3. Global Health Challenges
Shortage of almost 4.3 million doctors, midwives,
nurses and support workers worldwide, especially
in low and middle income countries.
Obstacles to Good Healthcare
- Limited number of healthcare providers
- Heavy client load
- Limited training
- High burden of disease
- Limited financial resources
- Paperwork
4. • Provide decision support tools for use by
frontline health workers
– Design, Test and Deploy systems
– Partner with MOH and other health NGOs
• Focus areas:
– Maternal and Child Health
– Chronic Disease
What D-tree does
7. The challenge
• HSAs do not always follow guidelines
– 56% asked about 3 danger signs
– 37% assessed for 4 physical danger signs
– 57% provided correct referrals and pre-referral
treatment
– Major gap in identification of fast breathing
• Stock management
• Data flows for monthly reporting
8. CCM in Malawi
• Phase 1 – cIMCI tool on Nokia phones
• Phase 2 – integrated CCM on Android
• Vaccinations
• Commodity tracking/reporting
• Monthly reports
• Dashboard
• Supervisory application
• Phase 2a – modification to allow for mRDTs
• Phase 3 – integration with CBMNH
16. Lessons learned
• Fast pace of technological change
• Change Management essential
• Encourage data driven management
• Field refinement is critical
• Users must feel application supports them
• Don’t let technology push the program
– Sometimes a phone is just a phone – and that’s great!
17. Recommendations
• Involvement with mHealth working
group in each country
• Look for existing projects to leverage
• Adapt each project around the in-country
m/eHealth ecosystem
• Partner with MOH and consider the entire health
system
• Plan for integration with HMIS from the start
• Leverage mFinance, mAgriculture, other
e/mDevelopment initiatives
18. What’s next
• Improved integration of facility and
community
• Integration of across domains
• Improved dashboard analytics
• Continued usage of mobile money
• Exploration of integration with point of care
diagnostics / unique identifiers
19. Thank you!
For more information:
Steve Ollis
sollis@d-tree.org
www.d-tree.org
@DtreeInt