Harnessing m-Health and digital solutions for effective and sustainable social marketing 12th October 2017 Presenter: Emilie Chambert

Delivering high impact together Serve over 5 million people Empowers Community Health Workers to deliver life-saving products and services to the doorsteps of the poor Direct operations in Kenya and Uganda Assisted networks in Zambia and Myanmar Partner to government Proved to reduce infant mortality by 27% Grew operations and by 70% in Uganda in 2016 Low cost: Less than $2 per person served per year

An integrated platform delivering high impact Community Health SUPERVISION Diagnose, Treat & Educate SmartHealth™ App Performance Based Incentives Maintaining Performance Supply Chain and Logistics SUPERVISION Explain LG model

Focus on the leading causes of child deaths where the solutions are simple and affordable. Healthy Pregnancy Prenatal ANC checks Danger signs referral SMS reminders Nutrition Delivery in facility Newborn Survival Postnatal checks Kangaroo care Preventing infection Child Health Malaria Diarrhea Pneumonia Worms Immunization Family Planning Sayana Press Contraceptive Pill Condoms Emergency Contraceptives Referrals for long term methods Nutrition Pregnancy supplements Breastfeeding 6-24 month nutrients Explain LG model

A number of consumer behaviors are still inadequate The challenges A number of consumer behaviors are still inadequate Consumers wants tailored information Traditional marketing techniques is not as effective A few behaviors, DHS 2016 Uganda % children (6-23 months) met min. acceptable diet 14.0% % u5 children slept under ITN last night 62.0% % children with all basic immunizations 55.2% % infants (<6m) exclusive breastfeeding 65.5% End of “global marketing”, social media, marketing more and more driven by data

Living Goods invested in SmartPhones for CHWs Disease surveillance Geo tracking of disease incidences and analysis Health promotion Videos Referral Referrals tracking and follow ups Treatment Digital diagnosing Biosensors Disease prevention Mobile learning Versatile tool 1 device to trigger greater impact and behaviour change Products, supply chain, logistics POS, stock management, warehouse management etc. Data informed policy/ decision making, real-time performance tracking) Leadership/ governance Supervision & performance management Health workforce Research and information Data collection and analysis Mobile payments, incentives Financing

The Smart Health Tools, key success factor for scale Consistent performance in the field (diagnosis support) 2.Improve overall performance management both at Supervision and VHT level 3.Improve patient compliance & healthy behaviors 4.Provide key data points for MOH Smart Health Diagnosis App Detail the benefits of using technology at all levels: patient, CHW/VHT, Supervisors Registration , treatment, supervisor app, dashboard Real Time Performance Dashboard

Household registration CHWs register Household members Collect key data on the family that will enable to tailor the approach Ensures that CHWs # 1, 10, 100, 1000 use exact same MOH-approved protocols.

1. Diagnosis and prescription support Results

2. Smart tasks list and visit reminders CHWs have tasks lists every day of important activities such as newborn visits and post - referral follow up as well as reminder information on key health information

2. CHWs can assess their own performance Targets display progress towards monthly goals

3. Improves patient compliance and health behaviours SMS Welcome Message with CHW name and phone Drives Prompt Treatment CHWs encourage their clients to call or text at the first sign of disease illness symptoms SMS messages to pregnant women tied to expected due date Healthy behavior reminders on nutrition and ANC visits. SMS reminders to complete treatments Text messages to care givers to ensure treatment compliance.

3. Improves patient compliance and health behaviours Home care advices for every treatment or referral Liz

Is this driving behavior change and impact?

27% of users learned new nutrition practices through the services Source: survey conducted by GSMA in Feb 2017 among more than 500 interviews

80% of the users have changed at least some of their nutrition practices Source: survey conducted by GSMA in Feb 2017 among more than 500 interviews

A cost effective intervention A randomized control trial revealed Living Goods is achieving a 27% reduction in under 5 mortality Decreased the cost for Living Goods Uganda VHTs to deliver high- quality healthcare to $1.72 per person per year. 17

Thank you