Best Practices, Experiences and Lessons learnt on using mobile phones to impact HIV/AIDS Behavioral Change. AIDS2012 July 2012. Eunice Namirembe firstname.lastname@example.org +256 776833855. 6 billion Mobile Phone subscriptions Globally ( ITU,2011) 433 million in Africa (GSMA 2011)
Best Practices, Experiences and Lessons learnt on using mobile phones to impact HIV/AIDS Behavioral Change
AIDS2012 July 2012 Eunice Namirembe email@example.com +256 776833855
6 billion Mobile Phone subscriptions Globally (ITU,2011) 433 million in Africa (GSMA 2011) 53% have access to mobile phones in Africa (ITU) 95% of messages is read within 4min Developing countries have more mobile phones than “developed” countries
Uganda: Mobile & HIV/AIDS Statistics Over 14 million mobile subscribers in Uganda as at June 2011 At least 50% of Ugandans can access a mobile phone 5 Major Mobile Operators At least 1.2 million people infected in Uganda in 2011 At least 130,000 new infections every year More women than men infected Ref: Global AIDS Response Progress Report: Uganda Jan 2010-Dec 2012
NGO founded in 2007 in Amsterdam Social Mobile Service & Content provider TTC develops Interactive and Incentive based mobile programs Pioneer in mHealthinAfrica – 1stMhealth programme in Africa in 2008 Mobile Tools for Health, Education & Social Impact: SMS, Voice, Data
HIV/ AIDS Family planning/rep health TB PMTCT Antentatel care Medicine adherence Drug stock outs mHealth Mobilisation health services Data collection Text to Change has active programs in 8 countries (red) and upcoming programs in 7 more (yellow)
First TTC program in Mbarara ( 2008) Target: 15.000 Celtel subscribers HIV/AIDS Quiz Results: 20 % response rate Uptake in HCT of +40% at AIC Built our own platform + toll free short code
Do you think a healthy looking person can have HIV? Yes No To reply send: QUIZ<space><answer nr> to 8181 Well done! Someone who looks healthy may be HIV positive and could infect others. To know your own and your partners’ status, you should test for HIV together Users participate in free Health quizzes
Tomorrow there is FREE HIV testing at the clinic in Lira. Please come and bring your partner! Tell your friends and family to come also! SMS mobilization Week in which message was sent Increased uptake for VCT after SMS message
Providing Comprehensive Holistic Care to Clients with TB, HIV/AIDS and Cancer Started in April 2010 -112 clients – 104 clients (93% ) were active on the program Sending reminders to clients to take ARVs Increased adherence after SMS use :87% adherence above 95% @ project start and 93% after 3 months Testimonial from partner ‘A greatly successful project as seen in the results below, the clients adherence increased, their viral load reduced and their CD4 also went up’ + PEPFAR SMALL GRANTS
Reminders Medicine Greetings! Please do not forget to take your medicine. Please call 0784121381 if you have any problems. Information HIV changes your life, but don't panic. If you live healthy and take medication when you need to, you can live a good, long life.
Reach people at workplace Quizzes on HIV/AIDS HCT Mobilization Time and cost effective 4 companies joined Scientific research (in progress) Combining strengths: Public Private Partnerships +
Cure for HIV/AIDS? Testimonial Sarah Mukuru, Community member Kinyara “I never knew that one can get health messages from a phone. It is very interesting except that I am not sure I will get airtime. I am planning to just read the message on condom use to my husband so that we start a serious discussion. For a long time I have wanted to talk about these things but as you know our men here, it is not easy”
EPMTCT/ Mother Reminderprogramin rural Uganda Increase number of ANC visitsto a minimum of 4. Increase PMTCT uptake & adherencefor HIV positive pregnant women Increase number of women delivering at the health clinic Provide postnatal support; examples: info about nutrition and hygiene.
Promotion of Medical Male Circumcision via SMS To learn about Male circumcision and its advantages send: TOHARA to 1504 To enquire on sites offering MC services send: WAPI to 1504 To receive post MMC health messages send: BAADA to 15014 High uptake of SMS inquiries suggests that use of mobile phone technology has ability to increase access to MMC for HIV prevention services
How do you get users to participate?
Social incentives Scalable Sustainable
Incentives with monetary value Airtime Examples: Airtime Merchandise Health products Barcelona shirt Mosquito net
Our Impact Increased uptake in people going for health services after receiving the messages from TTC Health awareness is promoted via the interactive and incentive-based messaging Adherence improvement (Improved Health seeking behavior)
Mhealth is Cheap, Mhealth is expensive Text Vs Voice Text: cheap, can be retrieved any time, Voice: closes illiteracy gap, expensive,
Combining with other media: Radio Television Newspapers Posters
Lessons learnt CONTENT Sustainability/ Pilot disease; Create a win-win situation, Business Model?; Not always demand for M&E; Phone Sharing – Advantage and Disadvantage; Male cell phone ownership; Local partnerships: relevance and responsiveness to local needs and conditions; Timing of SMS messages Data inaccuracy is always an issue when collecting data
Text to Change: Why does it work? Simple in Concept powerful in Result; Multimedia approach ; Partnerships with mobile operators, telecom industry, NGO‘s, private sector and governments; Software that works in Africa; Toll free services; Demand driven programs; Local content; Focus on the end-user Flexible SMS system