The document outlines a community health and mHealth agenda, focusing on challenges and solutions across various health domains, including tuberculosis, HIV, and nutrition. It emphasizes the need for targeted interventions to improve community-based health services through technology, such as text messaging and data monitoring. A checklist is suggested for designing mHealth applications, encouraging creative and realistic assessment of their potential impact in specific settings.

1. community health and mhealth

2. AgendaThinking about mHealth: Adam Slote, USAIDMhealth feedback from CORE meeting participants: Ann H-J, CORE GroupSmall Group work: devising an mHealth checklist/design challengesWhole group report backHow should the Community Health Network move mhealth forward?

3. Mhealth ideas from Working GroupsIMCIBottlenecks to fix: Support community case management process by answering specific queries of CHWs as they attend to clients day to day.Referral to health facilities in Element 1 of the C-IMCI framework (linking communities with health facilities)Intervention points:Implementation: supervision of CHWsImplementation: Referral to health facilitiesM&E: to help collect and transfer data quickly

4. Mhealth ideas from Working GroupsNutritionBottlenecks to fix: Getting data more quickly to another level (MOH) for useful, timely analysisIntervention points:Baseline, endline surveysMapping coverage (using GPS in phone)Monitoring

5. Mhealth ideas from Working GroupsTuberculosisBottlenecks to fix: Improve adherence through text messaging.Community-based troubleshooting during case management, e.g. adverse effects, missing patientIntervention points:Case detection: link TB and HIV services if not colocated, contact tracingDiagnosis: camera on microscope send sputum slide photoStigma reduction: text messagesWorld TB day mass text messaging.

6. Mhealth ideas from Working GroupsHIVBottlenecks to fix: Bridge physical access to remote areas.Help with adherenceProvide real time dataCoordination with CHWs and TTM—improve coordination, follow up with referralsIntervention points:BaselineEvaluationMonitoringAdherence

7. Mhealth ideas from Working GroupsMonitoring and EvaluationBottlenecks to fix: Minimize data entry errors due to multiple entry points (enumerators hand enter incorrectly, data entry person enters into computer directly without data check capabilities or dropdown/choice menu.Intervention points: Whenever surveys are done (baseline, monitoring, midterm, final)Instantly incorporate ongoing monitoring data, and make basic management data easily accessible.

8. Mhealth ideas from Working GroupsOther suggestionsAssist in adherence to meds via texting, photo (camera phone) or video…virtual DOT for HIV, TB, malaria, etc.Send SMS/text message reminders to keep appts or take meds or get vaccinatedProvision of price/market info to women entrepreneursProvision of info on health/nutrition topics, date/time/local of health fairs, GMP events, vaccination days.

9. Concern WorldwideMalawi competition results

10. One sender to one recipient/correspondentSMS BookingSystemCHW calls facility/drFamily in labor calls TBATwowayflow of infoOnewayflow of infoVideo-based & othertraining toolsM&E datatransferVolunteertreatment supportershotlineMass textmsgsMass text msgcontestsOne sender to many recipients

11. Checklist/Design Challenges3. TaskYou are designing a program, and assessing whether mhealth application(s) should play a role. You have a midsized budget.Design a checklist/list of questions that should be used to assess whether mhealth should be used, how, why, when, where.Apply the checklist/questions to your topic/setting.Be both creative and realistic.1. Small Group ideas (choose one for your group)Community action for home-based MCHPD/HearthCare Groups addressing _____?Community Case Mgmt?2. Choose a setting, including country.