Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Mobile technologies for social changeDavid Deakin Tearfund<br />“People's behaviour makes sense if you think about it in t...
Outline<br />Introduction<br />-      A personal story<br />Mobiles in HIV/healthcare development <br />Tearfund programme...
Tearfund www.tearfund.org<br />Christian<br />Relief<br />Development<br />Advocacy<br />Holistic<br />Transformation<br /...
Berta<br />Belinha<br />A story of 2 mothers…<br />
Why a story about HIV/AIDS?<br />“Through its impacts on the labour force, households and enterprises, AIDS has played a m...
Chimoio, Gondola, Mozambique<br />GNI ; c. $600 per person<br />HIV prevalence: 14-21%<br />1.5m living with HIV<br />100,...
Belinha<br />A story of 2 mothers…<br />
Consequences<br /><ul><li> Economic – loss of productivity from workers
 Orphan burden - 12m orphans in Africa
 Relationships - stigma</li></li></ul><li>Berta<br />A story of 2 mothers…<br />
Donor Follow-up visit – March 2010<br />
What’s the difference?<br />
Trained volunteer<br />
Communication challenges<br />Training information<br />‘Classic Home based Care’ versus ‘Access to treatment’<br />Volunt...
Tearfund – ‘Task shifting’ Operating model<br />Mobilise Volunteers to impact Clients <br />Community<br />Local Partner<b...
Mobile technology in healthcare/HIV World AIDS Conference 2010<br />Task shifting<br />Task-shifting of antiretroviral del...
Tearfund Malawi <br />Pilot study – published in M4D 2008<br />Improving Home Based Care Through Mobile Phones in Malawi<b...
Film clip<br />
Prevention of Parent to Child Transmission of HIV (PPTCT)<br />1 in 5 maternal deaths due to HIV<br />90% of children livi...
Guardians of our Children’s Health (GOOCH)<br />Toolkit for community mobilisation<br />Focus on parents<br />Reduce trans...
Nimbus project objectives<br />Does the JamiiX/Nimbus system: <br />improve the effectiveness & efficiency of achieving ta...
Mobiles in GOOCH<br />Key Elements<br /><ul><li>Training  and Coaching with MT’s
 Volunteers develop mentoring skills
 Mobile only data collection </li></ul>Tearfund <br />Partner<br />Positive outcome = <br />Living your beliefs(Successful...
JamiiX Angel Interface<br /><ul><li> Updated training information
 Best practice
 Q&A
 IM Counselling</li></li></ul><li>Aid Effectiveness<br />Objectives<br />Activities<br />Outcomes<br />Attribution<br />Im...
Data Collection <br />Application sends off required numberof SMS’s with data to JamiiX web portal<br />Web Application po...
System Overview<br />JamiiX web application<br />Monthly Excel report for each country (emailed to country rep)<br />Click...
Upcoming SlideShare
Loading in …5
×

David deakin on Tearfund and Mobile Technologies for Social Change

2,228 views

Published on

David Deakin from Tearfund, a long established International Development Agency, talks about the role of technology in supporting HIV programmes and patients in Africa

