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In search of effective mHealth.

Neal Lesh, D-tree International, Dimagi Inc. In search of effective mHealth. Phones won’t save the world but we can build some great tools deliberately. Roadmap. Introductions and overview CommCare Five cautionary suggestions Open source is a deep concept Design under the mango tree

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In search of effective mHealth.

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  1. Neal Lesh, D-tree International, Dimagi Inc In search of effective mHealth.

  2. Phones won’t save the world but we can build some great tools deliberately.

  3. Roadmap • Introductions and overview • CommCare • Five cautionary suggestions • Open source is a deep concept • Design under the mango tree • Don’t automate broken systems • Beware unused data • Building capacity takes time

  4. Me 91-97: PhD computer science, UW 97-04: Artificial Intelligence & HCI 04-05: MPH global health, Harvard 05-08: Vagabond eHealther… • Tanzania (Harvard PEPFAR, D-tree, MVP) • Rwanda (Partners in Health, Columbia) • South Africa (D-tree, MRC ) • Bangladesh (BRAC, Dimagi) • Malawi (Baobab) Many other collaborations: IRC, Ifakara, OpenMRS, OpenROSA, Intrahealth, DataDyne, UW, PATH, Cell Life, …

  5. Almost everywhere, somebody local has a phone.

  6. mHealth Areas Outreach Tele-Medicine Data Collection Decision Support OpenROSA Consortium

  7. OpenROSA Consortium Cell Life Makerere ….. DataDyne JavaROSA open source software SSI …. …. UW D-tree Dimagi CommCare To strengthen and monitor community health programs

  8. Growth Spurt for D-tree • Office in Dar es Salaam, TZ • Five pilot projects, ~55 users • Two controlled studies • Starting to standardize our practices

  9. Roadmap • Introductions and overview • CommCare • Five cautionary suggestions • Open source is a deep concept • Design under the mango tree • Don’t automate broken systems • Beware unused data • Work glocally

  10. CommCare HEALTHY PREGNANCY Vitamin A, Iron Started tetanus Finished tetanus Started IPT (Malaria) Finished IPT (Malaria) Deworming tablet Has birth plan Tested for HIV

  11. Child Mortality in Tanzania(per 1000 births) The Lancet, Volume 371, Issue 9620, Pages 1276 - 1283, 12 April 200

  12. Video

  13. Benefits of CommCare Government, other development efforts • Population health data • Implementation monitoring • Process improvement • Evidence-based change • Supervision • Checklists, Protocols • Scheduling • Job satisfaction Community Health Organization Field Office

  14. Roadmap • Introductions and overview • CommCare • Five cautionary suggestions • Open source is a deep concept • Design under the mango tree • Don’t automate broken systems • Beware unused data • Building capacity takes time

  15. Open source is a deep concept • Not free (total cost of ownership) • Get by giving , but giving can be uncomfortable for many organizations • Much open source code is not collaboratively built, some not even released • Conducive to local ownership • Not conducive to good tech support

  16. Design under the mango tree

  17. Don’t automate broken systems • CommCare doesn’t save lives, CHWs do. • Tech won’t get health workers to take temperatures, but it might help supervisors to get them to. • mHealth is tools, so find places where better tools will have impact.

  18. Map it before you automate it

  19. Beware unused data

  20. Successful Report

  21. Unsuccessful Report

  22. Building capacity takes time • So start now! Don’t expect a lot right away. • Invest in local capacity and give opportunities to local innovators • Coded in Country • Akin to FairTrade label for software

  23. What are we going to do today, Brain? The same thing we do every day, Pinky…. neal@equalarea.com Make a plan to TAKE OVER THE WORLD!!!!!

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