1. The Power of the Internet The Reach of the Phone

2. 2 The Common Thread Voxiva provides hosted solutions for public health, government and NGO customers Voxiva’s system collects and disseminates information from a combination of the Internet, fixed and mobile devices Designed for the developing world, Voxiva’s system is being used to: Monitor disease outbreaks Manage drug supplies Enhance public safety Measure and evaluate relief and development efforts Cell Phone Hosted Application The Internet Tele- Phone Pay Phone PDA/ Smartphone The Solution Designed for the developing world, Voxiva’s system is being used to: Monitor disease outbreaks Manage drug supplies Enhance public safety Measure and evaluate relief and development efforts

3. 3 The Power of the Internet,… The core system is hosted by Voxiva and accessed through a simple web browser from any PC with an Internet connection The heart of a Voxiva system is its dashboard displaying a summary of indicators and data collected from the field

4. 4 … the Reach of the Phone Data can be input and retrieved using the phone (as well as the Internet) Interactive Voice Response is used alongside a card containing codes to guide the process SMS Messaging, PDA’s and Smart Phones with downloadable forms are used for structured data collection Voxiva also supports individual or broadcast voice and text messages

5. 5 Solution and Key Capabilities Key FeaturesDescription ARV drug alert system Provides regular information on shortage and stock-outs of critical ARV drugs. Central stock managers can receive urgent stock-related messages at any time, and send broadcast messages to sites at the periphery. Patient Lab Results Enables rapid access of patient-specific results of CD4 by caregivers in remote health facilities. Critical Indicator Tracking Regularly collect the government’s critical indicators for monitoring and management of HIV/AIDS clinical care and treatment programs. Management Dashboard A national “data dashboard” that integrates data across multiple sources (standalone applications, TRACnet, and paper reports) – to provide an integrated national view of the HIV/AIDS programs. GIS Mapping A web-based geographic information system (GIS) interface that displays health facilities offering HIV/AIDS services and ARV drug shortages and/or stock-outs. Rwanda TRACnet is a dynamic information technology solution designed to collect, store, retrieve, disseminate and facilitate the analysis of critical program, drug, and patient information related to HIV/AIDS. Rwanda TRACnet Case Study

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8. 8 Benefits for client  Practical Leverages existing infrastructure (e.g., mobile networks, Internet, together with underlying paper record systems).  Real-Time, Actionable Information Allows decision-makers to rapidly have access to time sensitive information (e.g. drug shortages/stock-outs).  Robust Platform Provides a scalable, bi-directional communication network to all users, facilitating exchange not only along hierarchical lines but also between peers.  Management Visibility Enables access to information about critical needs at the facility level (e.g., drug shortages and stock outs).  Program Measurement Track Key Program Indicators to identify trends and view program impact over time. Solution and Key Capabilities Benefits for Client

9. 9 Results Coverage Deployed in all 84 health facilities offering ART in Rwanda, accounting for 100% of all ART patients in Rwanda (18,000). Currently, the system has baseline patient data on 5000 individuals. Seven health facilities are using the system to retrieve lab results (CD4 Count). Trained Personnel Over 400 users have been trained and are using the system to submit monthly program indicator reports and weekly consumables (drug) reports. Access Most users (90%) access the system via the toll-free telephone interface, thereby minimizing infrastructure-linked constraints (unreliable power supply, poor or non-existent internet connection), as well the cost of accessing the internet. User Adoption Anecdotal evidence has shown that most health facility personnel own mobile phones, and that those who have a phone, and are accustomed to using text messaging features, demonstrate an ease of use after 15-30 minutes of training. Solution and Key Capabilities Results

10. 10 Lessons Learned  Visibility and Transparency TRACnet has introduced new information flows between health facilities and central levels, which has increased the level of accountability of various actors.  Flexibility and Scalability The flexible nature of the Voxiva platform (the ability to use an appropriate interface for available technology) creates a scalable solution. Some users can use the internet, and those who don't can use the phone. Thus, the system is well-suited to resource-constrained environments.  Existing Infrastructure The high penetration rates of cellular phone is eases the deployment of this technology. Users who own phones feel comfortable with the system after 10-15 minutes of use. Solution and Key Capabilities Lessons Learned

11. 11 Access Voxiva’s Modular Solution Components - Access SMS Messaging Interactive Voice Response (IVR) PC/Web Stand-alone PC Client Paper PDA/Smart Phone Fax Customers are given multiple options for accessing Voxiva’s systems Information can be input and retrieved through: Forms accessed via the Internet Forms completed via an offline PC client Back and Forward SMS messaging Forms downloaded onto Smart phones/ PDA’s Interactive Voice Response Reports can be configured online and: Sent to a fax Printed and mailed Downloaded onto a PC for further analysis

12. 12 Voxiva’s Modular Solution Components - Portal Portal Data Manager Dashboard Manager Map Manager Notification Manager Collaboration Manager Administration Manager Content Publisher Communication Manager Customers access the system through a portal and the Internet A simple Web browser is all that is needed to: Administer the system Add or delete portal information Send out notifications, communications and content Information in the system can be viewed via: A dashboard Maps Detailed tables of data

13. 13 Voxiva’s Modular Solution Components - Applications Applications Survey Manager Supply Manager Activity Manager Staff Manager Location Manager Case Manager Event Manager Contract Manager Voxiva’s applications define the content of the information system Applications can work alone or in combination with each other and are used to track: Supplies (e.g. drugs) Cases (e.g. patients) Activities (e.g. relief projects) Events (e.g. disease outbreaks) Staff (e.g. field personnel) Locations (e.g. clinics) Contracts (e.g. budgets) Surveys

14. 14 Voxiva’s Modular Solution Components Access SMS Messaging Interactive Voice Response (IVR) Portal Application PC/Web Stand-alone PC Client Paper Data Manager Dashboard Manager Map Manager Notification Manager Collaboration Manager PDA/Smart Phone Fax Administration Manager Survey Manager Content Publisher Supply Manager Activity Manager Staff Manager Location Manager Case Manager Event Manager Communication Manager Contract Manager Voxiva’s vertical solutions are based on a unique combination of components and content based templates

15. 15 Voxiva’s Reach Voxiva has operations in Rwanda, Senegal, Peru, Argentina, India, Indonesia and the US. The company is expanding into new countries in Africa, Asia and Latin America. Voxiva’s customers include: Ministries of Health in Peru, Argentina, Rwanda, India State and Local Health Departments in the US Municipalities in Peru and Argentina UN Agencies: WHO, WFP… International NGOs: IRC, PATH… US Centers for Disease Control USAID Gates Foundation World Bank

16. The Power of the Internet The Reach of the Phone