Health – Page 4 – Integra LLC

Agriculture, Health, Health, Maternal & Child Health, Originally posted on the GBI Portal

USAID MAMA initiative leading the way in mobile for maternal health projects

The USAID-initiated MAMA (Mobile Alliance for Maternal Action) project that utilizes cell phones to improve maternal health in developing countries gave an in-depth update at the latest mHealth Working Group meeting.

The pilot initiative, announced in May by Secretary of State Hillary Clinton and co-sponsored by Johnson & Johnson, has begun work in Bangladesh. MAMA seeks to achieve “scale, sustainability and impact” by creating a replicable model of reaching low-income mothers and household decision-makers (husbands, mothers-in-law) through increasing the impact of current mHealth programs, providing technical assistance to new mHealth models, and improving methods of applying mobile technology to improving maternal health.

At the working group meeting, Sandhya Rao of USAID and Pamela Riley of USAID’s SHOPS (Strengthening Health Outcomes through the Private Sector) program discussed the status of Aponjon, the MAMA project in Bangladesh. Aponjon provides vital health information through mobile phones two times a week to expecting and new mothers, reminding them of when to receive checkups and how to stay healthy during the pregnancy. Bangladesh was chosen to pilot the project because the country’s government has been a leader in promoting and expanding access to ICTs and is very active in mHealth.

Photo credit: Council on Foreign Relations

In order to bring it to a national scale, the burgeoning MAMA initiative has established private, public, and NGO partnerships to help implement its activities, and is carefully monitoring its methods and practices to ensure that the project is reaching its target goals. For example, Aponjon is constantly tweaking the content of its phone messages so that mothers and decision-makers understand, retain and relate to the information given.

Photo credit: Highmark Medicare Services

Another aspect of the project that MAMA will be monitoring is its business models to determine which are the most sustainable and effective. Currently, customers pay service providers to retrieve the phone messages. Text messaging is the cheapest method for remitting information in most developing countries, but many of the poorest clients are unable to read the texts. The alternative is interactive voice response (IVR) through which customers can hear recorded messages at a much lower cost than call centers but more than texting. MAMA and its partners are experimenting with different pay schemes, such as subsidizing rates, working with service providers to offer low rates or donate funds to the project, and charging fees based on usage.

It will take the new initiative years before sustainable, reliable, and replicable models are in place. What is clear is that the potential for improving maternal and newborn health through the use of mobile phones is being tapped.

September 29, 2011/by actualize

Agriculture, Health, Originally posted on the GBI Portal

AfriHealth Conference, Nairobi, 30 November – 1 December 2011

AITEC announces expert speaker line-up for AfriHealth Conference, Nairobi, 30 November – 1 December 2011

OPENING PLENARY

Consolidating the gains of technological innovation in healthcare through effective management

Professor Yunkap Kwankam, Executive Director, International Society for Telemedicine & eHealth (ISfTeH), Switzerland

Aiming for a more integrated approach in healthcare delivery at national and local levels

Dr Katherine Getao, Head of eGovernment, Office of the President, Kenya

The economics of eHealth

Professor Maurice Mars, Head, Department of Telehealth, University of KwaZulu-Natal & President, South African Telemedicine Association

Ericsson’s mHealth Solutions – use cases and success criteria to enhance healthcare delivery

Rainer Herzog, Head of Strategy & Business Development mHealth & eHealth, Ericsson

mHealth: Turning hype into delivery

mHealth reaches puberty: Hype & hyperventilation

Bright Simons, Founder, mPedigree, Ghana

Using mobile telephony as an innovative communication channel for family planning

Bas Hoefman, Text to Change, Kenya

mHealth and the required ecosystem in East Africa

John Kieti, mLab, Kenya

PLENARY 2

An overview of latest worldwide trends in telemedicine

Frank Lievens, Board Member & Secretary, International Society for Telemedicine & eHealth, Belgium

