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Tag Archive for: mHealth

Agriculture, Health, Health, Health Systems, HIV/AIDS, Infectious Diseases, Maternal & Child Health, Mobile, Originally posted on the GBI Portal

Mobile health quizzes get a 2.7 million Euro boost

Text to Change (TTC), an mHealth non-profit organization based in the Netherlands, announced earlier this month that they will receive a €2.7 million grant to expand its services. TTC provides an SMS-based educational service to improve the health of citizens in eight countries in Africa and one in South America.

Already a big contributor in mHealth development, TTC hopes to become a leader in the field with the reception of its multi-million Euro grant from the Dutch Ministry of Foreign Affairs via Connect4Change (C4C), a consortium funded by the Dutch Ministry of Foreign Affairs that develops mobile based solutions on issues of poverty in Africa and Latin America. TTC will partner with C4C to expand its services to 11 more countries in Africa and South America by the end of this year.

Implementing ICT in the 11 countries is a top priority for both TTC and C4C. They are hoping the mutual partnership will make establishing ICT services an easier task as the expansion continues. According to TTC, the game plan calls for TTC to provide “low” technologies like SMS and mobile voice services while C4C provides “high” technologies such as mobile internet and video transfer. Therefore, TTC and C4C will play different roles.

C4C will also invest its time reaching out to local entities on the ground to strengthen ICT networks. TTC will focus on improving health outcomes through their established mobile phone initiatives.

TTC sets up their mobile platform through the recipient country’s mobile service infrastructure already in place. They then subscribe mobile phone users to their programs which use SMS communication to inform people of HIV testing, treatment clinics, and other health related services at no cost to the recipients.

TTC SMS system Photo Credit: TTC

TTC programs offer the information through a free educational quizzing service where participants are quizzed about a specific health topic. As participants answer the questions correctly, they are sent more rounds of questions, again at no cost. If the participant can answer enough questions correctly, he/she receives incentives such as phone credit, t-shirts and health products.

Thus far, TTC has reached thousands of individuals with their programs on HIV/AIDS, malaria, and reproductive health. Furthermore, to assess the impact of ICT in the countries they are currently working in, TTC will even conduct large scale ICT evaluations over the next few years in those countries.

TTC is poised to make an impact in ICT through their mobile services. Their work is just another example of how mobile phones are being used as a medium to educate, inform and save lives. The tag-team partnership with C4C will be expanded to all 11 target countries by the end of this year. However, we will have to wait some time before confirming the outcome of this joint strategic approach.

June 27, 2011/by actualize

Agriculture, Health, Health, HIV/AIDS, Infectious Diseases, Mobile, Originally posted on the GBI Portal

Camels and SMS: Transporting vaccines in resource poor areas

Camel without refrigerator attached. Photo Credit: Art Center College of Design

The PATH initiative, which advances malaria vaccines, recently predicted that over ten times more vaccine storage will be needed in the developing world over the next 15 years. However, transporting and managing vaccines in developing countries faces many obstacles, including inhospitable climates, poor infrastructure, lack of electricity and disparate communities.

As a result, over 1 million people die every year in developing nations due to vaccine-preventable diseases. In some cases, vaccines may be reaching these populations, but when they do, they are no longer functional because they were not adequately cooled. Most vaccines must be stored within a certain temperature range in order to remain functional. Health organizations are increasingly turning to technology to help them do just that.

Fridge about to be loaded onto camel. Photo Credit: Art Center College of Design

Many NGOs and ministries of health make use of mobile vaccine refrigerators that harness solar energy to power the internal chamber that holds the vaccines. A particularly innovative and resourceful vaccine refrigerator came on the backs of camels. Naps’ Camel Fridge was designed back in 2005 and operates off of solar power. The fridge uses solar panels to harness energy, and sits on the backs of camels that transport the fridges to rural destinations. Over 1,500 of these camel fridges have been sold to WHO and UNICEF programs.

But if a shipment of vaccines arrives spoiled, it is important to know where in the logistics chain the temperature was breached so that changes can be made to prevent a recurrence.

However, some issues with these mobile refrigerators are temperature maintenance and vaccine spoilage. A practical gadget that has made cold chain storage more efficient is a technology that involves vaccine monitoring. SmartConnect, a technology developed by Inveneo that uses existing cell phone networks for data communication, can monitor vaccines by sending information about the arrival time and temperatures of vaccines in transit. That way, officials will know not only if a vaccine has spoiled, but when and where the problem may have occurred.

