Working in Groups : TPPs for e/mHealth in TB & tobacco control and promoting country scale-up

Dennis FALZON, Hazim TIMIMI WHO/HQ

Expected outcomes

- Update on the evidence of the effectiveness of e/mHealth interventions for TB care and tobacco cessation and the direction for other complementary research; - Information provided on other e/mHealth interventions in TB & tobacco control, highlighting lessons learnt, evaluations, and best practices; - Development of target profiles for priority products in each of the four main functions; and - Planning of case studies and support to candidate countries to scale up e/mHealth interventions.

Workstream 1: Room 3 (level 0) Patient care, "eDOT" & mCessation Workstream 2: Room 15 (level -1) Surveillance and monitoring Workstream 3: Room 16 (level -1) Laboratory information systems Workstream 4: Room 17 (level -1) eLearning

Workstream composition (1)

WHO - TB WHO - Tobacco European Respiratory Society Country Technical partners System development expertise Corporate sector Reviewers Donor organization Patient perspective Other participation

Workstream composition (2)

• All should be assigned a number

• Each workstream has a lead facilitator

• A rapporteur is chosen to present on Day 2

• 20 minute presentation

• 25 minute discussion after

• Whiteboard & projector

• We finish at 6pm

Concept note for each workstream (1)

- A concept note has been drafted for each workstream (by the steering committee)

- Opinion poll ahead :

- 26 Jan - 8 Feb 2015

- 196 complete responses

- respondents could vote for up to 2-3 options

- Options : approaches to common problems in

different aspects of TB/tobacco control

Findings will be discussed in the individual Workstreams

Concept note for each workstream (2)

Structure

• Background • Experience & evidence • Description of the target product profiles • How to implement the TPP at scale • Measuring the implementation • References

DAY 1

13:45 – 14:45 1. Identifying the priority products for future investment

14:45 – 15:30 2. Drafting target product profiles for each priority product

15:30 – 16:00 Break

16:00 - 16:30 2. Drafting target product profiles for each priority product (continued)

16:30 – 18:00 3. Successful partnering in taking forward the developments of products (between end-users, technical agencies, donors and corporate sector)

DAY 2

10:30 - 16:00 Reports of Groups

To maintain continuity of care: establishing electronic communications between health care professionals and patients during their treatment

To maintain continuity of care and make sure patients are not lost to follow up: electronic referrals and confirmation that patient transfers between facilities actually take place

To reduce the burden and cost for both patients and health care professionals of making sure patients are correctly following their TB treatment: a way to record patients taking their medicines without patients having to go to a health facility

To ensure surveillance systems are capturing all TB cases: a simple, lightweight electronic method for clinicians outside national TB programmes to notify TB cases

To help health care workers and public health officials understand and respond to surveillance data: access to automatically-produced standard charts and maps showing trends in TB diagnosis and treatment for any area in a country

To speed up communication of results: a system to store data from diagnostic devices and data entry applications and send them to external applications like electronic health records, SMS notifications to clinicians and patients, and stock management applications

To improve speed and reduce transcription errors and the data entry burden: Diagnostic devices that are able to send results directly to a laboratory information system and/or to a patient electronic health record

Electronically delivered training for health care professionals (web, mobile app, etc.) on, for example, smoking cessation support, warning signs for TB, TB diagnosis, treatment of TB, MDR-TB and XDR-TB, patient support, ethical questions and doctor-patient confidentiality, etc.

Visual instructions aids (for example, short videos on topics such as how to produce a good sputum sample)

Information resources about health conditions, their impact, their diagnosis, treatment and available support services, how family and friends can support people during TB treatment or when stopping smoking, up-to-date policies and clinical guidelines, etc.