Download - Leveraging Mobile Technology to Strengthen the Work of Community Health Workers_Gwyn Hainsworth
Leveraging Mobile Technology to Strengthen the Work of Community Health Workers
Spring CORE Group MeetingApril 25, 2013
Gwyn HainsworthSenior Advisor, Adolescent Sexual and Reproductive Health
Contraception
Maternal & Newborn Health
HIV and AIDS
Adolescents
Abortion & Postabortion Care
Advocacy
Core areas
People everywhere have the right and opportunity to live a healthy sexual and reproductive life
Outcome
Capacity Building
Gender Equality
Behavior Change
Cross Cutting Strategies
Strategic Initiatives
mHealth
Population Health and the Environment (PHE)
Cervical CancerSystems Strengthening
CommCare – Case Management
It’s a mobile phone app that can:
• Document questions and answers
• Transmit data when mobile network is available
• Use multimedia• Use logic to step
through a process dynamically
Pathfinder CommCare Projects
Tanzania• D-Tree, start 2008 • 300 CHWs in Dar• Focus on HIV/AIDS• Study with FHI360,
CommCare for FP/HIV Integration
Nigeria• Start in 2012• 20 facilities, 150
CHEWs• Focus on ANC• Study looking at
quality of care
Kenya• Start in 2012• Aiming for 300
CHWs in Nairobi and Coast
• Focus on OVCs and MNCH
The Design and Implementation Process
• Identify challenges at point of care
• Shadow CHWs • Discuss perceptions
and needs with end-users
• Design with scale up and sustainability in mind
• Engage government in the design
Defining the problem
• Design app with the end user
• Field test app; mapping workflows
• Developing counseling and audiovisual tools
• Partnerships for coordination and ownership
Developing the solution
• Refining the app to fit the needs of the CHW
• Integration of mobile into CHW workflow and routine
• Using data to improve supervision
• Engaging government in monitoring and data use
Iterations and monitoring
Supervision, Monitoring and Evaluation
Rigorous M&E Plan• Performance indicators• User satisfaction
Integration and use of data• Data standards matched to reporting requirements• Data integration with national HMIS• Cultivating a culture of data use DeRenzi, et al 2012
Challenges and Lessons Learned
Challenges• CHW familiarity with technology• Burden of double reporting• Culture of using data for targeted supervision
Lessons Learned• Define the benefits for the CHW to maximize use • Actively engage governments from the beginning• Show the benefits of using data to improve quality of services
THANK YOU