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CommCare for WV BHAMC Child Survival Project Dennis Cherian, MS, MHA, BHMS Director of Operations | Health and Hope |  Resource Development and Management International Programs Group [email_address]   Neal Lesh, PhD, MPH D-tree International Dimagi, Inc email:  [email_address]
WV BHAMC Child Survival Project ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why Afghanistan? ,[object Object],[object Object],[object Object],[object Object]
Mobile Health in Afghanistan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operations Research Objective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key OR Components  ,[object Object],[object Object],[object Object]
Decision Making Framework
Expected Outcomes ,[object Object],[object Object],[object Object]
Operational challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implementation Supervision Tools Training Life-saving  intervention
[object Object],CHW CLIENT Reminders Checklists Decision Support
CHW FIELD  SUPERVISOR,  LOCAL CLINIC CLIENT PROGRAM MANAGERS SMS Alerts Activity reports Health stats  Coordination CommCareHQ
[object Object],[object Object],[object Object],[object Object],[object Object],Why automate algorithms?
e-IMCI (preliminary) results Clinical Step Current practice adherence e-IMCI adherence p-value Vomiting 66.7% (n=24) 86% (n=28) - Chest indrawing 75% (n=20) 94% (n=18) - Blood in stool 71% (n=7) 100% (n=3) - Measles in the last 3 months 56% (n=9) 95% (n=21) < 0.05 Tender ear 0% (n=1) 100% (n=5) - All 61% (n=299) 85% (n=359) < 0.01
Design Under the Mango Tree
[object Object],[object Object],[object Object],[object Object],Collaboration
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

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CommCare for WV BHAMC Child Survival Project

  • 1. CommCare for WV BHAMC Child Survival Project Dennis Cherian, MS, MHA, BHMS Director of Operations | Health and Hope | Resource Development and Management International Programs Group [email_address] Neal Lesh, PhD, MPH D-tree International Dimagi, Inc email: [email_address]
  • 2.
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  • 10. Implementation Supervision Tools Training Life-saving intervention
  • 11.
  • 12. CHW FIELD SUPERVISOR, LOCAL CLINIC CLIENT PROGRAM MANAGERS SMS Alerts Activity reports Health stats Coordination CommCareHQ
  • 13.
  • 14. e-IMCI (preliminary) results Clinical Step Current practice adherence e-IMCI adherence p-value Vomiting 66.7% (n=24) 86% (n=28) - Chest indrawing 75% (n=20) 94% (n=18) - Blood in stool 71% (n=7) 100% (n=3) - Measles in the last 3 months 56% (n=9) 95% (n=21) < 0.05 Tender ear 0% (n=1) 100% (n=5) - All 61% (n=299) 85% (n=359) < 0.01
  • 15. Design Under the Mango Tree
  • 16.
  • 17.

Editor's Notes

  1. ICT has been shown to improve the healthcare system in Developing Nations. The use of cell phones in healthcare settings can potentially deliver important benefits, because of their ability to provide and improve access to communication and information resources. ICTs such as mobile phones enhance access to medical expertise and enable remote consultation. The latter provides rural healthcare workers with quick and convenient access to expert advice from healthcare experts based in urban surroundings with essential medical infrastructure. ICTs improve the links outside of the formal health infrastructure by connecting communities with healthcare providers (Kaplan, 2006). ICTs also improve access to medical and health information, often in digital journals. The use of cell phones in healthcare settings can potentially deliver important benefits, because of their ability to provide and improve access to communication and information resources. This can occur both within the healthcare system and with external resources, and with beneficiaries, such as the community.
  2. Improve pregnancy and newborn outcomes in remote villages of Herat province through improved routine care and practice of pregnancy, and better access to higher-trained health workers
  3. TALK TALK TALK
  4. Referral and follow up services - Continue to be poor with out ICT OR Identification of danger signs during pregnancy and intervention of skilled health personnel – remains a challenge Emergency care during pregnancy- in the absence of an ambulance Post natal visits – continue to be a challenge Basic information of newborn care and breastfeeding issues