Innovative Technology Development4Bobby Jefferson, Anita Dartar Garten, Abby ClayICT4 Development ConferenceSep 2010
Futures GroupOur MissionFutures Group develops and delivers innovative, locally relevant, evidence-based solutions to improve the health and well-being of people worldwide.Futures Group Program AreasPopulation, Maternal and Child HealthHIV and AIDS, Infectious DiseasesGenderOur Reach 25 Office Locations 450  Staff World WideFutures Group Technical ServicesHealth InformaticsStrategic InformationModeling ,Forecasting, Economic AnalysisPolicy and AdvocacyOur ClientsUSAID  CDC DFIDGlobal Fund   WHOGates Foundation Packard Foundation European Union  GTZ
ConsortiumNigeria, Kenya, Uganda, Tanzania, Rwanda, Zambia, South Africa, Haiti    Guyana, Ethiopia244 ART Health facilities 112 Satellites 535 PMTCT sitesRural, remote, faith based mission hospitals “serving poorest of poor” No power, intermittent power, No IT staff,  No internet, Sparse mobile coverageNurses, Clinicians, Adherence Counselors, need  health data, M&E program data in knowledge repository Lack of referrals or linkage to existing technology systems Cost effectiveness and sustainability  -- no funds for proprietary licenses, or yearly maintenance fees
Futures GroupeHealthmHealth approachcreative common approach               Use of freely available, reusable, tools, “coded in country”Offline Solutions, Disconnected modelReusable software and technology across countries and programsProgrammers and IT staff in countryLow costs, Inexpensive $250-$350 Netbooks  Solar mobile phones, SMS
IQCare – Go from Paper to  mobile health tablet for EMR
Physician conducts consultation with data already in IQCare
Lab scientist retrieves ordered tests from IQCare, conducts tests and enters results into database
InteroperabilityDonorsOGAC, CDC, HRSA, USAIDMOH National Reports(Kenya , Uganda, Nigeria, Rwanda-IQChart)District Indicators, DHIS v2.0 software, Next Gen Indicators (NGI), HIV/QUAL, HEALQUALIntel, Netbooks, low cost, low power InveneoLaboratory  PartnersOpenELISBika LabsTherapyEdgeEMR SystemIQCare(Facility Level)HL7Pharmacy , Supply ChainManagement Sciences Health,ARV dispensing tool (ADT)SCMS, Crown Agents, IQToolsOther EMR (OpenMRS,BaobabCareware, SMARTCare,iSante, CTC2)Clinical/Medical PartnersSchool of Medicine, Faith Based OrgsMennonite Christian CharitiesIn-country ICOBI, CHAK, IMAHealth Indicators Immunization, Well Baby,WHO -3ILPMS  Integrated HIV, TB, PMTCTCommunity Mobile health  solutionsDimagi, D-Tree, MIT Media Labs, mHealth Alliance, Financial Mgmt PartnersPastel Software,Tableau DashboardCMMB
Futures FieldTeamPMTCT Monthly ReportNo computers at all PMTCT sitesNo funds to purchase  SmartPhones, iPhonesLimited internet bandwidth
IQSMS - Timely, Quality Reporting by Health Workers
IQSMS User LevelData Type Validation
Report Duplication Check
Report formatting
Data validationPaper Report	SMS
IQSMS ReportingIQSMS software, Immediately Messages Health Care Worker if  PMTCT Report fails Data Quality checks and alerts SI staffOnly after passing All Data Quality rules,  IQSMS software adds PMTCT report to aggregate database PMTCT ReportImmediate Data Quality Alert       Pass or Fail
IQSMS Benefits Submission via low cost mobile phones in the fieldIQSMS project takes advantage of mobile phones already owned by health worker. By using a familiar device, training requirements are similar to paper based trainingLow cost of SMS submission ($0.04 per SMS)
Fuel and Transport cost savings in staff travel and reliable data submissionHealth Care Workers no longer required physically to transport paper reports or fax PMTCT reports to central project offices.  PMTCT Data can be made accessible to a wider audience (local, district, region, levels
Health facilities interested to know  how their statistics compare with others in their districts M&E Electronic Reporting SystemSolar Power Cell phonesPDA deviceMs Access DatabaseWeb Internet DesktopExcel Only

Ict4 d sep 23

  • 1.
