ict4 d sep 23
TRANSCRIPT
Bobby Jefferson, Anita Dartar
Garten, Abby Clay
ICT4 Development Conference
Sep 2010
Futures GroupOur Mission
Futures Group develops and delivers
innovative, locally relevant, evidence-
based solutions to improve the health
and well-being of people worldwide.
Futures Group Program Areas
Population, Maternal and Child Health
HIV and AIDS, Infectious Diseases
Gender
Our Reach
25 Office Locations
450 Staff World Wide
Futures Group Technical Services
Health Informatics
Strategic Information
Modeling ,Forecasting, Economic Analysis
Policy and Advocacy
Our Clients
USAID CDC DFID
Global Fund WHO
Gates Foundation Packard Foundation
European Union GTZ
Consortium
Nigeria, Kenya, Uganda, Tanzania, Rwanda, Zambia, South Africa, Haiti
Guyana, Ethiopia 244 ART Health facilities 112 Satellites 535 PMTCT sites
Rural, remote, faith based mission hospitals “serving poorest of poor”
No power, intermittent power, No IT staff, No internet, Sparse mobile coverage
Nurses, Clinicians, Adherence Counselors, need health data, M&E program
data in knowledge repository
Lack of referrals or linkage to existing technology systems
Cost effectiveness and sustainability -- no funds for proprietary licenses, or
yearly maintenance fees
Futures GroupeHealth mHealth approach
creative common approach Use of freely available, reusable, tools, “coded in country”
Offline Solutions, Disconnected model
Reusable software and technology across countries and programs
Programmers and IT staff in country
Low costs, Inexpensive $250-$350 Netbooks Solar mobile phones, SMS
Physician conducts consultation with data already in IQCare
Lab scientist retrieves ordered tests from IQCare, conducts tests and enters results into database
EMR SystemIQCare
(Facility Level)
DonorsOGAC, CDC, HRSA, USAID
MOH National Reports(Kenya , Uganda, Nigeria, Rwanda-IQChart)
Pharmacy , Supply ChainManagement Sciences Health,
ARV dispensing tool (ADT)
SCMS, Crown Agents,
Clinical/Medical PartnersSchool of Medicine, Faith Based Orgs
Mennonite Christian Charities
In-country ICOBI, CHAK, IMAHealth Indicators
Immunization, Well Baby, WHO -3ILPMS
Integrated HIV, TB, PMTCT
Community Mobile health solutionsDimagi, D-Tree, MIT Media Labs,
mHealth Alliance,
Financial Mgmt PartnersPastel Software,
Tableau DashboardCMMB
Laboratory PartnersOpenELISBika Labs
TherapyEdge
Interoperability
Intel, Netbooks, low cost,
low powerInveneo
District Indicators, DHIS v2.0 software,
Next Gen Indicators (NGI),
HIV/QUAL, HEALQUAL
HL7
Other EMR (OpenMRS,BaobabCareware, SMARTCare,iSante, CTC2)
IQTools
Futures FieldTeam
PMTCT Monthly Report
No computers at all PMTCT sites
No funds to purchase SmartPhones, iPhones
Limited internet bandwidth
IQSMS - Timely, Quality Reporting by Health Workers
IQSMS User Level Report formatting
Data validation
PMTCT MONTHLY REPORT
Jan-10
PMTCT Antenatal Clinic (ANC) Monthly Summary
Form
All women attending ANC for the
given report periodL
PT
F 1
ANC 01. New ANC clients this month 1188
ANC 02. Previously known to be HIV positive 17
ANC 03. Total number tasted 574
ANC 04. Number of new client had HIV test at ANC 277
ANC 05. Tested HIV-Positive 37
ANC 06. Post-test counseled for positive and negative 574
ANC 07. Number of partners tested for HIV 16
ANC 08. Tested HIV-Positive 4
Paper Report SMS
Data Type Validation
Report Duplication Check
• IQSMS software, Immediately Messages Health Care Worker if PMTCT Report fails Data Quality checks and alerts SI staff
• Only after passing All Data Quality rules, IQSMS software adds PMTCT report to aggregate database
IQSMS Reporting
Immediate Data Quality Alert
Pass or Fail
PMTCT Report
IQSMS Benefits Submission via low cost mobile phones in the field
IQSMS project takes advantage of mobile phones already owned by health worker. By using a
familiar device, training requirements are similar to paper based training
Low cost of SMS submission ($0.04 per SMS)
Fuel and Transport cost savings in staff travel and reliable data submission
Health Care Workers no longer required physically to transport paper reports or fax PMTCT
reports to central project offices.
PMTCT Data can be made accessible to a wider audience (local, district, region, levels
Health facilities interested to know how their statistics compare with others in their districts
Excel
PMTCT MONTHLY REPORT
PMTCT Antenatal Clinic (ANC) Monthly
Summary Form
ANC 01. New ANC clients this month
118
8ANC 02. Previously known to be HIV
positive 17
ANC 03. Total number tasted 574ANC 04. Number of new client had HIV test
at ANC 277
ANC 05. Tested HIV-Positive 37ANC 06. Post-test counseled for positive
and negative 574
ANC 07. Number of partners tested for HIV 16
ANC 08. Tested HIV-Positive 4
Solar Power Cell phones
Ms Access
Database
PDA device
Web Internet
Desktop
Excel Only
M&E Electronic Reporting System
Futures Group
Futures Group
Futures Group
“After successful assessment, the IQ Care system developed and supported by the Futures
Group and Catholic Relief Services came up top in terms of overall features (technical and non
technical) and also in terms of largest number of installations “
WHO sponsored EMR Assessment Report
, Kenya May 2009
Rwanda
ICAP Columbia University 44 sites
Intra Health International 17 sites
Elizabeth Glaser EGPAF 16 sites
Family Health Inter FHI 45 sites
Catholic Relief Services 13 sites
Kenya
Catholic Relief Services
Pathfinder International
Gertrude Children Hospital
Catholic Relief Services
John Snow International
Rakai Health Services Vaccine Research
Uganda
Intra Health International Southern Sudan
Mennonite Christian Charities
Catholic Relief Services
Nigeria
Futures GroupThank You
Bobby Jefferson bjefferson @ futuresgroup
Lanette Burrows lburrows @ futuresgroup
Futures SI Advisor in-country
www.futuresgroup.com
www.iqstrategy.net