project mwana story
TRANSCRIPT
Project Mwana
Project Mwana
Goal:
Using Mobile Technology to Strengthen Health Services
for Mothers and Infants in Rural Clinics
Project Mwana
MoH Zambia & Malawi
UNICEF Zambia & Malawi
UNICEF Innovation
Project Mwana
April 2010
Constraints
Use clinic workers phones
Low operational barriers to scale
Is affordable & sustainable
Project Mwana
Methodology
Write a bit of working software
Test with real users
Get feedback
Project Mwana
Positive lessons
Clinic staff grasped concepts
Self or Peer training possible
Clinics without signal could be included
Project Mwana
So what did we build?
Project Mwana
Results160
Overview
Secure SMS delivery of DBS Results
First problem we looked at:
Early Infant Diagnosis (EID)
Dry Blood Spot (DBS)
CLINICS
LAB
ref - Early Infant Diagnosis: System Summary (2008) – MoH & Clinton H/A Initiative
DBS samples take too long getting back to mothers
ref - Early Infant Diagnosis: System Summary (2008) – MoH & Clinton H/A Initiative
DBS samples take too long getting back to mothersResults160 addresses this part:
Access Database (Ndola LAB)
Data Synch
Server (MoH Lusaka)Access Database (Ndola LAB)
Data Synch
Access Database (Ndola LAB) Server (MoH Lusaka)
Data Synch
Access Database (Ndola LAB) Server (MoH Lusaka)
User Registration:
Join <ClinicID><Name><PIN>
Join 403020Maria2606
From: Results160
Hello Maria, there are 3 DBS results for your clinic.
Please reply with your PIN to retreivethese results
When results are ready
To: Results160
2606
User sends PIN
Results arrive
From: Results160
The 3 results are,Sample 102534 -Not Detected*************Sample 910253 -Detected*************Sample 108253 -Rejected*************
Service Requirements
Secure
Private
Traceable
Real-time
Accountability“Hi, New Results Available”
“Hi, New Results Available”
“Hi, New Results Available”
Marion
Anna
Beatrice
Accountability
Marion
Anna
Beatrice
Accountability“The 3 results are ... ”
“Anna has collected these results”
“Anna has collected these results”
Marion
Anna
Beatrice
Cost• SMSs are free to users
• Lab – MoH connection uses cheap data
• Uses clinic workers personal phones
• SMS usage monitored
RemindMI
Overview
Patient Follow-Up for Mothers & Infants
ref - Early Infant Diagnosis: System Summary (2008) – MoH & Clinton H/A Initiative
DBS samples take too long getting back to mothersResults160 addresses this part:RemindMI addresses this part of the cycle:
OpportunitiesCommunity volunteers at clinics
Currently find patients that are LTFU
Strong relationships
SMS reminders of clinic appointments to care givers (Remind Mothers and infants)
Clinic -Community Communication using group sms
Clinic visit reminder
Community Agent
Sign-Up
6 days6 weeks
6 months
Birth Registration
Communication
RemindMi group messaging
2 Groups:
“CLINIC under 5 clinic this Friday”
“CBA locate Lea Banda in Zone 2”
Project Mwana
Help
Users can SMS help to Results160
With a description of their problem
Support team will call them back
“HELP I've forgotten my PIN code”
“HELP we need to register more staff”
Project Mwana
Project Mwana
Moving Forward
Status:
System is ready to deliver results
Staff at 11 clinics have been trained
System is in English and Bemba
Project Mwana
Project MwanaPhase 2 Objectives
Zambia
• Evaluate and update Results160
• Roll out to more sites (+10 Luapula, +10 Southern)
• Investigate other needs e.g Malnutrition
Malawi
• Pilot Results160
• Roll out Malnutrition
Project Mwana
Thank You!
http://projectmwana.posterous.com