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Mother Infant Pair Mobile Application Malawi

Mobile Services that Empower Vulnerable Communities. Mother Infant Pair Mobile Application Malawi. Lyness Kanada M & E Specialist March 20, 2013 ICT4D Conference Accra, Ghana. Acknowledgements:. CHIKWAWA DIOCESE. IMPACT Background.

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Mother Infant Pair Mobile Application Malawi

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  1. Mobile Services that Empower Vulnerable Communities Mother Infant Pair Mobile Application Malawi Lyness Kanada M & E Specialist March 20, 2013 ICT4D Conference Accra, Ghana

  2. Acknowledgements: CHIKWAWA DIOCESE

  3. IMPACT Background • USAID/PEPFAR-funded GDA serving 100,000 OVC and PLHIV, July 2010 - June 2014 • Designed to complement WALA Program in 9 districts in central and southern regions • Collaboration with Government of Malawi through MoGCSW, MoH, NAC & OPC/DNHA and US Peace Corps • Improve wellbeing of OVC and increase access to treatment and care for PLHIV • SO1: Improved wellbeing of 60,000 OVC • SO2: Access to treatment and care for 40,000 PLHIV enhanced

  4. IMPACT Background - IMPACT Consortium Members

  5. MIP application • Mother Infant Pair protocol: guidelines on following up infected women and their exposed infants during antenatal, post-partum and postnatal home visits until child is aged two • Application guides HSAs through content on each home visit • Application developed on CommCare platform, running on Nokia 2700c phones • 21 HSAs trained -46 more to be trained by May 2013

  6. MIP Application Design Main Menu Registration Antenatal Visit

  7. MIP Application Design Cont’ Post-partum visit Postnatal visit

  8. Key Successes • Application has helped HSAs understand CBMNC guidelines better • Adherence to protocol has improved • Clients have been more open to HSAs during follow-up visits as compared to before using the phone - application has improved relationship between HSAs and clients • Continued counseling on drug adherence for both mother and child at each visit to avoid defaulting • Referrals are being made during home visits • Capacity built within CRS on mobile applications

  9. Key Issues / Challenges • Testing all sections of the application - time from pregnancy until child is two • Using application on MIP households may compromise on confidentiality issues - CBMNC application • Some MIPsdon’t disclose their status to their spouses – becomes difficult for HSAs to conduct home visits

  10. Lessons Learned • Application can help improve PMTCT as exposed women are fully followed up and each visit done correctly as per protocol • Need to add component to the application to be used on non MIPs as well • Relevant DHO staff under MoH are oriented on the application - to take over when IMPACT finishes • Application uses GPRS data transmission at $0.00003/Kb (compared to $0.03/Kb for a single SMS)

  11. Conclusion MIP Mobile Application Improving quality of service offered to HIV infected women and their exposed infants!!

  12. Mobile Services that Empower Vulnerable Communities Questions!

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