1. Text to Change October, 28 th 2009 World Bank Day mHealth Washington, DC

2. mHealth in developing countries: Text to Change: 5% software, 95% programs - Impact -Challenges -Scalability -End user

3. Tools: Text message quizzes Keywords Interactive voice response Data gathering Where: Uganda Kenya Tanzania (November ‘09) Namibia How: Sms Voice Text to Change: How does it work? Partnerships with mobile operators, companies, NGO's and governments; African software; Demand driven programs; Local content; Interactive education. Goals: Create more awareness Gather data on knowledge Increase testing via sms referral

5. Past Programs: -2008: Local partner: Aids Information Center, Uganda Support partners: Zain (Celtel), Merck&Co Program: HIV/AIDS awareness via sms Where: Mbarara, Uganda Participants: 15,000 Results: 35% uptake in HIV testing -Q1 2009: Local partner: Aids Information Center, Uganda Support partners: MTN, Merck&Co, Dutch Ministry of Foreign Affairs Program: HIV/AIDS awareness via sms Where: Arua, Uganda Participants: 10,000 Results: 40% uptake in HIV testing -Q2 2009: Local partner: UN (Texting for Health) Support partners: UN-ECOSOC, WHO Program: Global public health quiz Where: Jinja, Uganda Participants: 10,000 Results: proof of collecting real time information through m-polling -Q3 2009: Local partner: HIPS Support partners: USAID, IBM, Soccerclub Barcelona. Program: Public health education for twho sugar factories and one cobolt factory, Uganda. Where: Kinyara, Kasese and Kakira Uganda Participants: 14,000 Results: Uptake in community visits to clinics

6. Lessons learnt: *Sms services in local languages; *Improve text message software; *Zero rating the service; *Service over all mobile networks; *Better data analysis; *More partners; *Local content; *Create sustainable programs; *Better training of peer educators on text messages; *Open Source system to establish interoperability between mobile for development systems.

7. HIPS program Uganda September 2009 Three factories, 5,000 people -Kakira Sugar -Kinyara Sugar -Kasese Cobolt 25 questions via sms 43,000 text messages received 34% participation level >Numbers via peer educators >Incentives via social competition and airtime >8 week program

8. Percentage Correct by Factory Joint work with C. Danis, J. Ellis, IBM Research

9. Percentage Correct by Question Content Joint work with C. Danis, J. Ellis, IBM Research

10. Future? #Governmental Programs; #Mobile Provider programs; #Company workplace Programs. Workplace programs aimed at informing employees about a healthy lifestyle; Baseline survey followed up by mobile survey for high frequency monitoring (in conflict areas and elsewhere); Mobile survey aimed at enhancing transparency and creating public debate; Education tracking to improve teacher motivation and reduce absenteeism Citizen reporting on drug stock outs and absenteeism of health staff *Demand driven programs >open-data, collaboration, open-source

11. Hajo van Beijma http://www.texttochange.com hvanbeijma@texttochange.com +31628265485 twitter.com/hajovanbeijma linkedin.com/in/hajovanbeijma