health: hype or hope? cell-life on mhealth 101 dr peter benjamin [email protected] skype id:...
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Health: Hype or Hope?Cell-Life on mHealth 101
Dr Peter [email protected] ID: peterbenjamin#PeterB_CellLife
www.cell-life.org.za
What is Cell-Life is?
• Not-for-profit making tech & services accessible to improve health & meet social challenges
• Started 2010, UCT & CPUT
• Cape Town, SA
• 10 African countries (mainly SA)
• 25 staff (mainly techies)
• Open Source
© Cell-Life 2011
What do we do?• Applying eHealth (especially mHealth):
1. Social & behaviour change communications
2. Primary health system strengthening
• We are one of the few mHealth organisations active in • Technical development• Proof-of-concept pilots at sites• Larger health system implementations• Developing business models• Research and • Policy
• Lots of things ‘work’ as pilot, issue is SCALE
Intelligent ARV Dispensing, Stock Management, and Reporting
Data collection, Monitoring & Evaluation using mobile phones
Mass HIV and health messaging using mobile phones
© Cell-Life 2011
Contributing to the mHealth evidence base
Main Services
Intelligent Dispensing of Antiretroviral Treatment
• Software solution designed to support pharmacists dispense ARV & related drugs
• Improved reporting, data quality, stock control
• 300+ sites (92 main clinics, 211 down-referral)
• 350,000 patients receive ARVs
© Cell-Life 2011
iDART in action
Mobile Data Collection
© Cell-Life 2011
• Dept of Health cellphone rollout• 12,000 phones• Data collection for all 4,332 health facilities• First application: monitoring of HCT• Project awarded to Cell-Life and HISP• Initial rollout in 950 facilities June 2012 • Full rollout from Sept - Nov 2012
• Infrastructure for clinical mHealth
Clinical data collection in SA public sector
© Cell-Life 2011
• Basic phones 25% mobiles in SA• Voice, SMS, Text menus (USSD)
• “Feature phones” 65% mobiles in SA
• Basic internet connection (GPRS)
• WAP / Mobi-sites, MXit, Java Apps
• Smartphones 10% UP• Apps (Est 13,000 iPhone health Apps)
Tools for mass mobilecommunication
© Cell-Life 2011
Messaging for prevention & testing
Soul City, SANAC, Brothers for Life, RTC, Just positive
Mass information for positive living
TAC Adherence Clubs, Siyayinqoba
Linking patients & clinics ECHO, Kidz +ve, DTHF, RHRU
Counselling National AIDS Helpline
Building capacity of HIV-related organisations
CARIS, HIVAN, TAC ... – over 100 organisations
Maternal health Mobile Alliance for Maternal Action
Communicate applications
mHealth Research
• SMS to test• RCT 2,400 enrolled. Control; ‘Information’/‘Motivation’; 3 / 10• Stat significant only with 10 ‘Motivational’
• PMTCT (ECHO @ Coronationville Hosp)• RCT 320 mothers (½ test, ½ control). SMS info & reminders.• Msgs help women deal with status, ‘psycho-social’ support. Better
retention @ 10 weeks.• 2 Adherence trials• MXit text counselling (RedChat)
• MXit link with National AIDS Helpline. 55,000 conversations• Good access to youth, anonymity, multiuser
© Cell-Life 2011
© Cell-Life 2010
“These tools don’t get socially interesting
until they get technologically boring”
(Clay Shirky, 2010)
© Cell-Life 2011
• Formal health system inaccessible, inadequate or abusive to many
• mHealth can reduce the barrier to accessing healthcare
• The cellphone can be the first point of contact with the health system
• Like mBanking provide better financial services with users outside banks …
Towards mobile primary care
© Cell-Life 2011
1. Promotive & Preventive2. General health info3. Triage services4. CHW assistance5. Clinical referral6. Treatment support7. Maternal & child health focus8. School-based
Towards primary mHealth
Communicate
• Web based software solution/ Platform that Provides communication and information services through cell phone channels.
• SMS, USSD, WAP, MXIT
NkosiSiyabonga
Ke a lebogaDankie
Thank you
Dr Peter [email protected] ID: peterbenjamin@PeterB_CellLife`