1. Vectors, Hosts and Viruses Bridging gaps between ICT and Health program staff at CRS Presenter: Carrie Miller Senior Technical Advisor for HIV & Health on behalf of the ICT4D Team mHealth Working Group & Nethope Healthcare Working Group Save the Children, Washington, DC August 16, 2012

2. What has CRS done to date to advance ICT4D (including mHealth)? Build commitment to the use of ICT4D solutions Business case for investment in ICT4D solutions developed and communicated Identify funding Establish an ICT4D knowledge exchange program Knowledge & Innovation site Monthly webinars ICT4D conferences Mar 2010 - Nairobi Sep 2010 Washington Mar 2011 - Lusaka Mar 2012 - Kigali 2013- In planning stage Build and maintain a portfolio of ICT4D solutions Portfolio of proven solutions Initiate pilots Innovation fund NetHope Develop CRS’ capacity to deploy and sustain ICT4D solutions Created an ICT4DTeam“Help Desk” Strengthened partnerships with technology companies ICT4D Strategy Goal: Mainstream the use of ICT4D solutions in our programming.

3. How is ICT4D used in CRS’ health programming? Collect Mobile Data Collect and store project data i.e., beneficiary registration, services rendered and impact indicators Analyze and Report Analyze project data and generate reports to meet donor requirements Track and Monitor Track and monitor where and what services are rendered to whom, providing visibility to stakeholders Raise Awareness Disseminate project information widely to partners, field agents, community workers, and beneficiaries to raise awareness and facilitate distance learning programs Communicate and Train Support two way communication between CRS staff, partner staff, field agents, community workers, and beneficiaries in dispersed locations Provide Remote Services Provide services to beneficiaries with limited infrastructure e.g. banking, access to market prices, weather data, patient care information, disaster warning and learning programs Technology is used to…

4. How did we get started in mHealth? Partnerships with solution providers AIDSRelief – Futures Group (Electronic Medical Records, SMS) CRS India – Dimagi (job aids for Community Health Workers (CHW)) CRS Nicaragua – Sustainable Sciences Institute (job aids for CHW) CRS Malawi – D-Tree (CSI for volunteers; C-IMCI Health Surveillance Agents) Support from ICT4D Team (and solution providers) CRS India – custom development (Uttar Pradesh - Health Management Information System for Caritas India) CRS Sierra Leone – Zerion (iFormbuilder Malaria KPC)

5. What are the considerations for an ICT4D Solution? Implementing an ICT4D solution is not just about picking a technology… TECHNOLOGYPROCESSPEOPLE End User Devices Software / Application Infrastructure Telecommunications & Networks Addresses “What?” Business processes that support the use of the technology Addresses “Where”, “When” and “How” People that use and run the technology Addresses “Who?”

6. How does CRS organize support for ICT4D projects? REQUESTOR ICT4D TEAM Raise helpdesk ticket Complete Project Definition Sheet* on CRS.orgProject Definition Sheet Contact requestor to clarify high-level requirements for request Conduct internal review to approve request Request approved? Develop high-level workplan / solution recommendation for request Advise requestor on alternate support sources should team be unable to fulfill request Review with requestor to kick-off support Yes No * A walkthrough of how to complete a project definition sheet is covered later in the presentation To ensure an ICT4D solution is properly implemented in projects, CRS programs are supposed to inform the ICT4D team of their plans and support needs.

7. What type of ICT4D support is available? ProposalService Project Description Support provided ICT4D Requests Project is at proposal development stage to secure grant / funding Provide inputs on ICT4D solutions that can be used on the project Ensure sufficient budget is allocated for ICT4D Project funding secured Support required to roll- out an ICT4D component e.g. mobile device to conduct survey Procurement of the software and devices Provide training to build capacity of local IT staff Provide technical expertise and support Project funding secured Support required to develop and roll-out a complete ICT4D system (i.e. software, devices, back-end hardware) Project management and delivery of the project in accordance to a project lifecycle methodology (including vendor management if an external vendor is contracted) Development / configuration of the ICT4D system

8. What should be considered prior to raising a request? ConsiderationsQuestions to ask yourselfImportance Objectives What are the objectives of the project? How do you envision the ICT4D component supporting the project objectives? Ensure clear understanding and alignment to project objectives Outcomes & Impact What difference will the ICT4D component make to your project? What are the issues / difficulties faced if the ICT4D component is not in place? Provides business case for investment in ICT4D Timeline For proposal support requests, when is the proposal due for submission? For services and projects, when must the ICT4D system be rolled out in order for it to effectively support execution of the field project? Ensure system can be delivered in a timely manner Budget How much budget are you able to allocate to implement the ICT4D system / component? Ensure clear understanding of budget constraints 1 2 3 4

9. What should be considered prior to raising a request? ConsiderationsQuestions to ask yourselfImportance Stakeholder Who is the business owner? Who will champion and support implementation of the ICT4D system/component? Who will use the ICT4D system? Are they CRS staff or partner staff? Ensure necessary buy-in from stakeholders can be obtained Ensure budget sufficiently covers the number of users involved Limitations What are the factors restricting / limiting use of the ICT4D system / component that will need to be considered? Consider both the environment (limited connectivity) and people (limited IT knowledge) aspects. Ensure the appropriate ICT4D technologies can be selected Know the boundaries which limit the choice of technology and other regulations and restrictions 5 6

