using cell phones to monitor availability of malaria medicines m. thulani mbatha
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Using Cell Phones to Monitor Availability of Malaria Medicines M. Thulani Mbatha September 15, 2010. Outline Of Presentation. Background on President’s Malaria Initiative (PMI) End Use Verification Tool Objectives of End Use Verification Tool - PowerPoint PPT PresentationTRANSCRIPT
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Using Cell Phones to Monitor Availability of Malaria Medicines
M. Thulani Mbatha
September 15, 2010
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Outline Of Presentation Background on President’s Malaria Initiative
(PMI) End Use Verification Tool Objectives of End Use Verification Tool EpiSurveyor Mobile for Supply Chain &
Pharmaceutical Management Malawi Pilot Challenges Lessons Learned
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Background The USAID | DELIVER PROJECT and MSH/SPS
developed End Use Verification (EUV) Tool A process to look at the availability and use of
malaria medicines at the health facility level 17 Supply Chain Indicators 20 Malaria Case Management indicators
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Objectives of EUV Tool Verify availability of malaria medicines Provide evidence that malaria medicines are
reaching the end users Monitor supply chain management of malaria
medicines Provide information on malaria case management Strengthen NMCP ongoing supervision/monitoring
efforts for effective supply chain system
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Paper Based Tool
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Why EpiSurveyor? Free mobile-phone-and-web-based data
collection system Scalable Cost effective Can function on simple cell phones Open-Source Less TA support
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Usefulness of EpiSurveyor
Eliminates need for data entry
Automates analysis and reporting
Reduces time and costs of data collection
From Donors, NMCP, NGO Partners
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Malawi Pilot Malawi supervision tool developed in early 2008 End Use Verification tool integrated into Malawi
supervision tool in 2009 Visit to 56 health facilities (district, central, rural
hospitals, and health centers) Supply Chain and Malaria Case Management
indicators
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Three Pilots Practicability of basic (free) EpiSurveyor
Cell Phone Data Collection Integration of Malawi supervision activity Application of Global Positioning System (GPS)
directly from cell phones
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Objectives Strengthen supply chain system Implement integrated Malawi supervision activity
with EUV indicators Build capacity within National Malaria Control
Program (NMCP)
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Methodology Fifty-six health facilities visited in one and half
weeks Five teams each with one cell phone Updating and digitization of the forms in one
week One day training for data collectors
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Digitizing the Form
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Data Collection
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EpiSurveyor Overview
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Supply Chain Indicators # of facilities with stock-outs for ACTs, RDTs, &
drugs for the treatment of severe malaria Expiry of ACTs stocked at the health facilities Quantity of commodities ordered vs quantities
received Quantity of commodities received vs physical
inventory Management of pharmaceutical supplies,
training levels, & storage conditions
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Malaria Case Management Indicators MCM including malaria cases treated to number
of treatments dispensed # of patients presenting with fever that are
diagnosed with malaria % of uncomplicated malaria patients treated with
a monotherapy % of uncomplicated malaria cases diagnosed
(Clinically, RDT, Microscopy)
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Data Analysis
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Immediate Data Analysis
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Challenges
Dependency on internet connectivity Data storage for MoH Burden of the cost by MoH Monitoring the use of cell phones for
personal use
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Early Lessons Learned Scalability in resource constraints settings Sustainability when focusing on the end users Can save time, cost effective, apply simple
everyday life tools Less dependency on TA Can reduce staffing needs Can be Integrated and it is Interoperable Less need for IT support
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