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Paul Meyer Voxiva July 1, 2003 paul@voxiva

Paper, Phones, PCs, Palm Pilots & People (and Everything in Between) Practical, Integrated Solutions for Action, Data Collection, Monitoring & Evaluation. Paul Meyer Voxiva July 1, 2003 paul@voxiva.net. Phones vs. Computers. Data Source: International Telecommunication Union, 2002.

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Paul Meyer Voxiva July 1, 2003 paul@voxiva

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  1. Paper, Phones, PCs, Palm Pilots & People (and Everything in Between)Practical, Integrated Solutions for Action, Data Collection, Monitoring & Evaluation Paul Meyer Voxiva July 1, 2003 paul@voxiva.net .

  2. Phones vs. Computers Data Source: International Telecommunication Union, 2002 .

  3. Global Rise in Mobile Penetration Data Source: International Telecommunication Union, 2002 .

  4. Global Rise in Mobile Penetration Number of cellular mobile subscribers (in thousands) in 1995 and 2002 Data Source: International Telecommunication Union, 2002 .

  5. The Reach of the Phone Reach of the Internet 600mm PCs Reach of the phone 2.5 bn phones Note: Phones do not require literacy. .

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  8. Lesson Learned • Paper is very good at what it does. • Focus on the problem not the technology. • Identify the information flow problem and incorporate appropriate technology into the overall solution. .

  9. What technology is good at? • Information Technology can allow for ongoing, real-time, multi-directional flows of information & communication. • Allowing dispersed networks of people to exchange actionable information, systematically & in real-time. • Question: Where are the information bottlenecks that impair progress / scaling-up in ART programs? .

  10. Disease Surveillance in Peru “We can see the information instantaneously. Now everyone is informed about a case of disease and the appropriate measures can be taken…” District Health Officer, Cañete, Peru • Real-Time: • Data Collection • Info Sharing • 2 Way • Communication • Notification • Launched in January 2002 • More than 40,000 cases reported. .

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  15. Lessons Learned • Don’t just collect data from the field. Extra burden. • Use technology to facilitate workflow. • Focus on actionable, time-sensitive data. • Keep it simple. Polio example. • If data results in action, you get better data. • Don’t just replicate paper system. • Note: Real-time information changes organizations. MoH must act. • Supervisory power of integrated system. • Real-time accountability & transparency. • Need two-way flow of information and feedback. • Use technology to reinforce the network. .

  16. Connecting the Network Data collection & Monitoring Information Dissemination Reach of Internet Reach of the Phone Effective Communication throughout the network .

  17. Lesson Learned: Avoid Stovepipes • Avoid Stovepipes • Programmatic • Technological / Device • Levels • Build systems that integrate programs, technologies & levels. • Otherwise, the burden falls on end users. • Take a holistic approach. .

  18. HIV/AIDS POLIO TB EPI MALARIA Integrate Programs In the US, CDC has 164 surveillance systems. In Peru, health workers spend 40% of time on paperwork and administrative tasks. .

  19. Integrate Various Technologies • Separate the system and application from the technology. • Leverage existing infrastructure & devices .

  20. Integrate Levels & Stakeholders Global National Regional District Local Reach of the Phone Doctors, Nurses, Pharmacists, Patients… .

  21. Opportunity: Link M&E to Workflow & Action • Traditional M&E slow, expensive, difficult. • Data collected retroactively. • Traditional M&E causes an extra burden on overworked health professionals. • No benefit to people in the field. • Top-down system – information is gathered solely for the use of policy-makers. .

  22. Opportunity: Link M&E to Workflow & Action • M&E should be a by-product of workflow information exchange. Not a distinct, extra burden. • The data is better if it comes from workflow. • End users have incentives to report. Action/result and feedback are the incentives. Health workers will report cases and stock levels if it results in re-supply. • Procurement and supply decisions to be based on relevant current information, such as case loads and current stock levels. • Workflow-based data collection allows for real-time transparency and accountability. • Real-time M&E allows for real-time policy changes and better decisions. .

  23. Opportunities for ART Programs • Real-time inventory reporting. • Real-time distribution tracking. • Real-time patient monitoring. • Automated reminders for compliance. • Real-time financial reporting. • Real-time feedback to doctors, nurses, patients. • Others? .

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