    Innovative Technology Development4BobbyJefferson, Anita Dartar Garten, Abby ClayICT4 Development ConferenceSep 2010
  • 2.
    Futures GroupOur MissionFuturesGroup develops and delivers innovative, locally relevant, evidence-based solutions to improve the health and well-being of people worldwide.Futures Group Program AreasPopulation, Maternal and Child HealthHIV and AIDS, Infectious DiseasesGenderOur Reach 25 Office Locations 450 Staff World WideFutures Group Technical ServicesHealth InformaticsStrategic InformationModeling ,Forecasting, Economic AnalysisPolicy and AdvocacyOur ClientsUSAID CDC DFIDGlobal Fund WHOGates Foundation Packard Foundation European Union GTZ
  • 3.
    ConsortiumNigeria, Kenya, Uganda,Tanzania, Rwanda, Zambia, South Africa, Haiti Guyana, Ethiopia244 ART Health facilities 112 Satellites 535 PMTCT sitesRural, remote, faith based mission hospitals “serving poorest of poor” No power, intermittent power, No IT staff, No internet, Sparse mobile coverageNurses, Clinicians, Adherence Counselors, need health data, M&E program data in knowledge repository Lack of referrals or linkage to existing technology systems Cost effectiveness and sustainability -- no funds for proprietary licenses, or yearly maintenance fees
  • 5.
    Futures GroupeHealthmHealth approachcreativecommon approach Use of freely available, reusable, tools, “coded in country”Offline Solutions, Disconnected modelReusable software and technology across countries and programsProgrammers and IT staff in countryLow costs, Inexpensive $250-$350 Netbooks Solar mobile phones, SMS
  • 6.
    IQCare – Gofrom Paper to mobile health tablet for EMR
  • 8.
    Physician conducts consultationwith data already in IQCare
  • 9.
    Lab scientist retrievesordered tests from IQCare, conducts tests and enters results into database
  • 10.
    InteroperabilityDonorsOGAC, CDC, HRSA,USAIDMOH National Reports(Kenya , Uganda, Nigeria, Rwanda-IQChart)District Indicators, DHIS v2.0 software, Next Gen Indicators (NGI), HIV/QUAL, HEALQUALIntel, Netbooks, low cost, low power InveneoLaboratory PartnersOpenELISBika LabsTherapyEdgeEMR SystemIQCare(Facility Level)HL7Pharmacy , Supply ChainManagement Sciences Health,ARV dispensing tool (ADT)SCMS, Crown Agents, IQToolsOther EMR (OpenMRS,BaobabCareware, SMARTCare,iSante, CTC2)Clinical/Medical PartnersSchool of Medicine, Faith Based OrgsMennonite Christian CharitiesIn-country ICOBI, CHAK, IMAHealth Indicators Immunization, Well Baby,WHO -3ILPMS Integrated HIV, TB, PMTCTCommunity Mobile health solutionsDimagi, D-Tree, MIT Media Labs, mHealth Alliance, Financial Mgmt PartnersPastel Software,Tableau DashboardCMMB
  • 11.
    Futures FieldTeamPMTCT MonthlyReportNo computers at all PMTCT sitesNo funds to purchase SmartPhones, iPhonesLimited internet bandwidth
  • 13.
    IQSMS - Timely,Quality Reporting by Health Workers
  • 14.
    IQSMS User LevelDataType Validation
  • 15.
  • 16.
  • 17.
  • 18.
    IQSMS ReportingIQSMS software,Immediately Messages Health Care Worker if PMTCT Report fails Data Quality checks and alerts SI staffOnly after passing All Data Quality rules, IQSMS software adds PMTCT report to aggregate database PMTCT ReportImmediate Data Quality Alert Pass or Fail
  • 19.
    IQSMS Benefits Submissionvia low cost mobile phones in the fieldIQSMS project takes advantage of mobile phones already owned by health worker. By using a familiar device, training requirements are similar to paper based trainingLow cost of SMS submission ($0.04 per SMS)
  • 20.
    Fuel and Transportcost savings in staff travel and reliable data submissionHealth Care Workers no longer required physically to transport paper reports or fax PMTCT reports to central project offices. PMTCT Data can be made accessible to a wider audience (local, district, region, levels
  • 21.