Addressing the fragile environment of e-health in resource-limited settings

Dr Christoph Larsen, synaLinQ, Vietnam & Kenya

Accessing funding for healthcare initiatives in Africa

Ken Nwosu, eHealth Ontario & McMaster University MSc eHealth Programme, Canada

Pharmaceutical management

Anti-counterfeit systems for pharmaceuticals

David Svarrer, CEO, Digital Age Institute, Kenya

Using IT for improved pharmaceutical care delivery in developing countries: A case study of Benin

Dr Thierry Oscar Edoh,University of Bonn & German Federal Army University of Munich, Germany

Case Studies 2

A Multilingual Expert System for Ubiquitous Diseases Diagnosis (MESUDD)

Dr John Oladosu, Lecturer, Ladoke Akintola University of Technology, Nigeria

Community-based eHealth promotion for safe motherhood- A case study from Khyber Pakhtoonkhwa, Pakistan

Dr Shariq Khoja, Director AKDN eHealth Resource Centre, Aga Khan University, Kenya

Business models for effective service delivery: Rural Health Systems

Changing African healthcare through private sector technology innovations

Steve Landman, CEO, Carego International, Kenya & USA

Leveraging telehealth to improve child maternal health

Iboun Sylla, Business Development Manager, Texas Instruments, USA

National e-health policy development: The Commonwealth approach

Dr Sylvia Anie, Director, Social Transformation Programmes Division, Commonwealth Secretariat, UK, and Dr Adesina Iluyemi and Tom Jones^,Directors, TinTree International eHealth and Consultants, Commonwealth Secretariat, UK

PANEL DISCUSSION

What are the best practice achievements that can be replicated across the continent?

MODERATOR

Professor Yunkap Kwankam, Executive Director, International Society for Telemedicine & eHealth (ISfTeH), Switzerland

PANEL MEMBERS

Lucy Fulgence Silas, Country Director for Tanzania, D-Tree International

Dr Moretlo Molefi, MD, Telemedicine Africa, South Africa

Dr Catherine Omaswa, Chairperson, National eHealth Committee, Uganda

Dr Wuleta Lemma, Director, Tulane Technical Assistant Program (TUTAP) Ethiopia

WORKSHOP 1

Open source healthcare information systems

Nurhizam Safie, United Nations University, International Institute of Global Health (UNU-IIGH), Faculty of Medicine, National University of Malaysia

Open Source health information systems offer an alternative to proprietary healthcare information systems. Currently, most developing countries have a tight financial budget for their healthcare services and cannot afford the high cost of licence fees imposed by proprietary healthcare information system providers. Therefore, open source healthcare information systems are an attractive alternative to be introduced in the healthcare services of developing countries. By using open source healthcare information systems, the healthcare providers such as hospitals and clinics can improve the efficiency of services, reduce licensing and maintenance costs in managing information systems, as well as catering for future scaleability and growth.

Among the available open source healthcare information systems, MEDICAL has been chosen for this workshop because MEDICAL is a multi-user, highly scaleable and centralised system which provides the following functionality:

Electronic Medical Record (EMR)
Hospital Information System (HIS)
Health Information System

This workshop is intended for users who want to get a better introductory functional understanding of MEDICAL. The workshop offers a thorough knowledge in usability and understanding of two critical modules, namely Patient Management and Financial Management.

