Community Health and Mhealth CORE Group Spring Meeting, April 30, 2010

1. community health and mhealth

2. Agenda Thinking about mHealth: Adam Slote, USAID Mhealth feedback from CORE meeting participants: Ann H-J, CORE Group Small Group work: devising an mHealth checklist/design challenges Whole group report back How should the Community Health Network move mhealth forward?

3. Mhealth ideas from Working Groups IMCI Bottlenecks 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 CHWs Implementation: Referral to health facilities M&E: to help collect and transfer data quickly

4. Mhealth ideas from Working Groups Nutrition Bottlenecks to fix: Getting data more quickly to another level (MOH) for useful, timely analysis Intervention points: Baseline, endline surveys Mapping coverage (using GPS in phone) Monitoring

5. Mhealth ideas from Working Groups Tuberculosis Bottlenecks to fix: Improve adherence through text messaging. Community-based troubleshooting during case management, e.g. adverse effects, missing patient Intervention points: Case detection: link TB and HIV services if not colocated, contact tracing Diagnosis: camera on microscope send sputum slide photo Stigma reduction: text messages World TB day mass text messaging.

6. Mhealth ideas from Working Groups HIV Bottlenecks to fix: Bridge physical access to remote areas. Help with adherence Provide real time data Coordination with CHWs and TTM—improve coordination, follow up with referrals Intervention points: Baseline Evaluation Monitoring Adherence

7. Mhealth ideas from Working Groups Monitoring and Evaluation Bottlenecks 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 Groups Other suggestions Assist 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 vaccinated Provision of price/market info to women entrepreneurs Provision 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/correspondent SMS Booking System CHW calls facility/dr Family in labor calls TBA Two way flow of info One way flow of info Video- based & other training tools M&E data transfer Volunteer treatment supporters hotline Mass text msgs Mass text msg contests One sender to many recipients

11. Checklist/Design Challenges 3. Task You 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 MCH PD/Hearth Care Groups addressing _____? Community Case Mgmt ? 2. Choose a setting, including country.