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October, 28th 2009World Bank Day

mHealthWashington, DC

mHealth in developing countries:

Text to Change: 5% software, 95% programs

-Impact-Challenges-Scalability -End user

Tools:• Text message quizzes• Keywords• Interactive voice response• Data gathering

Where:• Uganda• Kenya• Tanzania (November

‘09)• Namibia

How:• Sms• Voice

Text to Change: How does it work?• Partnerships with mobile operators, companies, NGO's and governments;• African software;• Demand driven programs;• Local content;• Interactive education.

Goals:• Create more awareness• Gather data on knowledge• Increase testing via sms referral

Past Programs:-2008: Local partner: Aids Information Center, UgandaSupport partners: Zain (Celtel), Merck&CoProgram: HIV/AIDS awareness via smsWhere: Mbarara, UgandaParticipants: 15,000Results: 35% uptake in HIV testing

-Q1 2009: Local partner: Aids Information Center, UgandaSupport partners: MTN, Merck&Co, Dutch Ministry of Foreign AffairsProgram: HIV/AIDS awareness via smsWhere: Arua, UgandaParticipants: 10,000Results: 40% uptake in HIV testing

-Q2 2009: Local partner: UN (Texting for Health)Support partners: UN-ECOSOC, WHOProgram: Global public health quizWhere: Jinja, UgandaParticipants: 10,000Results: proof of collecting real time information through m-polling

-Q3 2009: Local partner: HIPS Support partners: USAID, IBM, Soccerclub Barcelona.Program: Public health education for twho sugar factories and one cobolt factory, Uganda.Where: Kinyara, Kasese and Kakira UgandaParticipants: 14,000Results: Uptake in community visits to clinics

Lessons learnt:

*Sms services in local languages;*Improve text message software;*Zero rating the service;*Service over all mobile networks;*Better data analysis;*More partners;*Local content;*Create sustainable programs;*Better training of peer educators on text messages;*Open Source system to establish interoperability between mobile for development systems.

HIPS program Uganda September 2009

Three factories, 5,000 people -Kakira Sugar-Kinyara Sugar-Kasese Cobolt

25 questions via sms43,000 text messages received34% participation level

>Numbers via peer educators>Incentives via social competition and airtime>8 week program

Percentage Correct by Factory

Joint work with C. Danis, J. Ellis, IBM Research

Percentage Correct by Question Content

Joint work with C. Danis, J. Ellis, IBM Research

Future?#Governmental Programs;#Mobile Provider programs;#Company workplace Programs.

• Workplace programs aimed at informing employees about a healthy lifestyle;• Baseline survey followed up by mobile survey for high frequency monitoring (in conflict areas and elsewhere);• Mobile survey aimed at enhancing transparency and creating public debate;• Education tracking to improve teacher motivation and reduce absenteeism• Citizen reporting on drug stock outs and absenteeism of health staff

*Demand driven programs>open-data, collaboration, open-source

Hajo van Beijma

http://www.texttochange.com hvanbeijma@texttochange.com

+31628265485

twitter.com/hajovanbeijmalinkedin.com/in/hajovanbeijma