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eHealth Malawi

eHealth Malawi. Dr John O’Donoghue. • mHealth and eHealth • The Role of Data • Supporting LIFE • Malawi eHealth Course • Malawi eHealth Research Centre • MTIMA • BioTope • Research to Publication. Overview. mHealth and eHealth. Apps. mHealth. Sensors. Public Health. eHealth. MoH.

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eHealth Malawi

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  1. eHealth Malawi Dr John O’Donoghue

  2. • mHealth and eHealth• The Role of Data• Supporting LIFE• Malawi eHealth Course• Malawi eHealth Research Centre• MTIMA• BioTope• Research to Publication Overview

  3. mHealth and eHealth Apps mHealth Sensors Public Health eHealth MoH Databases Org NGOs DigitalHealth ICT Telecoms Big Data Education Cloud

  4. The Role of Data

  5. The Role of Data (cont)

  6. Supporting LIFE • To support HSAs in the assessment and management of children <5 with potentially life-threatening diseases, such as malaria, pneumonia and infantile diarrhoea

  7. Why Supporting LIFE? • In Malawi, the under-five mortality rate is 64 per 1,000 live births (WHO, UNICEF, World Bank). • Malaria, pneumonia and infantile diarrhoea are the major causes of mortality in children under 5 years of age. • Most deaths due to serious infections such as malaria, pneumonia or dehydration in children could be avoided by prompt recognition and treatment.

  8. Supporting LIFE Vision • Enhance the knowledge and skills of local health surveillance assistants through education/training • Improve the assessment & management of young children with infectious diseases via the use of a WHO-compliant decision support mobile app for integrated community case management (iCCM) • Enable real-time disease monitoring and rapid public health interventions by the MoH using advanced, mHealth driven reporting infrastructure

  9. Malawi eHealth Courses ICT Professionals Developers, systems analyst, database administrators, information system managers… etc. • Health workers with ICT competencies • ICT Professional with understanding of healthcare Health Workers Nurses, Clinician, lab technicians, health educations, HSAs, public health officers… etc. Implementation of computer-based health information systems creates need for a cross-disciplinary workforce in ICT & health.

  10. • April 2015: A week long course with 20 health coordinators, nurses and medical staff. Funded through Norwegian church aid.• November 2015: A week long course with 20 HSAs (new content and structure), preparation for future courses. Traditional class structure. Funded through the Supporting LIFE project, Norwegian Church Aid and Imperial College London. • December 2015: A week long course with 20 HSAs. Traditional class structure. Funded through the Supporting LIFE project, Norwegian Church Aid and Imperial College London. Malawi eHealth Courses

  11. • May 2016: A 4-week long course with 20 HSAs, Blended learning class structure i.e. traditional and eLearning. Funded through the Supporting LIFE project, Norwegian Church Aid and Imperial College London.• In parallel seeking funding to ensure long term sustainability of the eHealth courses. Better integration with undergraduate and postgraduate programmes across Malawi.• Holding initial discussions with BMJ, Amref and EU Malawi etc. Malawi eHealth Courses

  12. Mzuzu University Health Information System Training Lab Established December 2014 20 Touchscreen AIO Computers Equipped with Windows operating system and Office Package

  13. Malawi eHealth Courses

  14. Overview of Course Administration 5 days, 18 sessions covering topics in eHealth, mHealth, practicals in ICT, DHIS2 and simple data management. Lecturers: • MZUNI ICT Dept. Facilitator • Mzimba North District HMIS Officer • LIN Staff: Project Coordinator, Health Information System Officer • Imperial College London: Global eHealth Unit Faculty Members • Student Volunteers (demos) Cohort 1: Before taking the course, most of the participants (19 out of 25) had learned some form of computer skills but were not proficient. Cohort 2: Majority of participants had never used a computer before.

  15. • 40’ Shipping Container converted into a dedicated eHealth Research and eLearning facility• The centre is being established to develop capacity in the area of eHealth for education, research and innovation• Hosted by Mzuzu University with support from Luke International• International groups supporting the Malawi eHealth Research Centre include: Imperial College London, UK, University College Cork, Ireland, University College Dublin, Ireland• Twitter: @eHealthMalawi Malawi eHealth Research Centre

  16. Malawi eHealth Research Centre

  17. Malawi eHealth Research Centre

  18. Malawi eHealth Research Centre

  19. A team of clinicians and scientists from:Mzuzu Central HospitalUniversity College DublinQueen’s University BelfastImperial College LondonLuke International NorwayCollaborate research programme to study T2DM with an aim to prevent morbidity and mortality from this disease. Managing Type 2 Diabetes in Malawi and Africa (MTIMA)

  20. Managing Type 2 Diabetes in Malawi and Africa (MTIMA) • Feasibility pilot study which will involve the setting up a Diabetes Registry in Mzuzu Central Hospital (August 2015) • (n=100) patients from Mzuzu Central Hospital • Collate patient demographic and clinical information, and perform several clinical and diagnostic tests for T2DM and associated complications (including NTproBNP). • Generated data will be used to aid the study design of a larger clinical diabetes project for a Horizon 2020, MRC and Wellcome Trust funding applications.

  21. Biomarkers to Diagnose Pneumonia (BioTope) • Biotope will utilise symptoms and signs easily obtained using modern technology from children with acute respiratory infection and combine these with a host response blood & urine biomarker profile (n=500). • To be provided as a point of care test to accurately identify bacterial pneumonia and identify children most at risk of serious illness.  • Will be deployed as a clinical prediction model using a mobile phone based solution which will enable monitoring of patterns of disease and ongoing refinement of the algorithm leading to more accurate identification of bacterial pneumonia, reduction in antibiotic use and appropriate early referral of those most at risk of serious illness.

  22. Challenges • National infrastructures (roads, transportation, internet) are of a poor level. This can make the most simple of tasks extremely difficult. • Limited or no national registers e.g. birth or death registers. Steps are underway to correct this over the coming years.   • Essential to have a leading partner on the ground to coordinate all activities. Without this, a significant communication overhead will be incurred with limited progress made. • Good communication is essential in addition to extra guidance and support to provide training and build capacity. • Educational services are limited from Primary school to 3rd level. But improvements are being made.

  23. Primary eHealth/mHealth Groups in Malawi • Luke International: http://lukeinternational.no/ (North) • Baobab Health Trust: http://baobabhealth.org/ (Central and South) • Both LIN and Baobab have recently signed an MoU to foster greater collaborations. They are now deploying a unified ICT systems across Malawi. • D-Tree International: http://www.d-tree.org/ approximately (n=500) HSAs (across Malawi) use the D-Tree apps for a number of administrative and Decision Support activities. • MoH with John Snow, Inc (JSI): SMS based C-Stock drug management system. This falls in line with the, Malawi Health Sector Strategic Plan (HSSP) 2011-2016.

  24. Future Plans • Vision: Establish the Malawi eHealth Research Centre as a natural hub for Education, Research and Innovation. • Research: Run the SL clinical trial in Nkhata Bay (July-Sep 2016). • Scholarship Programme: Working with EU Malawi to develop a new scholarship programme to establish greater links between Imperial staff/researchers and Malawi. The EU Erasmus programme may be the funding source to support this initiative. • Promotion: Developing a number of short videos to highlight our research and educational activities. Helping to promote gender equality.

  25. BMJ Research to Publication The BMJ has developed new eLearning content to assist early stage researchers to conduct research is a more rigorous manner and avoid typical pit falls which at times lead to poor research output http://www.bmj.com/company/who-we-are/case-studies/research-to-publication/

  26. Thank you.

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