Sure Chill Vaccine Refrigerator Photo Credit: True Energy

SmartConnect is not the only project making use of SMS technology. True Energy’s Sure Chill Vaccine Refrigerators, which are WHO pre-certified, can store vaccines at a constant optimal temperature, without power, for up to ten days while using a vaccine vial monitoring system that records temperature changes and can send an SMS to indicate those changes.

True Energy has already shipped multiple units to Senegal and Vietnam under project Optimize, a WHO/PATH collaboration, and aims to ship many more units to countries like South Sudan, Kenya, Nigeria, Yemen, India and many more.

Incorporating mobile monitoring technologies and improving the efficiency of the fridges could make a tremendous impact on the success of many vaccination programs. And if PATH’s prediction rings true, they will be greatly needed.

June 24, 2011/by actualize

Agriculture, Health, Health Systems, Infectious Diseases, Mobile, Originally posted on the GBI Portal

How mobile banking and financial incentives can fight TB

Photo Credit: Stop TB Partnership

Earlier this month, the Indus Hospital in Karachi, Pakistan reported a substantial increase in Tuberculosis (TB) detection rates after the start of a program that uses mobile technology and financial incentives to get people to test for the disease.

Since the implementation of the program in January 2011, reported TB cases more than doubled at the hospital. Doctors reported a total of 420 cases in the first quarter of 2011, up from 200 in the last quarter of 2010, before the program was in place.

The program is anchored by a financial incentive scheme and use of mobile technology. In the program, doctors and community health workers who screen for TB are rewarded with a financial incentive through their mobile banking account. Health professionals are rewarded based on both the number of sputum samples that they collect and the number of patients that test positive for active TB following sputum test results.

Mobile banking centers that have emerged in Karachi make this program possible. Health professionals use SMS to send their TB data to the Indus Hospital TB Reach mobile data collection system and in return receive a text message which tells them how many cases they have helped to detect. The incentives are then tabulated and distributed at the mobile banking centers on a monthly basis by the data collection system, called OpenMRS Mobile.

Tackling TB is a big deal in Pakistan and the South Asian region as a whole. According to estimates by the World Health Organization, Pakistan developed nearly 300,000 new cases of TB in 2009, making them 8^th on the list of countries most burdened by TB. Case detection is imperative in treating TB because according to TB Reach, for every 10 additional cases detected, an estimated 5 lives are saved and 100 infections are prevented.

The Indus Hospital received a grant from the Stop TB partnership’s TB Reach program. The TB Reach program focuses on promoting increased case detection of TB cases, ensuring their timely treatment, all while maintaining high cure rates within the national TB programs. Working in two “waves,” the first wave targeted 19 countries with $18.4 million worth of funding. The project at the Indus Hospital in Karachi is a product of the first wave. Under its Wave-2 funding, TB Reach has approved US$ 31 million for 45 projects in 29 countries.

The Indus Hospital program’s success has caught local attention as the Indus Hospital health workers are now training local private general practitioners on TB screening and detection. Furthermore Indus Hospital has launched a communications campaign complete with billboards, posters and local cable television ads that encourage people to get tested for TB. The Indus Hospital, also Pakistan’s first hospital to go paperless, hopes to expand the program nationally and even beyond.

June 16, 2011/by actualize

Health, Health Systems, Originally posted on the GBI Portal

New telemedicine center in Nigeria aims to keep patients at home

A new telemedicine center opened last month in Lagos, Nigeria with the purpose of providing healthcare to local Nigerians. Designated as the Glo-Telemedicine Center, located on Victoria Island in Lagos, this center is a product of the collaboration between Nigeria’s Global Resources and Projects and healthcare providers in India, U.S., Egypt and other countries.

Photo Credit: Onche Odeh

The center is designed to minimize transportation concerns for Nigerians, especially those in isolated areas, to bring them expert healthcare from abroad. According to the executive officer of Global Resources Dr. Wale Alabi, “the Glo-Telemedicine Centre would bridge the gap between the poor and good health services by creating a simless [sic: seamless] communication between them and those with the expertise and facilities to help them.”

