1. MEDA, Business Development and the Utilization of Information Technology Presented to mHealth Working Group June 2010

2. Clear language and communication is vital to the success of any organization; this same rule applies when dealing with IT

3. 3 Table of Contents MEDA TZ 1.Maintain: 1.Expand: 2.Explore: MEDA worldwide

4. 4 Situation Malaria mortality and morbidity

5. 5 Complication ITNs new on scene Clear world health targets set in Abuja, Nigeria in 2000 Focus is on at-risk groups: Px women and infants & 60% coverage Limited funds, no distribution Solution: TNVS 2004 Success factor: Clear event for issuance of a voucher From that flowed a distribution sector

6. 6 Maintain: back-end systems… Data Management TNVS Voucher scanner Voucher database Clinic and retailer database Voucher tracking and security Voucher statistics Stakeholder numbers Program Management Core Business Processes Technology Solutions

7. 7 Maintain: Here is a representation of our voucher transaction database

8. 8 Maintain: We maintain a separate database for each of our 4,300 clinics with profile data on each CodeRegionNameDistrictLatitudeLongitudeType 10426ArushaNamanga DispensaryMonduli-2.5510536.78766833Rch Clinic 10427ArushaNgereiyani DispensaryMonduli-2.9810930136.85513973Rch Clinic 10428ArushaOlmolog DispensaryMonduli-2.8667182637.126472Rch Clinic 10429ArushaSelela DispensaryMonduli-3.2105935535.94780743Rch Clinic 10430ArushaSinya DispensaryMonduli-2.7827329336.95404351Rch Clinic 10431ArushaTingatinga DispensaryMonduli-2.9772896436.95686519Rch Clinic 10432ArushaTMA DispensaryMonduli-3.346286536.45869315Rch Clinic 10501ArushaArash DispensaryNgorongoro-2.3768074235.50595641Rch Clinic 10502ArushaDigodigo DispensaryNgorongoro-2.145751235.73580563Rch Clinic 10503ArushaEnduleni HospitalNgorongoro-3.2060230635.27414382Rch Clinic 10504ArushaKakesio DispensaryNgorongoro-3.3789987234.98797357Rch Clinic 10505ArushaLoliondo DispensaryNgorongoro-2.0519811835.62422037Rch Clinic 10506ArushaMalambo DispensaryNgorongoro-2.5110627135.60578823Rch Clinic 10507ArushaN.C.A.A. DispensaryNgorongoro-3.2453925335.48083484Rch Clinic 10508ArushaNainokanoka DispensaryNgorongoro-3.0302096335.69011688Rch Clinic

9. 9 Expand: Representation of 4,300 government-owned RCH clinics

10. 10 Maintain: And we maintain a yet another database for each of our 7,000 retailers CodeRegionNameDistrictLatitudeLongitudeType 1ArushaEmanuel BajutoNgorongoro-3.2367235.20340Retailer 2ArushaJoseph SenduiNgorongoro-2.1082935.49736Retailer 3ArushaHaruna KasimuNgorongoro-3.3046835.23440Retailer 4ArushaSafari ShauriNgorongoro-3.2332735.39268Retailer 5ArushaHusna HassanNgorongoro-3.1689935.48395Retailer 6ArushaSamwel GoyoNgorongoro-2.1781735.41268Retailer 7ArushaSammy HuhoNgorongoro-3.1279935.28058Retailer 8ArushaJonh ClementNgorongoro-3.2167835.33834Retailer 9ArushaJonh DaragoNgorongoro-3.1462435.52682Retailer 10ArushaJonh MachotaNgorongoro-3.2239535.51290Retailer 11ArushaJonh TippeNgorongoro-3.1489735.49879Retailer 12ArushaHalima MwangaNgorongoro-2.0326135.37574Retailer 13ArushaProsper MoshaNgorongoro-2.3050735.36384Retailer 14ArushaPrevanus KatinhilaNgorongoro-2.0944235.42066Retailer 15ArushaJosephat AmiNgorongoro-3.2601135.36409Retailer

11. 11 Expand: Representation of Hati Punguzo’s 7,000 retail outlets

12. 12 Maintain: MEDA TZ is approaching its goal of 100% GPS coverage for all TNVS stakeholders GPS Coordinates Collection -- Annual Comparison 20072008 RCHGPS Coordinates3,0003,843 ITN OutletsGPS Coordinates1,0574,015 GPS Coordinates Collection Progress as of Dec. 31, 2008 StakeholdersGPS Coordinates% Collected RCH Clinics4,4753,84386% ITN Outlets6,9184,01558%

13. 13 IT baseline allows us to adapt program changes easily Malaria objectives changed from at-risk groups to household coverage (2 nets per HH) and then Universal (all sleeping spaces being covered) Change in objectives made possible, and possibly fueled by, influx of huge sums of donor money GF begins in 2004, Tanzania first grant recipient PMI begins in 2006 Gov’t of TZ decides to “catch up” the coverage of children under five. MEDA and other cooperating NGOs finished the U5CC in May 2010 Distribute 7.2 million nets Next up is Universal Coverage Campaign with 14MM nets Key issue remains: What happens next? If the free net distribution is “catch up,” how do we “keep up?”

14. 14 Scaling up: Technology base allows MEDA TZ to find new ways… TNVS U5CC / UCC Data Collection Handheld GPS units and a vehicle tracking system collect location coordinates for: Clinics Retailers District offices Villages Petrol filling stations Vehicle tracking software improves general operations: Planning TNVS monitoring activities Driver performance and vehicle safety LLIN issuing points Program Management Detailed maps can be generated and overlaid with other statistics using various GIS software platforms ESRI Google Earth Data Dissemination Technology Solutions Core Business Processes

15. 15 Expand: We can then drill down by geography. Here is a region.

16. 16 Expand: And then to the District level…

17. 17 Expand: As detailed as we need to. Here is the ward level.

18. 18 Expand: The next step involves appropriating other mapping technologies into the database. Here is our data overlaid on Google Earth.

19. 19 Expand: We can pinpoint a location. Here is MEDA’s office.

20. 20 Expand: Here is profile data attached to the location

21. 21 Table of Contents MEDA TZ 1.Maintain: 1.Expand: 2.Explore: MEDA worldwide

22. 22 Explore: TNVS U5CC / UCC Data Collection Data Management Program Management Data Dissemination SMS system for key indicators Online forms and reports for monitoring activities SMS voucher Integrated database (GPS reports, voucher tracking and statistics, program stakeholders, LLIN results Management dashboards Public access data via online wiki- site Technology Solutions Core Business Processes