fresh ideas on bringing new technologies into public ......tb reach wave 3 business model computer...

WHO/ERS consultation : The role of e/mHealth in tuberculosis and

tobacco control

February 26th

Geneva

Fresh ideas on bringing new technologies into public health programmes

Ali Habib, IHS

Matt Berg, Ona

Integrated TB Patient Management System

Mobile Data Capture for TB Screening

1. GeneXpert test results automatically relayed to a server over

Internet/SMS

2. Data transferred to OpenMRS server and integrated into patient medical records

3. Data accessible to patient, clinicians, and

program teams remotely via SMS

alerts, mobile phones, and a web interface

Xpert SMS - Automated GeneXpert Reporting

Interoperability - OpenMRS

Sputum Instructions Video

TB REACH Wave 3 Business Model Computer Aided Detection of TB

Market price of routine X-ray: USD 4-9 Social business price: USD 5 USD 1 lease-to-own X-ray machine USD 1 screener incentives USD 1 screening center operations USD 0.5 GP treatment incentives USD 0.5 mobile phone data system USD 1 profit Other tests: diabetes, desktop spirometry (COPD and asthma)

Takeaways and Discussion Points

• Use of open source systems allowed interoperability, customization, and use in multiple countries

• Systems need to be designed to accept and provide data to/from multiple sources

• The use of an integrated system makes data easily accessible for reporting

• Standardized/Coded Data Dictionary is vital • The use of innovative funding models allows private

sector participation

https://beta.ona.io

Collect Data

ODK Collect - opendatakit.org/use/collect/

● Works on any modern web browser ● Can be used offline, automatically sending data when there is connectivity

Webforms

OpenSRP (Open Smart Register Platform)

Burden has grown on health workers to collect and report data

Multiple Paper Tools & Registers

mehlg@who.int

PARTS OF User Interface mehlg@who.in

t

Antenatal Care View

Child REGISTER

Child Immunization

= Service not due (good)

Reminders and Scheduling

= Service due

= Service overdue (bad)

= Service recently done (good)

mehlg@who.int

Media content for client counselling

Smart Register Provider Reports

Common Places