Dr. Alabi cited the high prevalence of Nigerians using life savings, and even taking out crippling loans to travel to foreign countries seeking expert healthcare. Dr. Alabi also claimed that over 60% of those who go abroad for services can get those same services in Nigeria, but often go abroad due to incorrect diagnoses.

The center will be used as a medical tool to reduce medical costs and substantially increase range of access to patients. The center is designed to offer specialty treatments to Nigerians at a low cost. It will also offer Continuing Medical Education to health professionals as a means to keep them informed of latest trends in health services.

The center’s capabilities are dependent on broadband fiber optics supplied by a Nigerian Telecommunication firm called Globacom. Their services take advantage of advances in ICT to transmit text, sound, video, image and other information from one location to another location.

Telemedicine is an application of medicine that takes advantage of electronic communications to transfer information from one location to another, often between health provider and patient, or between two health providers. Dr. Alabi noted that the success of telemedicine in African countries such as Kenya and Ghana is “transforming those countries.”

Similarly, Dr Alabi hopes the center will ultimately transform the way Nigerians think about accessing healthcare. However, this is not the first telemedicine project in Nigeria. Several years ago, the Nigerian government through the ministries of science and technology and health, commissioned a pilot telemedicine project that used satellite-based technologies. That project, called the NigComSat-1 Telemedicine pilot, was labeled impractical due to high costs and inapplicability. The Glo-Telemedicine center however, took note and addressed those issues, which is why it is now fully operational to Nigerians.

June 14, 2011/by actualize

Agriculture, Health, Health, Health Systems, Infectious Diseases, Mobile, Originally posted on the GBI Portal

HP plans to provide mobile technology to tackle malaria

Nurse using app on Palm Pre 2 smartphone in Botswana. Photo Credit: HP

On June 6^th, Hewlett Packard (HP) announced it will collaborate with a non-profit organization in Botswana to provide technology to monitor and treat malaria outbreaks. HP announced it will begin a yearlong clinical trial that will equip medical professionals in Botswana with Palm Pre 2 smartphones designed to collect information on malaria outbreaks.

HP will supply the technology to the non-profit group Positive Innovation for the Next Generation (PING) who will train health workers to collect the data on malaria outbreaks. The data will be collected and stored through an application on the smartphones provided. The application can store photos, videos, audio files as well as GPS information which can be used to generate a geographic map of the areas affected by outbreaks, which has never before been done in Botswana.

The program hopes to increase the rates of mosquito net distribution and provide advanced warnings to regions at risk of an outbreak. Within a day, health workers can achieve results that would normally takes weeks to produce.

Malaria is one of the most widespread infectious diseases, and according to the World Health Organization (WHO), takes nearly one million lives every year, mostly in Africa. WHO has predicted as much as 10% of the African population is under the threat of malaria. Therefore, controlling outbreaks and being able to predict devastating malaria epidemics is crucial to alleviating its burden.

What’s also noteworthy here is that HP is plunging into the mobile health monitoring market, one example of HP’s plans to contribute to global healthcare. Instead of putting money into pockets, HP is aiming to contribute technology and other innovative solutions to tackle challenges that are hindering healthcare around the world. This shouldn’t surprise anyone however, since HP was one of the founding members of the mHealth alliance.

This program indicates the rising importance of mobile health technology as a key player in tackling health burdens in developing countries. Using mobile technologies, whether to collect data from isolated populations or to monitor disease prevalence presents an avenue for NGO’s and governments to reduce health service costs and increase accessibility. HP hopes to scale up this program to all of Africa, contingent upon success in Botswana.

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June 10, 2011/by actualize

Agriculture, Health, Health, Health Systems, Humanitarian Assistance, Mobile, Originally posted on the GBI Portal

Medic Mobile introduces first mobile SIM application for healthcare use

Medic Mobile, a mobile health non-profit based in Washington D.C., announced the development of the first mobile SIM application for healthcare on June 6th. SIM apps can operate on 80% of the world’s phones ranging from $15 handsets to Android smart phones, so their potential use means reaching unimagined levels in data collection.