    Health facilities interestedto know how their statistics compare with others in their districts M&E Electronic Reporting SystemSolar Power Cell phonesPDA deviceMs Access DatabaseWeb Internet DesktopExcel Only

Editor's Notes

  • #2 Bobby JeffersonSenior Health Informatics AdvisorICT4 Development SummitWEBINAR 5th March
  • #3 Sector(s) you work in -Futures works in the global health, policy and health information technology domainTypes of solutions – We offer technical services, consulting services, in modeling and projections, health IT, policy and advocacy, health system strengtheningWhere are you working (countries)Current projects in 30 counties, 25 office locations, under CRS led AIDSRelief program we are in Tanzania, Uganda, Nigeria, Kenya, Rwanda, Guyana, Zambia, Haiti, South Africa, additionally the IQCare, IQChart health IT software is piloted Southern Sudan, Congo, MalawiMain sources of funding USAID, DFID, Global Fund, Gates, EU DFID Establishment of an Office for Financial Management in the Ministry of Health and Social Welfare, LiberiaDFID Health Sector Reform Early Start Project, Malaria Insecticide-Treated Bed Nets, NigeriaCurrent sizeFutures Group has experienced incredible growth since its inception. Current revenue stands at approximately $75 million per year. Futures Group has worked in more than 100 countries for more than 600 clients.Prospects for growth..
  • #4 Describe the main types of challenges that your ICT solution is addressingWe provide ICT solutions to rural, remote regional areas, lacking in constant power or only intermittent power , lack of computers, internet, skilled IT staff, Program managers, decisions makers, need information from health, patient, financial and program data Several existing technology systems in field, not interoperable, cannot exchange or transfer information, cannot create linkages with other programs, Communication, sharing, reports, data from field to HQS and HQS to field
  • #6 Describe the ICT tools and architecture used to provide main solution(s).Outline why you selected that this configurationIQCare for Electronic Health Records solutionSite Capacity Assessment Tool , Visual Dashboard for data mining, decision makingSMS for PMTCT, mobile phones iCreative commons approach to software developmentAttribution-Noncommercial-Share Alike 3.0 United States Freely available, can be reused, remixed or adapt the work, must be attributable must use same creative common license for any modified/adapted version (and no commercial use)Futures IT team can offer to types of hands-on course to mentor, build capacity in field Three day (3) intensive - Virus remediation courseThree (3) days intensive security administration in wireless networking, securing, encrypting databases, protecting health informationWe develop using freely available, downloadable, redistributable software solution, Creative Commons approachMultilanguage capable systems (French , Spanish)Forms and Reports constantly changed . We have dynamic form designer to build your own forms, changes to forms, new forms without IT programmer expertise
  • #7 Give example of a successful deploymentDescribe what went well (provide any supporting evidence), describe positive unintended consequences/innovationsAnnunciation Hospital in Nigeria, efirst hospital, eClinic, success storyIQCare can be used for PMTCT, Well Baby Care, Diabetes, Health indicators
  • #12 There are 535 PMTCT Sites, required to reporting PMTCT information on monthly basisFutures team in Tz is responsible for data collection, aggregation, reporting and data quality
  • #15 Describe the ICT tools and architecture used to provide main solution(s).Outline why you selected that this configuration, SMS for PMTCT,
  • #17 How would CRS benefit from your solution? Tell us how and why CRS should get involved.. What are the key benefits for an organization like CRSWhere would you advise we start working with you? What country, what scale, what investment level?Who else is working with you that we could associate with?
  • #19 Give example of a successful deploymentDescribe what went well (provide any supporting evidence), describe positive unintended consequences/innovationsSite Capacity Assessment Tool (SCA)
  • #20 Give example of a successful deploymentDescribe what went well (provide any supporting evidence), describe positive unintended consequences/innovationsSite Capacity Assessment Tool (SCA)
  • #21 How you deployWhere are you operational?Target beneficiaries…… Scale of operationsDeployment partnersCost of deployment..Large footprint, # of sites, clinics,# of patients managed listed below
  • #22 Thank YouContactBobby JeffersonLanette BurrowsFutures SI Advisor in-countrywww.futuregroup.comwww.iqstrategy.netTechnology demonstration March 11th ICT4D MarketPlace Event