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