The technological advances of the last 10 years have made it possible to reach any human being. Cell phones have opened doors to new ways of delivering health care around the world. Learn how Kilifi Kids, a nonprofit started by Rotarians in Atlanta and Kenya, has led a series of interventions over the past six years, using cellular phones to track, monitor, and provide care to pregnant women and kids under five — and transform entire communities.

1. Reaching Every Single
Soul:
Transforming Health
Care
with Cell Phones
Moderator: Marc Olsen (Vinings Rotary)
Panelists: Charles Mbogo (Kilifi Rotary), Marc Mitchell,
Jacqueline Edwards
Date: Monday, 12 June
Time: 13:30-15:00
Location: B404

2. Page 2
Session Agenda
I. Biggest Impact on Humankind (5 minutes)
II. Kilifi Kids: Project Work (15 minutes)
II. Panel Discussion (60 minutes)
III. Q&A (10 minutes)

3. Page 3
Moderator: Marc
Olsen
Biography Highlights:
•Former i-banker, run urgent care company today
•Expertise in care delivery in clinic/ambulatory settings
•Rotarian since 2005, Vinings Rotary in Atlanta, GA
Experience in mHealth:
•Served as lead of Kilifi Kids for past 10 years
•Led 6 unique mHealth deployments in Kenya
•Led operations of U.S. telehealth company

4. The Greatest Invention of
Mankind

5. Page 5
Curious Finding in Kenya
2007

6. Page 6
Transforming Humankind
World Bank Report in 2012:
"Mobile communication has arguably had a bigger
impact on humankind in a shorter period of time than
any other invention in human history."

7. Page 7
Proliferation of Mobile Phones

8. Page 8
Similar Pattern Seen in Africa

9. Page 9
Kenya Leading Way
Statistics reported as of June 2016, via
Communications Authority:
•90% mobile penetration, with 44% smartphones
•Mobile subscriptions hit nearly 40 million
•Mobile banking has 27 million subscribers
•Last quarter, 11.6 billion messages, where customers
can send as many as 50 messages for $0.10

10. Page 10
Access to Healthcare Major
Problem
Kenya National Health Accounts: Top challenges to achieving
better health are (1) inequitable access to health services and (2)
shortages of qualified health workers with appropriate skills;
• 4.5% GDP invested in healthcare (US at 17%)
• 500,000 people = 52 doctors in Kilifi vs. US average 9,200
• Transportation often cited as top reason for poor care
As a result, see severe health challenges:
• Poverty rates in some areas range from 47-71%
• Births attended by a skilled clinician range from 13-37%
• Mother is 23x more likely to die in child birth
• Immunization rates at 75%

11. Kilifi Kids:
10 Years of Project
Work in Kenya

12. Page 12
History of Service in Kenya
Early Years:
•Started in 2006 in coastal Kenya on
education and de-worming helping
approx. 70,000 people
•First mover in “mHealth” in 2009,
partnering with Medic Mobile to target
moms and children
Most Recent Years: Expanded to central Kenya (Makueni
County), where we refined model and sought scale
All-Told: 8 Rotary Grants, 8 Districts, 25+ Clubs that touched
nearly 90-100,000 lives over 10 years

13. Page 13
What Our mHealth Is All About
Our Solution:
•Provide mobile phones to volunteer community workers,
whom each cover 200-250 people
•Use text messages to communicate with clinics to track and
monitor mothers & babies for ANC and immunizations
Key Tenants of Project:
•Locally-Driven—Rotary-led/community supported
•Partnerships—Work with local NGOs & best of breed
•Sustainability—Focus on both individual & macro levels
•Transparency—Real-time data made available

14. Page 14
Data Presented in Real Time

15. Page 15
Ambitious Future in Western
Kenya
Progress Made Through Work:
•Had 6 unique deployments in coastal & central Kenya, launch of
several “RCCs”, covered populations of 50,000+, Ministries ask for
continual expansions across territories
•Many communities seen significant uptick in health services, with
doubling of clinic births, immunizations, ANC visits
Expanding to Western Kenya in Rift Valley:
•Awarded new grant Target 70,000 population with 500 community
health workers
•Partnership with Eldoret-Uasin Gishu, HealthRight / NYU
University, Medic Mobile, Elgeyo Marakwet Ministry
•Seek to improve 13 metrics to increase 20-30% off baseline data

16. Support of Leadership of District 6900 and Clubs:
Page 16
Not Possible without Rotary
District 6600 Ohio
District 6860 Alabama
District 7000 Puerto Rico
District 7190 New York
District 9212 Kenya, Ethiopia, Eritrea, South Sudan
Alpharetta Clayton Griffin Sandy Springs
Americus Dawson Lake Spivey South Cobb
Bainbridge Dougherty County Marietta Metro South Dekalb
Barnesville Douglas Meriweather Thomasville
Buckhead Dunwoody North Atlanta Vinings
Camilla Fayette Daybreak North Cobb Winward
Carrolton Forsyth-Monroe Polk
Several Other Outstanding Districts: Host Clubs:
Kilifi
Machakos
Eldoret-Uasin Gishu
Kenya Country
Office

17. Introduction of Panelists
& Panel Discussion

18. Page 18
Distinguished Panelists
Panelists:
•Dr. Charles Mbogo – Chief Research Scientist, KEMRI
•Jacqueline Edwards – Medic Mobile COO
•Dr. Marc Mitchell – D-Tree Founder, Harvard Professor

19. Page 19
In 2 Minutes - Dr. Charles Mbogo
Biography Highlights:
•Chief Research Scientist at the Kenya Medical Research Institute
•Expertise in medical research in epidemiology of parasitic
diseases especially malaria and lymphatic filariasis
•Rotarian since 1998, Charter Member, and former President -
Rotary Club of Kilifi in District 9212
Experience in mHealth:
•Served as Board Member of Kilifi Kids for past 10 years
•Involved in several school health programs - Deworming,
computer for schools, water sanitation and health (WASH)

20. Page 20
In 2 Minutes - Jacqueline Edwards
Biography Highlights:
•Chief Operating Officer of Medic Mobile
•MSc in Social Psychology, London School of Econ.
•10 years experience in global health delivery
•Previously with Centers for Disease Control and Prevention,
focused on public-private partnerships
Experience in mHealth:
•Supports a team of 60+ at Medic Mobile across 3 offices in
San Francisco, Nairobi, Kathmandu
•Deploys over 30 mHealth programs a year, supporting over
60 partners in 23 countries

21. Page 21
In 2 Minutes - Dr. Marc Mitchell
Biography Highlights:
•Lecturer in Global Health at Harvard School of Public Health
•Worked in 40+ countries across Asia, Africa, Latin America
•Asst. Secretary of Health in Papua New Guinea (1980-1983)
Experience in mHealth:
•Founded D-tree in 2004 to promote better delivery of health
care
•Global leader in use of decision support to improve quality
•Member of WHO Expert Committee on Digital Health

22. Page 22
Panel Discussion
Topics of Conversation:
•Future of healthcare, technology & people
•Value of partnerships, notably public-private
arrangements
•Importance of impact

23. Contacts Us with Questions:
•Marc O.: marc.olsen@kilifikids.org
+1 404.273.3765
•Charles: CMbogo@kemri-wellcome.org
+254 41 752 2063
•Jacqueline: Jacqueline@medicmobile.org
+1 404.932.7539
•Marc M.: mmitchell@d-tree.org
+1 617.875.5143