Objectives

Having attended this workshop, participants should be able to:

Understand the concept of open source health information systems.
Understand the functional concepts of MEDICAL modules, namely Patient Management and Financial Management.
Understand the development concepts and architecture of MEDICAL.
Workshop Content

Introduction to MEDICAL and Basic Settings

Introduction to MEDICAL: Vision and Mission
Architecture: Supported operating systems, databases & ERPs
The modular concept framework
The MEDICAL development environment.
Introduction to Sourceforge and SVN
Introduction to Transifex: The translation and localization portal

Patient Management

Patient registration
Emergency department /ambulatory
Outpatient/In-patient
Admission, discharge & transfer (ADT)
Appointment & scheduling
Resource scheduling
Medical record management
Report & statistics

Financial Management

Charging, billing & invoicing
General ledgers
Accounts receivable/payable
Cash book management
Reporting

WORKSHOP 2

Using theCasemix system for health finance management

Prof Dr Syed Aljunid, Professor of Health Economics and Senior Research Fellow, UN University International Institute for Global Health, Faculty of Medicine, National University of Malaysia

This workshop is designed to introduce participants to the Casemix system for enhancement in quality and efficiency of healthcare services . Casemix experts from the UN University International Institute for Global Health will share their experience in implementing Casemix systems in a number of developing countries globally. The workshop will provide an overview of Casemix, its evolution from the first version introduced in the 1980s by Professor Robert Fetter from Yale University, to the present day where the system has been implemented in more than one hundred countries worldwide. Minimum dataset requirements for Casemix systems will be discussed in detail, including requirements for diagnoses and procedures coding using the ICD classification system. Benefits of using Casemix as a prospective provider payment mechanism under social health insurance programmes will be presented in this workshop. Software currently available to support implementation of Casemix system will be demonstrated including the recently launched the UNU-CBG Casemix Grouper, a universal, dynamic and advanced grouper software. Proposed plan for implementation of Casemix system under the UNU-IIGH programme will be presented in this Workshop.

Workshop Objectives:

At the end of the workshop, participants should be able to:

Understand the concept of the Casemix system
Appreciate the role of Casemix in enhancing quality and efficiency of healthcare services.
Design the basic minimum dataset package for Casemix Implementation.
Have basic knowledge on the use of UNU-CBG Casemix Grouper

Workshop Content:

Casemix:: An introduction
Minimum Dataset for the Casemix system
Supporting software for Casemix
Implementation of Casemix in developing countries for health financing

To register as a delegate, log on to www.aitecafrica.com or email info@aitecafrica.com

September 28, 2011/by actualize

Agriculture, Health, Health, Non-communicable Diseases, Originally posted on the GBI Portal

Arogya World announces diabetes prevention mHealth program in India

Arogya World, a US based NGO, in association with Nokia, will be launching a large-scale diabetes prevention mHealth program in India. The diabetes awareness program aims to reach one million people over the course of the next two years through the use of text messages, which will be translated in multiple languages, catering to the diverse population in India.

The announcement was made at the 2011 Clinton Global Initiative (CGI) Annual Meeting in New York City.

For more information, read the official press release here.

September 26, 2011/by actualize

Agriculture, Health, Originally posted on the GBI Portal

Non-communicable diseases (NCDs): The low hanging fruit for mHealth

As the New York UN meeting on Non Communicable Diseases NCDs draws to a close, one big takeaway that everyone seems to agree on is that NCDs are reaching epidemic proportions worldwide. This may be bad news; however it does present some tremendous opportunities for mHealth in developing countries. NCDs include cardiovascular conditions, some cancers, chronic respiratory conditions and type 2 diabetes. These conditions account for 60% of all deaths worldwide, with 80% occurring in low and middle-income countries[1]. It’s time we put as much funding and emphasis on NCDs in developing countries as we do with infectious diseases. NCDs have twice the number of deaths than infectious diseases (including HIV/AIDS, tuberculosis and malaria), maternal and perinatal conditions, and nutritional deficiencies (nature link). [2]

There is no refuting the fact that there are significant problems to overcome. The fact is Global health is challenging, but not all challenges are equal, some challenges are more challenging than other. Let me elaborate: If you are attempting to find a cure for HIV or a vaccine for malaria. This would be difficult from a scientific perspective; it would also be expensive and will likely take a long time to achieve. On the other hand, if you attempt to educate a population on diets, lifestyle changes, encourage exercise and reduce smoking; then you will likely prevent an epidemic of extreme proportions that is on the way to developing nations.