Published in: Health & Medicine
  • Be the first to comment

David deakin on Tearfund and Mobile Technologies for Social Change

  1. 1. Mobile technologies for social changeDavid Deakin Tearfund<br />“People's behaviour makes sense if you think about it in terms of their goals, needs, and motives” Thomas Mann<br />
  2. 2. Outline<br />Introduction<br />- A personal story<br />Mobiles in HIV/healthcare development <br />Tearfund programmes<br />Previous experience<br />Existing projects<br />Future <br />
  3. 3. Tearfund www.tearfund.org<br />Christian<br />Relief<br />Development<br />Advocacy<br />Holistic<br />Transformation<br />10 yr Vision<br />50 million people released from poverty<br />Church & Communitymobilisation<br />
  4. 4. Berta<br />Belinha<br />A story of 2 mothers…<br />
  5. 5. Why a story about HIV/AIDS?<br />“Through its impacts on the labour force, households and enterprises, AIDS has played a more significant role in the reversal of human development than any other single factor.” <br />
  6. 6. Chimoio, Gondola, Mozambique<br />GNI ; c. $600 per person<br />HIV prevalence: 14-21%<br />1.5m living with HIV<br />100,000 deaths<br />400,000 orphans<br />
  7. 7. Belinha<br />A story of 2 mothers…<br />
  8. 8.
  9. 9.
  10. 10.
  11. 11.
  12. 12. Consequences<br /><ul><li> Economic – loss of productivity from workers
  13. 13. Orphan burden - 12m orphans in Africa
  14. 14. Relationships - stigma</li></li></ul><li>Berta<br />A story of 2 mothers…<br />
  15. 15.
  16. 16. Donor Follow-up visit – March 2010<br />
  17. 17. What’s the difference?<br />
  18. 18.
  19. 19. Trained volunteer<br />
  20. 20. Communication challenges<br />Training information<br />‘Classic Home based Care’ versus ‘Access to treatment’<br />Volunteer attitude & behaviour change<br />Local services availability<br />Nearest availability of testing, treatment & monitoring<br />Transport support<br />Mentoring & encouragement<br />Overcoming stigma<br />Challenging sexual norms <br />
  21. 21. Tearfund – ‘Task shifting’ Operating model<br />Mobilise Volunteers to impact Clients <br />Community<br />Local Partner<br />Volunteers<br />Recruitment<br />Local<br />Tearfund<br />Clients<br />Training<br />MOH<br />
  22. 22. Mobile technology in healthcare/HIV World AIDS Conference 2010<br />Task shifting<br />Task-shifting of antiretroviral delivery from health care workers to persons living with HIV/AIDS: clinical outcomes of a community-based program in Kenya<br />Community-based care delivered to adults living with HIV by people living with HIV using mobile technologies provided care as safe and effective as clinic-based care<br />Reaching vulnerable groups<br />Opportunities to reach residence based female sex workers (RBFSW) through cell phones - an experience from Bangladesh<br />About 50% RBFSW possess and use cell phones to contact clients<br />Many peer educators use cell phones to contact RBFSW<br />Sexual Behaviour change<br />Brief cellphone-delivered counselling as a novel strategy to enhance the maintenance of HIV behavioural intervention efficacy: results from a supplemental treatment effectiveness trial<br />Lower chlamydia infections<br />Reduction in frequency of sex & Increase in condom protected sex<br />Improving adherence<br />Facilitators'-on-wheels: a model for HIV/AIDS education for people with disabilities by people with disabilities<br />‘uses cellphone technology to improve adherence rates and communicate relevant information’<br />Overview from Cell-life<br />Exploring the potential of mobile phone technology for prevention, care and treatment of HIV in South Africa: the case study of Cell-Life<br />they have great use in increasing the uptake of health services, providing information needed by people affected by HIV and linking patients and clinics<br />largely ineffective in direct behaviour change (e.g. changing someone´s mind to use a condom by sending an SMS)<br />
  23. 23. Tearfund Malawi <br />Pilot study – published in M4D 2008<br />Improving Home Based Care Through Mobile Phones in Malawi<br />Objectives<br />1 yr project in 2 areas of Malawi<br />Improve communication between rural home based care and hospital centres<br />Financially sustain the volunteers’ use of a mobile phone as an income generating activity<br />Results<br />Mixed success<br />Communication & referral helpful but phones used more for business<br />Income generating activities not sustained (coinciding with handset penetration)<br />Learning<br />Take account of rapidly changing market<br />Enable cost free access to pre-logged hospital numbers<br />
  24. 24. Film clip<br />
  25. 25. Prevention of Parent to Child Transmission of HIV (PPTCT)<br />1 in 5 maternal deaths due to HIV<br />90% of children living with HIV are infected by their mother<br />Without intervention 40% of babies will be HIV +ve<br />Intervention can reduce vertical transmission to <5%<br />
  26. 26. Guardians of our Children’s Health (GOOCH)<br />Toolkit for community mobilisation<br />Focus on parents<br />Reduce transmission of HIV<br />Reduce maternal & child mortality(MDGs 4, 5 & 6)<br />Tearfund<br />Partner<br />Master Trainers<br />Volunteers<br />Church & Community<br />
  27. 27. Nimbus project objectives<br />Does the JamiiX/Nimbus system: <br />improve the effectiveness & efficiency of achieving target outcomes through coaching & mentoring of volunteers?<br />Improve data collection efficiency to facilitate attribution of activities to outcomes? <br />
  28. 28. Mobiles in GOOCH<br />Key Elements<br /><ul><li>Training and Coaching with MT’s
  29. 29. Volunteers develop mentoring skills
  30. 30. Mobile only data collection </li></ul>Tearfund <br />Partner<br />Positive outcome = <br />Living your beliefs(Successful patients maychoose to become volunteers and ‘Mother buddies’<br />Education, Mentoring and Data Collection <br />
  31. 31. JamiiX Angel Interface<br /><ul><li> Updated training information
  32. 32. Best practice
  33. 33. Q&A
  34. 34. IM Counselling</li></li></ul><li>Aid Effectiveness<br />Objectives<br />Activities<br />Outcomes<br />Attribution<br />Impact<br />
  35. 35. Data Collection <br />Application sends off required numberof SMS’s with data to JamiiX web portal<br />Web Application populates<br />database<br />Confirmation SMS<br />Excel spreadsheet reportsand trend charts sent monthlyto Tearfund<br />
  36. 36. System Overview<br />JamiiX web application<br />Monthly Excel report for each country (emailed to country rep)<br />Clickertel Link <br />to JamiiX platform<br />Data sent to in countrySMS code<br />Nimbus collate monthly country <br />reports to produce consolidated <br />view with trend charts that can beaccessed online<br />SMS forms appon mobiles<br />Page 31<br />
  37. 37. Possible future applications (1)<br />Sexual Behaviour Change Accountability Groups<br />4 theories of behaviour change<br />Health Belief model<br />AIDS Risk Reduction Model<br />Stages of Change<br />Theory of Reasoned Action<br />
  38. 38. <ul><li>Self Help (Savings) Groups</li></ul>Possible future applications (2)<br />
  39. 39. Possible future applications (3)<br /><ul><li>Harm reduction in Injecting Drug Users in Russia</li></li></ul><li>Possible future applications (4)<br /><ul><li>‘Blue-point’ Communities</li></li></ul><li>David.deakin’@tearfund.org<br />

×