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Digital  Health  on  the  Ground
Integrated  eDiagnostic Approach  -­ IeDA
ECTMIH,  Basel,  Switzerland  
Guillaume  Deflaux
Terre  des  hommes
Tuesday,  September  8,  2015
ECTMIH:   Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes3
Poor  Adherence  To  The  IMCI  Protocol
MoH
Lack of  IMCI  
training
Lack of  
evaluation
equipement
Medicine
stockouts
IMCI  not  
integrated into
the  NHIS
InadequateIMCI  
tools
Lack of  
motivation
8%  adherence  rate  to  IMCI  in  2012
Integrated  eDiagnosticApproach
LSHTM
Research
MoH
Implementation
Tdh
Coordination
Dimagi
ICTs
URC
Quality  Improv.
Burkina  Faso
75%  adherence  rate  to  IMCI    + National  scale  up  strategy
ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes  4
500’000+  children400+  health  centers11  districts
Connected  mHealth Platform
ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes5
Automated  diagnostic treatment  
&  prescription
Statistics  and  charts
Wireless  data  exchange  (2G)
Automated  data  exports  and  
email  reports
Making  Data  Available  &  Actionable
ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes6
Leveraging  Data  To  Manage  Performance
ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes7
REC
mLearning
Application
Health Worker Performance
IMCI  Data
Learning  
Achievements
Preliminary  Findings
ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes9
30’000+ consultations  per  month
200’000+ expected  for  2015
Nurses  are  annoyed when  
their  REC  is  out  of  order.
LSHTM  Realistic  Study
Setting  up  the  Helpdesk  is  difficult.
Tdh ICT  Coordinator
Caretakers  want health
workers  to  use  the  REC
LSHTM  Realistic  Study
47.2% of  children  are  correctly
evaluated  and  treated
LSHTM  Quantitative  Study
IeDA is  funded  by

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Integrated eDiagnostic Approach - IeDA

  • 1. Digital  Health  on  the  Ground Integrated  eDiagnostic Approach  -­ IeDA ECTMIH,  Basel,  Switzerland   Guillaume  Deflaux Terre  des  hommes Tuesday,  September  8,  2015
  • 2.
  • 3. ECTMIH:   Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes3 Poor  Adherence  To  The  IMCI  Protocol MoH Lack of  IMCI   training Lack of   evaluation equipement Medicine stockouts IMCI  not   integrated into the  NHIS InadequateIMCI   tools Lack of   motivation 8%  adherence  rate  to  IMCI  in  2012
  • 4. Integrated  eDiagnosticApproach LSHTM Research MoH Implementation Tdh Coordination Dimagi ICTs URC Quality  Improv. Burkina  Faso 75%  adherence  rate  to  IMCI    + National  scale  up  strategy ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes  4 500’000+  children400+  health  centers11  districts
  • 5. Connected  mHealth Platform ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes5 Automated  diagnostic treatment   &  prescription Statistics  and  charts Wireless  data  exchange  (2G) Automated  data  exports  and   email  reports
  • 6. Making  Data  Available  &  Actionable ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes6
  • 7. Leveraging  Data  To  Manage  Performance ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes7 REC mLearning Application Health Worker Performance IMCI  Data Learning   Achievements
  • 8.
  • 9. Preliminary  Findings ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes9 30’000+ consultations  per  month 200’000+ expected  for  2015 Nurses  are  annoyed when   their  REC  is  out  of  order. LSHTM  Realistic  Study Setting  up  the  Helpdesk  is  difficult. Tdh ICT  Coordinator Caretakers  want health workers  to  use  the  REC LSHTM  Realistic  Study 47.2% of  children  are  correctly evaluated  and  treated LSHTM  Quantitative  Study