still require a lot of resources (eg. advance planning, time, staff, materials)
  • DataDyne ’s Magpi (formerly EpiSurveyor): “the fastest, easiest, least expensive way to collect data on mobile devices.”
  • SC4CCM Malawi Midline 2013
  • Logistics staff at central, regional, district, service delivery point are trained to enter data Supervisors, district warehouse managers, higher level decision makers are trained to view reports and dashboards
  • Robust system, ready for immediate implementation Pre-tested, benefit from prior feature development, trouble shooting System upgrades, bug fixes, etc. are automatically included No need for high level of technology capacity within implementing organization
  • These are some of the challenges which led to the birth of the need for a mobile reporting system.
  • Begin by defining what a gateway is. A gateway is a is either hardware (phone) or software (in this case the ILSGateway system) that acts as a bridge between two networks so that data can be transferred between a number of computers. For example, when you send an e-mail to a friend or when you log in to a Web site, there is a gateway that allows the connection take place. Often, your connection to a Web site will involve many smaller connections to other servers along the way. In these cases, a number of gateways are used. In our case, using mobile phones and a website we will create a logistics information gateway. The mobile reporting system, to be known as the ILSGateway will in a combined effort seek support and strengthen the paper based integrated logistics system (ILS) while improving the availability and visibility of family planning commodities. Pilot is in 109 facilities and has been going on for 1 year
  • 97% of facilities improved their on-time submission rates for stock reports, which are critical for resupply decision making. A further 93% improved their stock counting exercises because of the routine mobile alerts they received. Importantly, 45% of facilities reported improved product availability, indicating the overall positive effect the ILSGateway has had on the essential medicine supply system in Tanzania.
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