Presentation on theme: "Dominic Atweam K Health Information Systems Analyst Policy Planning Monitoring and Evaluation Division- Ghana Health Service MOBILE TECHNOLOGY FOR COMMUNITY."— Presentation transcript:
Dominic Atweam K Health Information Systems Analyst Policy Planning Monitoring and Evaluation Division- Ghana Health Service MOBILE TECHNOLOGY FOR COMMUNITY HEALTH
Overview What is MoTeCH? Pregnant Parents Application (MOBILE MIDWIFE) Tools for Community Health Workers(HIMS)
Using mobile phones to increase the quantity and quality of maternal and child health services in Ghana Focus on frontline community health facilities (CHPS zone, Health Centre's) What is MOTECH?
Overview What is MoTeCH? Pregnant Parents Application (Mobile Midwife) Tools for Community Health Workers (HIMS) Social Impact Assessment
Challenges Challenges in Communities ANC visits start late Incomplete ANC coverage Delay until newborns seen Unattended births Patchy immunization coverage Low IPT uptake Local myths
Personal care during pregnancy Newborn care Recognition of danger signs Developmental milestones Nutrition and breastfeeding Malaria Immunization Postpartum family planning Diarrheal diseases Pneumonia Messages provide key MCH information for “pregnant parents” and reminders to seek timely care:
Pregnant Parents’ Service Engage Both Parents Relevant, actionable and fun information by SMS and/or voice Encourage health seeking behavior Available in local languages Product Development Consultation with GHS stakeholders at all levels, midwives, lactating and expectant mothers, fathers, mothers- in-law, village chiefs. Field testing of messages to ascertain appropriate messaging, voice, accent, dialect.
Why do we need injections for both mother & baby? Why do I need IPT? Why should I attend clinic at first signs of pregnancy? Why do I vomit when I’m pregnant? Why should we practice exclusive breast feeding? What do we do about body swelling during pregnancy?
Overview What is MoTeCH? Pregnant Parents Application (mobile Midwife) Tools for Community Health Workers(HIMS)
Volume of paper: up to 20 different patient registers for each facility Onerous data reporting: nurses spend 4-6 days per month aggregating data Little information flows back to the nurse: difficult to identify defaulters or high risk patients Nurse attitudes sometimes discourage clients from seeking health information HIMS Challenges For Nurses
PROBLEM : Too much paper, too little useful information SOLUTION: Using the mobile phone for data entry and management
Data collection & Reporting Simplified paper registers Nurses record patient data onto mForms Upload data to central database Data validation ensures high data integrity Generates monthly reports for nurses and district officials Alerts & Reminders Sends alerts and reminders to nurses and clients about patient care
Simplified Register Capture and store data more efficiently + Health worker focused mobile intervention information to support service delivery and continuity of care Improve work routine and time for service delivery Increase quantity and improve quality of interactions between clients and health system Phone based alerts and reminders at “critical” times to promote and encourage utilization of essential health services Improved supervision and feedback MOBILIZE SUPPLY MOBILIZE DEMAND Phone-based health education to pregnant women and new mothers to increase knowledge and awareness System effect
Aug 2010: Pilot in KNW District, Upper East Region Pilot in KNW District, Upper East Region Sept 2011: Replication in Awutu Senya District, Central Region March 2012: Phase II: Scale & Transition To date Full implementation in 2 districts in 2 regions – Upper East, Central Began expansion to 3 new districts in 2 new regions – Volta, Greater Accra Approximately 23,783 clients currently enrolled (2 districts) `100 facilities reporting (automated or enroute to automation) 469 nurses trained and using MOTECH
National steering committee formed and chaired by Director General of GHS, similar platforms at Regional & District level actively leading the program Proposed joint initiative to scale to an entire Region, led by GHS with TA from Grameen Possible MTN partnership: fee-based Mobile Midwife service that will cross- subsidize the free service for those who cannot aford. There are other similar programme running on different plat forms performing the HIMS COMPONENTS of MOTECH GHS community eRegister GHS - Sene Smart Phone Project The Pregnant Parent Components(messaging ) to be integrated into the GHS Community eRegister
Challenges Ahead Need for full implementation of national ehealth strategy to: ensure alignment and interoperability between MOTECH and other mhealth/ICT solutions in Ghana integration of the Nurses Application into DHIMS2 and GHS community eRegister systems Costing/packaging MOTECH model for full integration into GHS workplans and budgets Cost of airtime remains high, need for negotiation with Telcos to bring rates down and increase network coverage Securing mobile phones in high volumes at low prices for nurses GHS resource availability to support roll out – health sector budget already strained, Need to demonstrate the cost-efficiency of MOTECH vs. non- mhealth approaches for frontline data management/reporting and getting health information to women
GHS HIMS STRATEGY Transactional Data Data Integration Data Warehousing and Reporting DHIMS2Integration Tools Clinical Information Systems Community eRegister/Motech messaging Other Systems