There are some low hanging fruits that can be tackled right now with existing mobile technology and know-how that would make a significant impact on the future of Global health. The traditional model of NCD episodic care in clinic and hospital-based settings is inadequate in developing countries due to scarce resources. The low hanging fruit could be plucked by using a mHealth diagnostic and monitoring platform to diagnose health conditions and address the common risk factors, such as smoking, diet and sedentary lifestyles. There are a multitude of studies that show how cellphones can have a positive impact on lifestyle and behavior changes, tying this notion to medical diagnostics and monitoring (continuous or periodic)could have a profound effect. There is a need for diversity in the funding criteria to allow funds to be diverted to develop viable and sustainable innovations in urban areas to address NCDs, there seems to be too much emphasis on rural health in developing nations. Yet there is strong evidence the urban dweller will be far worse off in the future due to the growing obesity rates.[3] Mobile operators in the developing world are in a great position to use their 3G networks to exploit the new health data and services that will surely be unleashed.

[1] World Health Organization Preventing Chronic Diseases: A Vital Investment (WHO, Geneva, 2005).

[2] Nature 450, 494-496 (22 November 2007) | doi:10.1038/450494a; Published online 21 November 2007

[3] Overweight and obesity in urban Africa: A problem of the rich or the poor? http://www.biomedcentral.com/1471-2458/9/465

September 26, 2011/by actualize

Agriculture, Health, Health, HIV/AIDS, Maternal & Child Health, Originally posted on the GBI Portal

Scalable and Replicable: ICT4Health is Chosen Theme for UN South-South Awards

Digital Health 4 Digital Development was the theme of choice for the 2011 South-South awards that took place earlier this week. The United Nations-supported awards ceremony, held September 19th, honors governments, organizations and individuals accelerating progress toward the Millennium Development Goals (MDGs), and this year awards were given for utilizing ICTs for the advancement of the MDG health goals.

Prime Minister of Bangladesh receives South South award from

Photo Credit: thefinancialexpress-bd.com

The awards were organized by South South News, a digital media platform launched by the United Nations General Assembly High-level Committee in 2010. The platform disseminates development news and allows countries in the global South to share best practices in advancing implementation of the MDGs. As health remains a high priority within the international development field, with three of the eight MDGs calling for health improvements by 2015, this year South South chose the “catalytic and unifying force of ‘digital health’” as its focus.

Awardees were recognized for policies, programs and projects that address global health using ICTs as a mechanism for “scalability and replicability of the broad development agenda.” Awards were given on health categories such as Women and Children’s Health and HIV/AIDS, TB and Malaria with special consideration given to achievements in the fields of mobile, broadband, Internet, medical, and pharmaceutical applications.

Among the winners was Bangladesh’s prime minister Sheikh Hasina who received recognition for the use of ICTs in addressing women and children’s healthcare. The government of Bangladesh has made increasing the use and availability of ICTs a priority over the past decade, declaring IT a “thrust” sector and implementing a national ICT policy in 2002. The prime minister has been a catalyst for ICT development in Bangladesh, launching the Digital Bangladesh 2021 program, reducing taxes to make computers and other electronics more affordable, and giving free internet services to schools. This is not the first time she has been recognized for her ICT work in the country. The PM noted during the ceremony that most of Bangladesh’s 11,000 community health clinics have been digitized, allowing for free treatment of diseases like malaria and AIDS and reducing maternal and infant mortality rates.

Use of PDA by the nurses at ICDDRB hospital in Dhaka, Bangladesh

Photo credit: Bytesforall "ICT4Health" Network

Other development agencies and UN-affiliated organizations are also choosing to give awards to those using ICTs to advance public health initiatives. The Elena Pinchuk ANTIAIDS Foundation, rising from the work of UNAIDS High Level Commission on HIV Prevention, has launched a competition to find innovative start up projects that use social media and mobile phones for HIV prevention. The competition is taking applications until October 1^st and the winners will receive up to $10,000 to implement one-year projects.