The SIM applications are menu based applications on mobile phones that reduce costs and increase accessibility for patients. Says CEO Josh Nesbit on his blog, “I can imagine all eight million global community health workers utilizing SIM applications to support their work and improve the lives of their patients.” Through these applications, patients don’t need to see a doctor, they can simply register their health data through the app and the data gets sent to health professionals who send feedback.

Medic Mobile is a pioneer in developing SMS based communication solutions. The organization started out with a project in Malawi where their SMS services saved clinical staffers 1,200 hours of patient follow-up time, thousands of dollars in costs and doubled the number of patients who were treated for Tuberculosis. Perhaps their most well known project came after the earthquakes that devastated Haiti. Mobile Medic created an SMS database where people could text the number “4636” to be tagged, mapped and subsequently assisted. Thousands of victims were rescued with this service.

SMS and SIM application based healthcare services can serve as a blueprint in the developing world to alleviate health burdens. Over half of all Africans use mobile technology, and according to an ITU report, over 70% of low and middle-income countries utilize mobile technology. Mobile technologies dominate any other technology in the developing world. They are cheap and conveniently accessible.

Photo Credit: Medic Mobile

Nesbit sees great potential and envisions applications that help patients schedule appointments, access remote consultations and connect with health care professionals during a medical emergency. Nesbit’s products are proof that mobile phones can be a game changer in providing healthcare. They can essentially serve as health professionals at any place and any time. Not even the developed world can claim that.

Medic Mobile, a mobile health company started in college by Josh Nesbit, is a trailblazer in the field.

June 10, 2011/by actualize

Agriculture, Health, Health Systems, Infectious Diseases, Mobile, Originally posted on the GBI Portal

Cell Phone Attachment Helps/Manages Malaria

Today is World Health Day 2011 and theme this year is on antimicrobial resistance. In developing countries, one of the most pressing health issues is malaria, with a high morbidity and mortality rate. Rapid diagnosis and prompt treatment are most basic managerial elements on how to circumvent this vicious disease. The attachment of a microscope onto a cell phone, known as Cellscope, can help with these diagnoses.

View the Prezi below to see how the innovative mHealth tool can help rural health workers.

Copy of CellScope Story on Prezi

April 7, 2011/by actualize

Agriculture, Health, Originally posted on the GBI Portal

Gates: mobile phones and global health

At a keynote address at the mHealth Summit in Washington in November 2010, Bill Gates discussed the use of mobile phone technology for health programs. But he cautions “we have to approach these things with some humility … we have to hold ourselves to some pretty tough metrics to see if it’s really making a difference.”

AFP: Mobile technology can help improve global health: Gates.

March 1, 2011/by actualize

Education, Originally posted on the GBI Portal

mHealth M&E Call for Submissions

The Journal of Health Communication (JHC) is seeking inputs for a special edition focused on measurement and evaluation outcomes for mHealth.Manuscripts of no more than 3,000-words will be accepted until March 28, 2011

Journal of Health Communication is now exclusively using an online submission and review system, Manuscript Central, through which authors submit double-spaced manuscripts and track their progress. Hard copies of manuscripts will not be considered. Authors should enter the requested information into the system and submit the following files: (a) a cover letter file, containing any comments to the editor; (b) a manuscript file (submitted in Word or WordPerfect), containing the entire text of the article, including the title page (authorship omitted), the abstract, all text, references, footnotes, and appendixes; (c) figures and tables, which may either be included at the end of the manuscript file or submitted as separate files. Manuscripts, abstracts, references, figure and tables must conform to the Publication Manual of the American Psychological Association (2001, Fifth Edition) guidelines.

**Please indicate in your online submission form and in your cover letter that this is an invited submission for the mHealth Supplement**

Only original manuscripts submitted to Journal of Health Communication will be considered for publication. The cover letter should include a statement that it has not been published elsewhere and that it has not been submitted simultaneously for publication elsewhere.. All manuscripts submitted to this journal undergo editorial screening and blind peer review. Authors will be notified of the disposition of their manuscripts expeditiously.

For this suppliment, articles should be no more than 3,000 words plus appropriate charts, tables, and references. All parts of the manuscript should be typewritten, double-spaced, with margins of at least one inch on all sides. Number manuscript pages consecutively throughout the paper. Authors should also supply a shortened version of the title suitable for the running head, not exceeding 50 character spaces. Each article should be summarized in an abstract of no more than 200 words. Avoid abbreviations, diagrams, and reference to the text. Manuscripts, including tables, figures, and references, should be prepared in accordance with the Publication Manual of the American Psychological Association, 6th Edition.

