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Scaling Mobile Community-Based Information Systems


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A panel discussion hosted by MEASURE Evaluation with panelists from Dimagi, Living Goods, Medic Mobile, and mothers2mothers

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Scaling Mobile Community-Based Information Systems

  1. 1. Scaling Mobile Community-Based Information Systems March 6, 2018 A panel discussion hosted by MEASURE Evaluation with panelists from Dimagi, Living Goods, Medic Mobile, and mothers2mothers
  2. 2. Background and Introductions
  3. 3. Many documented small-scale digital health interventions exist, as pointed out in PATH’s report,The Journey to Scale. But despite a high degree of market penetration, informatics companies say that digital devices are not as widely used for health services as might beexpected. Possible reasons forthe lack of sustainable mHealth interventions are a general lack of resources, training, and support forlong-term sustainability. Background Can mHealth projects be scaled to effectively manage community health information and improve datause? Toanswer this question, MEASURE Evaluation, funded bythe United States Agency for International Development (USAID), looked at two mHealth implementations that had moved beyond the pilot phase.
  4. 4. Introduction Here’s how we implemented the case studies We interviewed informants at the technology companies: • Medic Mobile, San Francisco, CA, USA, and Nairobi, Kenya • Dimagi, Cape Town, South Africa and key informants at the implementing partner country offices: • Living Goods, Kampala, Uganda • m2m, Cape Town, South Africa We observed CHWs and their supervisors during trainings and while they used the mobile devices and then interviewed a purposeful sample.
  5. 5. Key Themes DIGITAL PAPER 1. Learn from the past 2. Integrate mHealth 3. Use partnerships 4. Design for users 5. Keep it simple 6. Think about scale 7. Have offline options 8. Define resources 9. Train 10.Use data 11.Professionalize 12.Design for more than M&E 13.Plan the project 14.Supervise
  7. 7. Panelist Introductions Isaac Holeman's research and design practice concern human- centered design for global health equity. As co-founder and research lead at Medic Mobile, he helps design, build and study one of the world's more widely used open source software toolkits for community health. He recently completed a PhD in innovation studies as a Gates Scholar at the University of Cambridge. He's based in Seattle and you can find him on Twitter @isaacholeman. ISAAC HOLEMAN CO-FOUNDER, MEDIC MOBILE
  8. 8. Panelist Introductions Seema is a senior field manager at Dimagi, where she designs and implements CommCare based mobile technology solutions with the team based in Cape Town, South Africa. Her project work has included defaulter tracking in Lesotho, clinical and social referral systems in Malawi and maternal and child health service delivery in Ethiopia. Most recently she has been involved in looking at the challenge of how machine learning methods can potentially be applied to frontline health worker systems. Prior to working at Dimagi, Seema worked at the Earth Institute at Columbia in New York. She has a background in Biomedical Engineering and Epidemiology. SEEMA KARA SENIOR FIELD MANAGER, DIMAGI
  9. 9. Panelist Introductions Caroline has worked in the technology sector for over 15 years. At Living Goods, Caroline is responsible for strategy development, implementation, scaling and replication of sustainable technologies and innovations that respond to some of the most pressing challenges facing children and women in the developing world. Most recently she worked with one of the largest public health organisations in Africa, where she was responsible for the development and implementation of the organization’s eHealth programmes to include eLearning and mHealth across sub- Saharan Africa. She has extensive experience in driving large-scale mHealth deployments in multiple geographies, initiating learning opportunities to better inform ICT4D programs and policies, testing technologies and integration, and developing new business opportunities through public-private partnerships in emerging markets. Caroline has served as a trusted advisor to various African governments in designing and implementing digital solutions for health and education. CAROLINE MBINDYO DIRECTOR TECHNOLOGY & INNOVATION, LIVING GOODS
  10. 10. Panelist Introductions Over 14 years of proven experience in program design, management, implementation, quality improvement and monitoring & evaluation of integrated programmes in the areas of prevention of mother to child transmission of HIV, comprehensive HIV prevention care and treatment, reproductive, maternal newborn and child health, nutrition and water sanitation & hygiene (WASH) including linkages to village lending & saving groups and OVC platforms. Marjorie leads mothers2mothers’ reproductive maternal newborn and child health and the HIV prevention care and treatment portfolio and supports implementation of related programmes in m2m supported countries. This includes design and roll out of digital health solutions in close collaboration with the research and strategic information unit. ANN MARJORIE N. MBULE SENIOR TECHNICAL ADVISOR RMNCH, MOTHERS2MOTHERS
  11. 11. Application Overview Our integrated platform avoids the inefficiency of single-issue health strategies. Standard Diagnosis, Treatment & Education Supply Chain and Logistics SmartHealth ™ App Performance Based Incentives Maintaining Performance SUPERVISION SUPERVISION LIVING GOODS SMARTHEALTH APP POWERED BY MEDIC MOBILE
  12. 12. Application Overview m2m’s Digital Health solutions are enhancing timely delivery of quality services to clients and improving programme management through evidence based decision making! App 1: Electronic Client Appointment Diary and Active Client Follow-up (ACFU) Tracking System • Tracking of priority PMTCT appointments for mother-baby pairs • Management of defaulter tracing systems App 2: Client management tool • Assisting comprehensive family- based RMNCH service delivery at household level • Aiding closure of the referral loop for all referrals made • ACFU • Weekly Automated Workflow & Output Reports for improved program management and QI
  13. 13. Panel Discussion
  14. 14. Learn from the past Best Practices
  15. 15. Integrate mHealth Best Practices
  16. 16. Use partnerships Best Practices
  17. 17. Design for users Best Practices
  18. 18. Think about scale Best Practices
  19. 19. Use data Best Practices
  20. 20. Questions and Answers Let’s hear from you!
  21. 21. Publications
  22. 22. Contact us: Dawne Walker, Palladium Liz Nerad, Palladium Isaac Holeman, Medic Mobile Seema Kara, Dimagi Caroline Mbindyo, Living Goods Marjorie Mbule, mothers2mothers
  23. 23. This presentation was produced with the support of the United States Agency for International Development (USAID) under the terms of MEASURE Evaluation cooperative agreement AID-OAA-L-14-00004. MEASURE Evaluation is implemented by the Carolina Population Center, University of North Carolina at Chapel Hill in partnership with ICF International; John Snow, Inc.; Management Sciences for Health; Palladium; and Tulane University. Views expressed are not necessarily those of USAID or the United States government.