10. How do staff request support? The long term objective of the malaria project is to increase malaria prevention behaviors in the three regions of Sierra Leone. To measure project outcomes, a baseline knowledge, attitudes and practices (KAP) survey needs to be conducted to assess the prevalence of behaviors in the target areas. Utilizing technology for the survey will streamline the data collection process and expedite identification of key areas to address through behavior change communication initiatives. Using technology will eliminate the need for photocopies, support data accuracy by automating skip patterns, provide more opportunities for supervision by geo- stamping and allowing the project manager to oversee data collection in multiple sites at the same time. Elimination of data entry will allow analysis to begin sooner. Normal Specify how technology will be used to meet the programming objectives and not just list the project’s objectives. Describe the outcomes and impacts of using the technology on the project and not just the overall outcomes of the malaria project. An urgent priority should be exceptional.

11. How do staff request support? Project Kick-Off: 1 st March 2011 Survey Kick-off: 15 th March 2011 Baseline Data Ready: 30 th April 2011 Based on the grant funding of USD2 Million, USD10,000 has been allocated for implementation of systems to support the project. Key CRS staff involved in the project are: A, B, C, D, E and will need to be involved in the data collection preparation Capture project milestones that are dependent on the technology being in place. If possible, provide a specific date Specify the amount of budget that the project has or can allocate to technology Specify key project members that will need to be within the communication loop of this request

12. How do staff request support? Business owner = Name, Title Partner = Caritas Sierra Leone, Ministry of Health Enumerators conducting the surveys are independent field agents Limited internet connectivity out in the field where the data is collected Enumerators collecting data have very low IT skill levels Beneficiaries only understand Sierra Leone Krio and their local languages The survey will be conducted with 12000 beneficiaries involving 50 enumerators. Data collected must be integrated with the existing database. I would like GKIM to recommend a technology solution for data collection and provide a cost estimate. On-site training will also be required for the recommended solution. Specify the business owner who is sponsoring the project. Also specify the users as this will influence the technology recommendation Specify factors related to the environment where the project is run that will need to be considered when selecting a technology (people, connectivity etc) Include any other additional useful information to be considered e.g. scale of data collection, dependencies, specific support needed from GKIM, if any other local vendors have been contracted etc.

13. Who is the ICT4D Team? ICT Experts Solution architects Overseas Service Delivery Unit Subject Matter Experts Agro- enterprise M&E Health Emergency Distance learning ICT4D Team Meet weekly Review portfolio Review proposals Provide support

14. What is CRS’ ICT4D Project Lifecycle Methodology? GKIM has a project lifecycle methodology in place to ensure consistent and high quality delivery of all IT projects including ICT4D projects. Initiate Key Activities Business involvement Identify business processes that the system will support Identify data that will be managed by the system Identify and document detailed functional and technical requirements Develop overall system architecture Develop high-level and low-level design of each component (e.g. database, UI etc) to meet defined requirements Development and integration of each component based on the design Comprehensive testing of the developed system Establish support structure for system both centrally and locally (helpdesk) Conduct training to stakeholders Configuration and roll-out of devices Identify and prioritize requirements Functionalities Performance & Security Provide sign-off on requirements Review and validation of design Participation in and/or identification of participants for user acceptance testing (UAT) Participation and/or identification of participants for training Analyze Requirements Architect & Design Implement & Test Deploy Operate & Maintain Define scope of the project Develop high-level solution recommendation Plan the project Maintain and provide support to end users of the system Provide fixes for system issues Enhance and tweak the system Raise request Provide high-level requirements Verify timeline Verify solution Management of user turnover i.e. passwords etc. Raise help desk tickets for incidents Plan and raise change requests for system enhancements FarmbookEARO M & E PCS ScorecardHaiti M & E Malawi Mobile Application

15. What is the long term vision? High-touch consultative support Portfolio of reusable tools Scalable cost- effective model

16. Tips for Enhancing Collaboration ICT staff: Field visits are invaluable – Understand field constraints and capacity – Trouble shooting/support for new users – Able to articulate challenges to solution providers Health staff: – Keep current on mHealth research and applications relevant to health projects to reduce “reinventing the wheel” – Get firsthand experience with developing and rolling out an mHealth solution

17. Tips Continued… ICT and Health Staff: – Make an effort to learn key concepts/terms from each other’s fields – Be patient and communicate often; if possible set up a mechanism for regular communication – Collaboration enhanced by experience – Don’t underestimate the amount of time needed for understanding the requirements & training – Document lessons learned and share

18. Acknowledgements Slides adapted from Pei Ni Ong with input from Jessica Silverthorne, Stephen Hellen, Or Dashevsky, and Ognen Plavevski Full presentation about CRS’ ICT4D processes and others from the March 2012 ICT4D Conference in Kigali, Rwanda are available at: http://www.crsprogramquality.org/ict4d-2012/