The editors cannot respond to individual queries regarding the appropriateness of planned contributions. Please consult recent issues of the Journal regarding our scope of coverage of health communication issues. On our web site, you can view abstracts in specific subject areas at no charge. All other questions should be e-mailed to Wendy Meltzer at journalofhealthcommunication@gmail.com .

Authors are responsible for obtaining permission to reproduce copyrighted material from other sources and are required to sign an agreement for the transfer of copyright to the publisher. All accepted manuscripts, artwork, and photographs become the property of the publisher.

February 10, 2011/by actualize

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

USAID Maternal and Child Health Integrated Program Uses Mobile Technology to Improve Health Care

The Maternal and Child Health Integrated Program (MCHIP) is the USAID Bureau for Global Health’s flagship maternal, neonatal and child health (MNCH) program. Awarded in September 2008, MCHIP focuses on reducing maternal, neonatal and child mortality in 30 priority countries, contributing to Millennium Development Goals (MDGs) 4 and 5.

Designed by USAID as a “Leader with Associate Cooperative Agreement” (LWA), MCHIP can be funded by USAID Missions and Regional Bureaus through traditional field support and other mechanisms. In addition, MCHIP can accept Associate Awards that Missions, Regional Bureaus or Global Offices develop with the Leader organization and oversee directly.

MCHIP takes “what works” to scale by working with USAID Missions, national and local governments, nongovernmental organizations, communities and partner agencies. Based on country context and identified gaps in providing services at the household,community and referral levels, MCHIP designs program strategies to ensure that services reach women and their families.

What MCHIP Is Doing Using Mobile Technology

Nearly half of all births in developing countries occur in facilities, yet the quality of care provided is often unknown. Reported clinical practice may differ greatly from observed practice. MCHIP has developed a Maternal and Newborn Quality of Care (MNH QoC)Toolkit consisting of five mobile, electronic data-entry tools for assessing the quality of services provided in hospitals and health facilities. These are primarily checklist tools for observing health worker performance related to services provided for labor and delivery and essential newborn care. The tools are designed to capture health worker responses to spontaneous complications, such as pre-eclampsia/eclampsia (PE/E) or postpartum hemorrhage (PPH), two of the leading causes of maternal death.

As of November 2010, MCHIP MNH QoC assessments have been conducted in five African countries, providing baseline data for quality improvement activities for maternal and newborn care at facility, regional and national levels.

Maternal and Newborn Health QoC Mobile Toolkit

Obstetricians and nurse-midwives are trained to use mobile phones for capturing observational health worker performance data at hospitals and health facilities;
Data is entered on Windows Smart Phone forms with Range, Logic, Skip and other data quality controls;
Data includes clinical observation checklists on labor and delivery services, antenatal care, facility inventories, health worker maternal and neonatal knowledge tests, register, maternity chart and partograph review;
Quantitative and qualitative data is captured via interviews, simulations and observation checklists including audio noted and pictures of partograph;
Data is backed up to internal SD card and then transmitted via GPRS to in-country servers; and
Results are uploaded to the Web in predefined table, graph and map templates.

A Tool for Improving Quality of Care

The overall goal for MCHIP is to contribute to the reduction of frequent, preventable maternal and newborn deaths through increased quality of known life-saving interventions in countries facing the highest disease burden. Mobile phones have improved the quality of data and expedited the timeliness of results reporting. Specific needs for effective interventions for screening, prevention and treatment of obstetric and newborn complications are being identified as results come in from the MNH QoC Assessments.

Data collected and analyzed provides an opportunity to guide development of program interventions to improve the quality of facility-based maternal and newborn care services. By providing a baseline and end line measures in countries where the survey is part of an evaluation of interventions being implemented, data also provides an opportunity to inform policy change and resource allocation. These indicators and data collection tools can be used in multiple countries to provide information on key screening, prevention and management of interventions of the most frequent direct maternal complications.

Click here to view the poster presented by USAID at the mHealth Summit 2010. Also check out this Youtube Video of MCHIP’s own David Cantor speak as part of the panel discussion at the Summit.

January 20, 2011/by actualize

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