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Empowering Community Health Workers in Tanzania with CommCare Mobile Applications

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This outline details the development and implementation process of CommCare mobile applications for Community Health Workers (CHWs) in Tanzania, conducted by PATH and D-Tree International. It covers focus group discussions, field visits, and comprehensive training sessions aimed at enhancing TB screening in local communities. The document highlights various prototyping stages, data collection refinements, and the challenges faced, such as network limitations and privacy issues. The goal is to create a user-friendly tool that effectively supports CHWs in their outreach efforts.

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Empowering Community Health Workers in Tanzania with CommCare Mobile Applications

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  1. PATH-CommCare Enabling Community Health Workers (CHWs) with Mobile Applications. Gayo Mhila, D-Tree International, Tanzania

  2. Outline • Introduction- • Process of Developing CommCare • Implementation • Prototypes • Funs and Challenges • Conclusion

  3. TB Screening in the Community by (CHWs)

  4. Process of Developing CommCare: Focus Group Observation Paper Prototype Build CommCare Test

  5. Implementation of PATH Comm • Conducted a minimum of 4 focus group discussions • Three field visits -household follow-ups to observe the work flow and interaction between CHWs and household members • Two days training of CommCare for CHWs in Kisarawe • Four field training after the CommCare training • Three different versions of CommCare already deployed

  6. Example of Paper Prototype

  7. TB screening electronic version

  8. The Best From The Field! There are several changes that we would have not thought without the CHWs input • TB Survey form – TB Education form • Patient to called a Client • Soft keys of CommCare to be in Swahili language • To capture Sub-village instead of a village • The flow of questions on the registration and diagnosis form

  9. More to be done • Continue to refine the tool to make it more user friendly • Continue to change the remaining soft keys from English to Swahili • Add a review form to help user view collected data • Find out what information is ok to be submitted to the system and what should be omitted.

  10. Challenges • Limitation of understand the existing system • Only one network coverage in the area • Charging phones in rural areas. Exploring alternatives such as solar, etc • Airtime management, personal calls • Uptake and understanding technology • Privacy and confidentiality of clients info

  11. Conclusion • As we continue to shape & refine the mobile tool we should start thinking what do we want by the end of phase 2. • Review the indicators to determine success and failure of the project • What reports should we start prototyping from the PATH community based in preparation of the next phase if any. Thank you.

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