1. SMS, Medical Records, Mapping, & Mobile Diagnostics Isaac Holeman, Clinical Program Director at FrontlineSMS:Medic contact: www.isaacholeman.org/smp

2. Macro Level Drivers

3. 4.4 Million Health Worker Shortage

4. Rural infrastructure challenges

5. Rural infrastructure challenges

6. Rural infrastructure

7. 3.6 billion mobile phone subscribers (54% of global population) In 2002, mobile subscribers overtook fixed line subscribers 64% of all mobile users are in the developing world By 2012, 50% of individuals living in remote areas in the world will have mobiles The fastest growth is projected to occur in Asia, Middle East, and Africa

8. Market Penetration

9. Market Penetration

10. Why is the simple phone so prevalent?

11. Scale through replicability depends on simplicity, cost, user ownership and empowerment

12. FrontlineSMS:Medic harnesses prevalent technology and a prevalent clinical model

13. FrontlineSMS: a laptop and a cell phone become a communication hub

14. Runs on laptops, desktops, or netbooks

15. Lowest Common Denominator Phones

16. Adapter connects computer to a phone

17. GSM modem for faster text messaging

18. 15 15 minute installation, welcome to FrontlineSMS

19. Manage phone numbers under contacts tab

20. Send messages to groups or individuals

21. Recognize keywords for automated response

22. Our pilot began in June 2008

23. Start with basics

24. A nurse and 10 CHWs the first week

25. Micro-solar phone chargers

26. Impact in six months: 1. Saved $3,000 in motorcycle fuel 2. Saved 2,000 staff hours 3. Doubled enrollment in Tuberculosis program

27. A qualitative outcome: empowerment

28. Why it works Local ownership (of tool, project, data) Builds on local awareness Platform is free and works on available hardware Highly replicable and scalable No need for the internet Responds to ‘their’ need (bottom up)

29. Current Sites

30. New Clinical Partners

31. Expanding Rapidly in 2009-2010

32. Extending the FrontlineSMS Platform

33. OpenMRS integration: Moving from paper records to mobile electronic records

34. OpenMRS is in the orange, moving towards green

35. Tracking disease burden & health services geographically

36. How a text message becomes a map

37. The best crisis communication tool is the tool you were using before the crisis

38. CellLab: Camera phone becomes a diagnostic tool

39. A pattern matching algorithm can diagnose diseases like Tuberculosis and Malaria

40. Print a pre-paid shipping label at hopephones.org

43. Isaac Holeman, Clinical Programs Director at FrontlineSMS:Medic contact: www.isaacholeman.org/smp Thank You

44. FrontlineSMS Hardware Family