As global health becomes a pressing priority, it is essential to utilize, innovate, and increase access to ICTs within the healthcare sector. The South South awards have set a precedent by recognizing the success of ICT4Health in accelerating the Millennium Development Goals and could encourage Global South countries to follow in the footsteps of nations like Bangladesh.

September 22, 2011/by actualize

Agriculture, Health, Mobile, Originally posted on the GBI Portal

Mobile Operators as Clinical Service Providers?

Mobile Health Live recently held a live broadcast webinar from Kuala Lumpur to examine the role of mobile operators in the delivery of mobile health services.

The webinar was moderated by Richard Cockle of the GSMA and featured contributions from Claire Margaret Featherstone of Maxis, Irfan Goandal from Qtel, Dr Mubbashir Iftikhar from KPJ Healthcare and Craig Friedrichs from the GSMA.

The panel discussed the opportunities open to operators working within the mobile health sector, and highlighted a number of specific areas of interest where operators can provide tangible benefits to healthcare partners and their patients. According to the panel, support for a stretched public sector and the remote monitoring of patients with lifestyle diseases, such as diabetes and hypertension, are two key services that mobile operators can provide for the mobile health sector

The panel recognised the complex nature of the healthcare industry with multiple stakeholders and country specific regulation affecting local markets and discussed some of the work being undertaken to help facilitate the integration of mobile services into existing value chains.

If you weren’t able to tune in live to the webinar, you can now watch it on demand.

September 21, 2011/by actualize

Agriculture, Health, Mobile, Originally posted on the GBI Portal

Tobacco control and mHealth

A decade ago, around half of the people in the world’s richest countries had a mobile phone. Mobile penetration in Africa was under 2%. Today there are more than 5.3 billion mobile phone subscriptions globally. Penetration in a number of African countries is now over 40%. More than half of households in majority of developing countries including in rural areas – have a mobile phone. Despite the vast outreach of this technology, the potential has not been fully tapped by the public health or tobacco control community.This is due to a number of reasons, the most notable being an absence of well documented studies/demonstration projects to show the population wide impact in a cost effective and sustainable fashion.

For the last six months WHO has been researching the mhealth tobacco control market and looking for possibilities to leverage m health and tobacco control. The challenge we see are few studies or projects that are currently using mobile phones and tobacco.

The few studies we have found have focused on sms for cessation in developed countries but the results are impressive. From the sms cessation projects in the UK, New Zealand and now the US, we see that using sms for cessation is highly effective. As we know, the spread of tobacco use is moving to the developing world and we could have the same impact in developing countries.

Of course it is not just about individual smoking behaviour and cessation. Our research and outreach has pointed to the possibility of using mobiles for individuals to access quit services, raise awareness and communicate about the dangers of smoking. Mobile networks can give WHO and our partners access to the largest market in the world, this is very important for anti smoking messages which can have a far greater reach than through TV, print or other media campaigns. Mobile phones can be used as a geotagging mechanisms to provide advice on smoke free places and to improve compliance of smoke free laws, to provide a platform for social networking, gaming and competition, and to monitor and collect data on the tobacco epidemic.

With approximately 6 million tobacco attributable deaths very year it is critical that we move quickly, leveraging technology such as mhealth, to build awareness, improve enforcement/compliance of tobacco control laws and to help existing tobacco users to quit.

As the space for tobacco control and mHealth is relatively empty we have a unique opportunity to bring together tobacco control and mHealth players to develop successful interventions that can be used both by developed and developing countries in their tobacco control work. WHO is looking to engage with interested organizations and foundations to partner with us such as mobile associations, telcos, academics, application developers, foundations etc.This is a public health intervention where there is an opportunity for you to develop appropriate public-private partnerships with governments.

