motif - mobile technology for improved family planning -- marie stopes international cambodia
TRANSCRIPT
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Marie Stopes International Cambodia
MOTIF: MObile Technology for Improved Family Planning
Presented by: Hotline Manager
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Contents
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• Overview• What is MOTIF?• Objectives• Project Activities• Process• Evaluation and Outcomes• Lessons Learned & Recommendations
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Overview
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Challenge: Low uptake of contraception following abortion, with clients returning for repeat abortion
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MOTIF
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MOTIF (Mobile Technology for Improved Family Planning) is
an innovative mobile phone-based intervention, providing personalized post-abortion family planning (PAFP) support for Marie Stopes
International Cambodia (MSIC) clinics.
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Objectives
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• To reduce unmet need for PAFP and decrease discontinuation rates of FP, to have a positive impact on the lives of women in Cambodia and on MSIC’s work.
• To develop, implement and evaluate a mobile phone-based intervention to support use of post abortion family planning (PAFP) at Marie Stopes International Cambodia (MSIC) clinics.
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Project Activities
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MOTIF is a voice based intervention service• Formative research to develop service• Baseline rates of PAFP• Interviews/Focus group discussions(FGDs)
The project had conducted a randomized controlled trial to evaluate the service
1. Recruitment of clients2. Communication guidelines have been developed with clients and phone counseling is being provided .
Client recruitment
Client recruitment
Client FGD
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MOTIF Verboice Call Flow
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Counselors Client
VM every 2 weeks
+/- follow up phone call
Pill/appointment reminders
Client can call in
Service provided for 3 months after which client continue to receive standard care
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Evaluation Process
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Intervention
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500 clients seeking for abortion services
249 clients who received MOTIF service
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Area of Scope
64% of clients lived inrural areas
86% receivedfollow up servicefor 4 months
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Voice Message
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Responses to Voice Message
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Provisional results to date• Percentage of MOTIF supported clients using effective contraception
before and after receiving the intervention (data from the counsellors)
Implant IUD Injectable Pill
7%
3%
8%
12%
15%
10%
15%
21%
MOTIF supported clients using effective contraception receiving the intervention (Data from the counselors)
% Base line % End line
Please note: the trial data & cost-effectiveness has not yet been analyzed
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Lessons learned / Challenges
• Two-way communication and regular contact with clients
- Follow up
- Promote MSIC clinics’ services
- Disseminate MSIC promotional
- On going support clients
• Reduction on resources such as time, staffing and finances
• Clients have a broad range of choices
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Lessons learned / Challenges
• Voice messages take much longer to develop compared to SMS
• Connecting to a phone line than can handle multiple calls
• Connecting with clients– SIM card switching– Phone sharing– Clients busy
• Financial sustainability
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Conclusion
• Maintain sight of the original challenge e.g. increasing PAFP uptake rather than focusing on the ‘tech’ component
• A formative research phase is essential to understand the local context
• Selection of the tech partner is crucial - a local partner is preferable
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Conclusion
• Additional mobile phone based support should not be provided in place of the existing standard of care, which include post-abortion counselling. mHealth PAFP interventions should be considered as part of an integrated package of post-abortion care
• Voice messages are a good way to communicate with clients with limited literacy and to clients with phones that don’t support local language script
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Recommendations for Verboice
• Email notifications for every client’s response
• Avoid repeat registration for same number • Automatic resending for internet/server
interruption
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Next Step
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+ MOTIF =Customer Care+
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Acknowledgments
• MSI Innovation fund• LSHTM• MSIC• InSTEDD iLab Phnom Penh• Verboice• Clients/staff at MSIC
THANK YOU!
ANY QUESTIONS?20