1. Interagency Working Group for mHealth May 12, 2010

2. May 12 th Agenda Gates – Low-Cost Cell Phone-Based Apps Text4Health immunization reminders mLearning The mHealth Toolkit

3. Gates Grand Challenges Explorations “Create Low-Cost Cell Phone-Based Applications for Priority Global Health Conditions” -At Risk Populations -Delivery to Underserved -Support HCW -Literacy -Unreliable Service -Scalability and sustainability -Not modest/incremental improvements

4. Guest Presentation Text4Health Dr. Melissa Stockwell Columbia University

5. Next Topic- mLearning What kind of problem it addresses: Lack of adequately-trained health care providers Training health care providers is complicated by busy workflows, geographical separation and movement.

6. What Does mLearning begin/end? mLearningJob AidsTelemedicine

7. Where is the Capacity (Built)? mLearningJob AidsTelemedicine ProviderTechnologyExpert -Definition for our purposes

8. Where mLearning Can Complement Pre-requisite to in-person trainings. Achieve level of knowledge before face-to-face training. Targeted aspects of in-person trainings. Activities to test and reinforce concepts presented at in-person. Follow-up to in-person trainings. Demonstrate improved knowledge, provide mentorship, communities of practice.

9. eLearning Precedent (Adapted from Michael Allen’s Guide to eLearning)

10. (+) Advantages and (x) Limitations Measured OR mentioned in developed AND developing country lit. Grey Sources 1. Enhancing Nurses Access for Care Quality and Knowledge through Technology (ENACQKT) 2. Guide: Getting Medical Information into the Hands of Community Health Workers 3. Mobile Phones’ Potential to Address Information and Communication needs of Healthcare Workers in Isolated Rural Areas in Peru 4. Mobile Learning for Health Care Workers in Peru 5. Satellife, UHIN Project 6. CellPhone GuideView PubMed Sources 7. M-Support: Keeping in touch on placement in primary healthcare settings 8. Use of handheld computers in medical education: A systematic review 9. The use of the Personal Digital Assistant (PDA) among personnel and students in healthcare 10. The PDA as a portal to knowledge sources in a wireless settings 11. Physician adoption of personal digital assistants (PDA): testing its determinants 12 The usefulness of personal digital assistants (Palm and Pocket PC) in the medical field

11. Education: Advantages/Limitations (+) Improved access to information (1) (9) (+) Peer-to-peer discussion/dissemination (2) (+) Allows for self-directed learning (8) (x) Revise pedagogical approach for interface (4) (6) (x) Could rely on “peripheral brain”, not retain (8) (x) Could reduce interpersonal educational (8)

12. Time and Quality of Care Time (+) Speed of retrieve information on the spot (9) (10) (+) Time-savings (1) (9) Quality of Care (+) Improved diagnosis/treatment (5) (9) (10)

13. mLearning Dimensions and Issues Formal vs. informal learning Synchronous vs. asynchronous Pre-service education vs. in-service training Time, location Don’t “cut & paste” content Technology availability, accessibility, affordability, reliability etc.

14. Online Knowledge Management The mHealth Toolkit

15. Next Steps Begin technical group on mLearning Provide feedback on mHealth Toolkit architecture, content and resources by June 8 ▫Provide comments on Toolkit itself or email kkeislin@jhuccp.org Next meeting- June 9, 2010

16. Interagency Working Group for mHealth Kelly Keisling kkeislin@jhuccp.org

17. Principles of the Working Group Frame mHealth within global health strategy Apply public health standards and practices Emphasize appropriate, evidence-based, and scalable approaches in resource-poor settings Build capacity of implementing agencies