We hope that we can connect through this HUB – form new partnerships, share lessons learnt and best practices, validate what works and what doesn’t, monitor existing projects and create new ones, and spread the word on effective mhealth solutions for tobacco. Eventually we plan to create a matrix of population wide cost effective solutions for our member states detailing the top mHealth solutions for tobacco control.

Image credit: Matthias Weinberger (Flickr)

September 21, 2011/by actualize

Agriculture, Health, Originally posted on the GBI Portal

Technology’s Role in Self-managed Diseases

Closeup of a digital blood glucose meter reading

As a person living with type 1 diabetes, technology has been a medical part of my daily life for more than ten years. Diabetes is largely a self-managed disease, meaning that the person living with diabetes must manage the day-to-day balance between severe short-term effects and equally severe long-term effects. Technology can be a great help in this – in the last ten years I’ve tried at least about ten different types of blood glucose meters, four different insulin pumps, and I am always wearing a continuous glucose monitor.

I’ve also tried some of the mobile apps available to assist with diabetes management – tracking blood glucose levels, calculating carbohydrate and the amount of insulin to take with each meal, recording exercise events and so much more. I know I’m not the only one who has tried these devices; when technology plays a part in your own chronic disease management, you tend to incorporate technology from non-medical devices as well.

It should be no surprise to me, then, that a popular Twitter Chat group organized as Diabetes Social Media Advocates, or #dsma, recently devoted an entire hour-long discussion to the topic of mHealth earlier this month. Questions ranged from “What would you like your mobile device to help you with managing your diabetes?” to “What are your thoughts on the FDA regulating mobile apps that uses platforms for medical device functions?”

The answers were all over the place – some people weren’t interested in using their mobile phones for anything but making calls and receiving email, others wanted to see all of their devices, including medical devices and mobile phones, have the ability to communicate with one another. One person even said that he’d love a phone that could take a picture of a meal and estimate the amount of carbohydrate for you. Initially he was joking, but someone quickly told him that that function is in development, although struggling with accuracy right now.

Of all the topics and crazy ideas that came up, only one question received consensus: “Does mHealth have the potential to change the way we take care of our health or manage diabetes?” Everyone answered yes. But these are all smartphone-owning, diabetes-tweeting, tech-savvy folks. What about the rest of the 346 million people with diabetes around the world?

A quick check at the HUB Database will show you that 15 technologies, programs, and organizations have contributed to the database and tagged diabetes. Some focus on medication reminders, others provide vital information to health care workers. One program even developed a game-like system that monitors interaction with a virtual pet to let friends or relatives know that the person is active – allowing more opportunity for an independent lifestyle.

This is one of the great aspects of mHeatlh: it focuses on the health problems and identifies innovative solutions. Not remembering to take your meds? Your phone can help! Not checking in with your loved ones despite the fact you could fall into a coma? Your digital pet can help! In this day and age, when 70% of mobile phone subscriptions are in developing countries, phones can be seen as health tools – especially for those of us with self-managed diseases.

September 20, 2011/by actualize

Agriculture, Health, Health, Non-communicable Diseases, Originally posted on the GBI Portal

Beyond “an App for that”: Using mHealth to fight NCDs

As the global health community gears up for the upcoming United Nations High-Level Summit on non-communicable disease (NCDs), I thought it would be useful to explore the ways in which mobile technology can play a role in the efforts to reduce the burden of NCDs globally. NCDs include cardio-vascular disease, diabetes, cancer, and chronic respiratory diseases. The combined impact of these diseases contributes substantially to global poverty rates and places strain on healthcare systems worldwide.

