Medic Mobile - Real Impact for Universal Health Access

1. Medic Mobile Right Tools. Real Impact.

2. Vision Achieve a world of universal health access and equity.

3. What we do Things we don’t do - Build clinics (partners do) - Teach health workers to provide care (partners do) - Provide drug stocks for clinics (exceptions for research) - Collect data, just because 1. Build mobile and web tools for frontline health workers, patients, and families. 2. Design and implement systems using these tools, focused on improving outcomes.

4. Our end users Household caregivers and patients Community health workers Local Clinic Staff Attend to +/-100 patients per day Experience staff and stock shortages Provide life-saving services and referrals 3 to 10 million CHWs globally serve 100 families and 500 people on average house-to-house contact with over 2 billion people 1 billion people will never see a health professional 90% of people have access to a mobile signal income of $1 to $2 per day

5. Use Case Types

6. Our Tech Strategy 1. Make use of existing tools  2. Develop new tools only when needed 3. Focus on familiar technology with maximum reach 4. Remain flexible & mission-driven

7. Muvuku: SIM card application platform

8. SIM apps run on any phone

9. Familiar menus for decision support and communication

10. SMSSync: Android app and SMS gateway for facilities

11. Kujua: web app for managing communications and data

12. Data will arrive for analysis by health care professionals on a customized version of the Kujua web-based platform, using an Android device, tablet or computer.

13. Data then arrives to our distributed Web application, Kujua, which MOH and clinic staff can use to visualise trends in data, geospatial data and other key indicators.

14. Sustainability and Income Generation: Robust solar chargers for low-end and mid-end phones

15. Design process System mapping captures pain points and opportunities Identifies the impact for mobile-enabled workflows ...yielding well-informed products and systems that achieve maximum impact

17. Research results In six months, Malawian hospital saved 2100 hours or travel time, saved $3,000 in fuel, responded to 150 emergency care requests, and doubled # of patients in TB treatment program. Also in Malawi, drug stock reporting improved from under 35% to over 80% across 10 districts. In our first prospective trial in Kilifi, Kenya, the clinical delivery rates had increased from a baseline of 20 deliveries per month to 48 clinical deliveries per month. Of these 48 deliveries, there were no maternal deaths, indicating that the mothers arrived in good time, and received quality treatment. In addition, the immunization rates for children referred from the target community increased from 18 children to 30 per month. . During the same trial, we recorded an average income per CHW per week of 150 KES, with an average cost per CHW of 5 KES per week, demonstrating a financially sustainable income generation model.

18. Maeghan Orton, Africa Regional Director • @Medic • +254 0700 332 870 • maeghan@medicmobile.org