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Welcome
mHealth for Logistics: Solving Data
Challenges through Mobile Technology
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
Resource Intensiveness of
Mobile Solutions
Resource Intensiveness-
Mobile Data Collection
Mobile Forms for
Data Collection
Megan Noel
SC4CCM Project
What logistics data can the
tool provide to program
implementers and decision
makers?
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
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
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
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
Data Outputs
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?
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
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
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
Thank you!
Resource Intensiveness-
Sending SMS to a Database
Using Basic SMS Systems
for Logistics Data
Mike Frost
USAID | DELIVER PROJECT
In a typical paper-based
LMIS, detail is often lost
between levels
Facility
District
Region
Transmitting essential
logistics data via SMS
can help
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
The options are growing…
Activities
• Assessment activity
• Design (products, data elements, forms,
dashboard, etc.)
• Training
• Testing
Costs
• Any assistance with assessment
• Any assistance with design
• Magpi pro user license (5,000 USD
annual. SMS? Gateway?)
• Training
Use Cases
• Limited set of facilities
• Limited set of products
• Concept testing
• Sentinel Sites
Thanks
Resource Intensiveness-
Existing Mobile Logistics Platforms
Using a
Customizable Platform
Leona Rosenblum
John Snow, Inc.
What logistics data can the
tool provide to program
implementers and decision
makers?
• Routine logistics data
• Snapshot survey data
• Supervision data
Who is trained to use the
technology?
• Data entry- All levels
• Dashboards and reporting- Supervisors,
decision makers
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
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.
Why choose a customizable
platform?
• Robust system
• Pre-tested
• Upgrades
• Customer Service
Why not?
• Not open source
• Funding
• Limits to customizability
• Sustainability
What are some options?
• Mango-Greenmash
• LogiMobile and LogiWeb-Logistimo
• CommTrack-Dimagi
• Others?
Thank You
Resource Intensiveness-
Develop a System
ILSGateway: Developing a
Mobile System to Improve
the Availability
of Essential Medicines
Marasi Mwencha
USAID | DELIVER PROJECT
TANZANIA
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
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
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
What kind of hardware are
required to be used?
• Personal cell phone
• Personal computer with web connectivity
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
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
Pros of building on RapidSMS
• Robust platform
• Open source
• Multiple developers available for support
• Readily customizable for the country needs
Challenges encountered
• Time frame it took to build system
• Cost for customizations
• System limitations
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
Thank You
Questions
iaphl@jsi.com

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mHealth for Logistics: Solving Data Challenges Through Mobile Technology

  • 1. Welcome mHealth for Logistics: Solving Data Challenges through Mobile Technology
  • 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
  • 5. Mobile Forms for Data Collection Megan Noel SC4CCM Project
  • 6. What logistics data can the tool provide to program implementers and decision makers?
  • 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. 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. 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. 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
  • 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. 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. 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. 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
  • 18. Using Basic SMS Systems for Logistics Data Mike Frost USAID | DELIVER PROJECT
  • 19. In a typical paper-based LMIS, detail is often lost between levels Facility District Region
  • 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. The options are growing…
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  • 27. Activities • Assessment activity • Design (products, data elements, forms, dashboard, etc.) • Training • Testing
  • 28. Costs • Any assistance with assessment • Any assistance with design • Magpi pro user license (5,000 USD annual. SMS? Gateway?) • Training
  • 29. Use Cases • Limited set of facilities • Limited set of products • Concept testing • Sentinel Sites
  • 32. Using a Customizable Platform Leona Rosenblum John Snow, Inc.
  • 33. What logistics data can the tool provide to program implementers and decision makers? • Routine logistics data • Snapshot survey data • Supervision data
  • 34. Who is trained to use the technology? • Data entry- All levels • Dashboards and reporting- Supervisors, decision makers
  • 35. 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
  • 36. 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.
  • 37. Why choose a customizable platform? • Robust system • Pre-tested • Upgrades • Customer Service
  • 38. Why not? • Not open source • Funding • Limits to customizability • Sustainability
  • 39. What are some options? • Mango-Greenmash • LogiMobile and LogiWeb-Logistimo • CommTrack-Dimagi • Others?
  • 42. ILSGateway: Developing a Mobile System to Improve the Availability of Essential Medicines Marasi Mwencha USAID | DELIVER PROJECT TANZANIA
  • 43. 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
  • 44. 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
  • 45. 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
  • 46. What kind of hardware are required to be used? • Personal cell phone • Personal computer with web connectivity
  • 47. 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
  • 48. 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
  • 49. Pros of building on RapidSMS • Robust platform • Open source • Multiple developers available for support • Readily customizable for the country needs
  • 50. Challenges encountered • Time frame it took to build system • Cost for customizations • System limitations
  • 51. 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

Editor's Notes

  1. SC4CCM has used Magpi/Episurveyor for 6 large evaluations as well as program monitoring activities in all 3 program countries: Malawi, Rwanda and Ethiopia
  2. 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)
  3. DataDyne ’s Magpi (formerly EpiSurveyor): “the fastest, easiest, least expensive way to collect data on mobile devices.”
  4. SC4CCM Malawi Midline 2013
  5. 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
  6. 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
  7. These are some of the challenges which led to the birth of the need for a mobile reporting system.
  8. 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
  9. 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.