With a growing urban population and lifestyle changes, particularly in diets where fast foods have become a greater part of the local diet, obesity and diabetes rates tend to grow rapidly. NCD rates are frequently driven by the combination of lifestyle changes and environmental shifts and require more innovative thinking around behavioral change and social movements in order to make long-term changes.

mHealth applications for NCDs are already quite common in parts of the world where diabetes rates, in particular, are high. This can be found in personalize-able mobile applications such as Glucose Buddy, or in social media campaigns such as TuAnalyze, which uses Twitter to drive higher compliance rates for hemoglobin A1c testing (a bit of a gold-standard when it comes to diabetes care).

Beyond diabetes, there are NCD prevention applications, such as the anti-smoking Text2Quit, demonstrating the potential to find interventions with the capacity to scale into national campaigns. On the respiratory disease front, Asthmapolis, is an innovative approach that combines sensors with mapping to track the contexts in which people with asthma use their inhalers and furthers our public health understanding of asthma and the environment. Tracking programs that enable dieters to monitor food intake and exercise can be effective tools for fighting obesity and cardio-vascular disease.

In order to realize the full potential of mobiles, however, we should take a few cues from the recent mass mobilizations and social movements in the Middle East where Facebook and Twitter were utilized to facilitate social change movements in Egypt and Tunisia.

Similarly, long-term efforts at prevention in public health have rarely succeeded without complementary sustained social movements that reduce the social barriers to behavioral change and create stronger enabling environments for personal lifestyle changes to succeed. This could include more walkable cities, better access to health foods, and changing environmental drivers that affect cardiovascular diseases and respiratory health outcomes.

We’ll likely need to move beyond the “app for that” ethos to engaging with social networks and technology in ways that can promote both well-being and the underlying social transformations required to sustain behavioral change in a health landscape that must navigate a long-term global financial crisis where resources are in short supply.

September 20, 2011/by actualize

Agriculture, Health, Originally posted on the GBI Portal

How to convey the new WHO Mental Health Intervention Guide to workers in the field?

On paper? Online? On smartphone apps? Via SMS or voice?

This 89 pages mhGAP-IG is issued in 2010 and now available in several languages. The guide consists of decision trees for the most important psychiatric conditions.

1. Use of paper versions:

Reading: Additional shipping and transport costs can be a hurdle in low and middle income countries (LMIC). One can download the guide from the WHO website, but then one faces the high costs of (color) print and copies.

Training: Face2face trainings seem the most ideal option, but the in most LMIC there is a shortage of health tutors. And a face2face training necessitates the movement of the health worker away from the field, which interrupts the delivery of services and is expensive.

2. With the internet/desktop/laptop:

Reading: Distribution on CDs is cheap. Online reading offers also the use of go-to tabs, notes storage, information charts and a find-utility. The main disadvantages of internet/computer is the constant need of a computer nearby and standby, which is a rarity in most LMIC.

Training: Beside the benefits of no travel and no interruption of the daily work, the internet gives health workers also the opportunity to study on own pace and preferred time.

3. With mobile apps on smartphones:

Reading: Smartphones can have a high added value for previously unconnected people. Smartphone prizes drop and they are growing in popularity in LMIC. The guide can be read on an app.

Training: Education via a smartphone apps offers the same benefits as the internet learning, like nice attractive tools and designs. The extra advantages are the pocket format; easy taking it with you.

4. With mobile phones (no wireless internet):

Reading: Service in developing countries will rely heavily on text messaging and voice in the years ahead. One can convey parts of the guide by SMS or voice, piece by piece, or certain parts on request. One can even run an automated SMS reply manager.

Training: Conducting a training in the mhGAP-IG solely by mobile phones is possible, but only an option of one really can’t reach the health worker via another channel.

Conclusions and recommendations:

-Not one of the 4 distribution channels is the best of all, so create materials in all 4

-Concert international and implement what’s most suitable on a local level

-Connect and cooperate with innovators in LMIC

-Look for creative funding channels, including NGOs and telecom providers

-Learn, lend and copy from other health fields, which are a long way ahead in technical innovations.

Full article with links and examples on the in2mentalhealth website

September 20, 2011/by actualize