Improving community reach through mobile technologies the pci experience
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““Improving Community Reach through Mobile Technologies: The PCI experience” ” . Kwaku Yeboah, MB,CHB,MPH Vice President, HIV/AIDS Programs. PCI July 25, 2012. PCI’s Reason for Being. Our Mission is to prevent disease, improve community health and promote sustainable development.

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Improving community reach through mobile technologies the pci experience

““Improving Community Reach through Mobile Technologies: The PCI experience””

Kwaku Yeboah, MB,CHB,MPH

Vice President, HIV/AIDS Programs. PCI

July 25, 2012


Improving community reach through mobile technologies the pci experience

PCI’s Reason for Being

Our Mission

is to prevent disease, improve community health and promote sustainable development.

Our Vision

Motivated by our concern for the world’s most vulnerable children, families and communities, PCI envisions a world where abundant resources are shared, communities are able to provide for the health and well-being of their members, and children and families can achieve lives of hope, good health and self-sufficiency.


Improving community reach through mobile technologies the pci experience

Our Global Impact


Introduction

Introduction

  • M-health a subset of e-health (use of ICT)

  • Increasingly used globally including developing countries

  • Used in

    • collecting community and clinical heath data

    • Delivery of health care information to practitioners, researchers and patients

    • Real time monitoring of patients

    • Direct provision of care via telemedicine

  • Based on high mobile telephony and mobile application access

    • It is projected that India will have 1.159 billion mobile subscribers by 2013

    • More than 735 million subscribers estimated by 2012 in Africa. http://www.bbc.co.uk/news/world-africa-15659983


M health in pci

M-Health in PCI

  • Currently used in programs in

    • India

    • South Africa

    • Zambia

    • Guatemala *

      • *not quite functional yet.


M health in india

M-health in India

  • Recent/Current usage in

    • Providing prenatal, post natal immunization information in Sure Start Project

    • Provide counseling and messaging on ART adherence in PATHWAY Project

    • Key awareness on polio immunization

    • Support Microfinance Institution (MFIs)


How this ha s been done

How This Has Been Done


Networking with free sms services polio immunization program

Networking With Free SMS Services – Polio Immunization Program

  • Networking with a local (Moradabad) News channel, that send SMS messages each time to approx 25,000 persons

  • PCI provides “SMS text content” to the news channel

  • The message is delivered before and during polio rounds to influencers, resistant families, government officials


Developing customized mobile application

Developing customized mobile application


Process

Process


Understanding mobile challenges

Understanding “Mobile” Challenges

  • Who controls the handset

    • women clients may not fully control the mobile handsets

  • Training or skill building needs

    • A survey reflected 71% of clients felt they would need “handholding” in use of mobile handsets

  • Literacy could be an issue

  • Affordability

    • charges will need to be passed to sender rather than recipient

  • Mobile technology

    • In one of the PCI project areas- 63% population are using GSM vs. 37% using CDMA


Outcomes

Outcomes

  • Sure Start:

    • Improvements in early antenatal registration (45-93.4 %), 4 antenatal check ups (73-95.8%) institutional delivery (84-99.7%) and thermal care (70-86.5%) between 2008 and 2011


Outcomes 2

Outcomes -2

  • Polio Program:

    • Improvements in uptake of polio vaccinations

  • PATHWAY:

    • Improvements in ART adherence (98% vs 78% nationally, 2010)


M health in south africa

M-Health in South Africa

  • Prevention in Action

    • A four year program focused on preventing violence against women (VAW) as an HIV prevention strategy

      • implemented by PCI (SA), KwaZulu-Natal and Western Cape Networks on VAW

    • A cellphone-based SMS system was used to encourage reporting of actions

    • actions being documented into a “SalesForce” monitoring system via call-backs


M health in south africa 2

M-Health in South Africa - 2

  • Actions were ‘amplified’ through ongoing documentation

    • on video,

    • in graphic formats,

    • via events,

    • via facebook

    • SMS, and

    • through news media


M health in south africa analysis of reported actions in pia

M-health in South Africa – Analysis of Reported Actions in PIA


Outcomes south africa

Outcomes: South Africa

  • VAW is being addressed through collective community action which has led to

    • Reduced partner violence

    • Improved conflict resolution etc.


M health in zambia

M-Health in Zambia

  • Cervical cancer screening in mobile HTC

    • Digital photos of cervical lesions taken

    • Photos sent by wireless email to gynecologists off site for consultation

    • Prompt feedback from gynecologist to confirm diagnosis and offer appropriate treatment; 72/108 eligible clients offered on site treatment

    • SMS messaging to remind clients about review dates and follow up with gynecologists for clients referred

      • Led to high referral completion 34/36 (94.4%)


M health in zambia1

M-health in Zambia


Conclusion

Conclusion

  • Improved access to mobile telephony and mobile application access provides excellent opportunities to improve community reach and improve public health outcomes

  • Fast pace in m-health evolution may not allow for experience sharing

  • Community involvement in design of applications crucial in making them relevant

  • Additional untapped opportunities exist that can be further explored and utilized

  • Effective partnerships are crucial for M-health


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