Project: Umoyo Scale

14 June 2013

Malawi Data Bootcamp, Lilongwe

• How do Malawian citizens know if a

healthcare facility is good or not?

– Myths and stigma associated with clinics and

hospitals

– Hold government to account for the quality of free

essential healthcare package

Informed choice

The Problem

• A TripAdvisor-like review system to collect and

display crowd-sourced information on all health

facilities in Malawi, via:-

– * Website

– * SMS

– * Press joint-venture e.g. Free newspapers by MANA

(Malawi News Agency), brochures - like Thomson Reuters

– Mobile application

– Crowd-mapping / Data-mining from social networks like

Twitter

– Electronic health records: Services, beds available, average

waiting time, procedure success rates

The Solution

SMS Walkthrough

• Collecting data:-– Each health facility has a unique code

– Client texts code and rating for service (out of 5) to short code

number (toll free; paid for by provider)

– Phone number of sender is automatically stored in system (e.g.

Telerivet)

– Follow up survey questions can be sent to sample of clients to

probe further

• Using data:-– Data can be viewed in real-time through online web console by

MoH/NGOs or clients with internet access to see where health

facilities are rated poorly

– Clients can text enquiry number with location to receive simple list

of ratings for nearby health facilities

Data... BIG and small

• Crowd-sourced inputs - WISDOM OF THE CROWD

• DHIS2 (Ministry of Health’s health mgt info system)

• Measure DHS (Demographic and Health Surveys)

• NEDOCS

• Fusion Tables > MASDAP

Data... Mapped

What’s Out There?

• Kakav Je Doktor (What's The Doctor Like), Serbia– Service quality and corruption

• University Hospital of South Manchester, UK– Publicise “mortality ratings” for each of their heart and lung

surgeons online along with patient feedback on the performance of

individuals

• HealthyCity.org, California, USA

– “Information + action for social change”

Utility and Impact!

• Ministry of Health accesses data to show which facilities are

performing well - A Top 10 List - and link to funding

• NGOs can monitor & evaluate how their work is having an

impact at the user-level

• Health facilities get a rating on their services and link to

incentives

(e.g. performance related bonuses / certification for the health

facility / awards for health professionals etc.)

• Malawian citizens can have a voice and bring action!

Questions?Team:-

Herman Fung @FUNG14

John Mark Esplana @JMesplana

Zoe Dibb @zoedibb

Susan Mkangama

Blessings Lungu

Tumaini Malenga

Victor Banda

Misho Chibwe

Kelvin Zita

Rose Chisowa