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Child Status Index & Community Case Management mobile applications

Child Status Index & Community Case Management mobile applications. Marije Geldof D-tree International. Background IMPACT. IMPACT is a USAID/PEPFAR-funded GDA serving 100,000 OVC and PLHIV Funding: $28 million – half provided by alliance partners as privately leveraged funds

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Child Status Index & Community Case Management mobile applications

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  1. Child Status Index &Community Case Management mobile applications Marije Geldof D-tree International

  2. Background IMPACT • IMPACT is a USAID/PEPFAR-funded GDA serving 100,000 OVC and PLHIV • Funding: $28 million – half provided by alliance partners as privately leveraged funds • Duration: 4 years (July 2010-June 2014) • Designed to complement WALA Program • 9 implementing partners & 3 technical assistance partners • 9 districts in central and southern regions • In collaboration with Government of Malawi and relevant ministries

  3. The IMPACT Consortium National Partners International Partners Africare Emmanuel International D-Tree International CRS (Prime) Opportunity International Bank Project Concern International Save the Children World Vision • Chikwawa Diocese • Dedza Catholic Health Commission • Lilongwe Catholic Health Commission • Zomba Catholic Health Commission • National Association of people living with HIV (NAPHAM)

  4. Goal IMPACT • Improve wellbeing of OVC and increase access to treatment and care for PLHIV • SO1: Improved wellbeing of 60,000 OVC • SO2: Access to treatment and care for 40,000 PLHIV enhanced

  5. D-tree’s role in IMPACT • Developing 3 mobile applications to support the IMPACT program at community level: • Child Status Index (CSI) • Supporting OVC committees • Community Case Management (CCM) • Supporting Health Surveillance Assistants • Mother-infant pair follow up (MiP) • Supporting Health Surveillance Assistants • Working in IMPACT catchment areas in three districts: Lilongwe, Ntcheu and Zomba

  6. ICT implementation • Mobile applications developed on CommCare platform • Applications run on Nokia 2700c with GPRS data transmission at $0.00006/Kb • Basic troubleshooting once application is developed and users are trained • Capacity for continuation of applications being transferred from D-tree to CRS Malawi

  7. CSI application • Child Status Index (CSI): case management tool for assessing the well-being of children • IMPACT CSI forms collected every 6 months by community volunteers for beneficiary children • Mobile application in Chichewa to enter CSI forms, which prompts for referrals & follow-up • Data from paper forms entered into application by OVC secretaries • Currently 82 OVC secretaries trained

  8. CSI application

  9. CSI application Main menu CSI form Registration Important events Follow up

  10. Why the CSI application? • Data entry at community level • Increased data completeness • Increased referrals through referral prompts • Reduced loss to follow up through follow up prompts

  11. CCM application • Health Surveillance Assistants (HSAs) conduct Community Case Management (CCM) protocol for children from 2 months up to 5 years at village clinics in hard to reach areas • Mobile application implements Government of Malawi protocol • Mobile application guides HSAs through protocol, enforcing better adherence to the guidelines • Currently 30 HSAs trained

  12. CCM application

  13. CCM application Main menu Registration Screening child Treatment

  14. Perceptions about CCM application • HSAs: • ‘The phone is like a colleague reminding us about things we would otherwise forget’ • ‘The phone prevents you from making mistakes’ • ‘The phone reminds you of everything’ • Caregivers: • Caregivers from other areas come to the village clinics with the mobile application, because they feel these are now providing better care • ‘When the phone was used my child got a proper examination’

  15. Why the CCM application? • Better adherence to the sick child form, insight in deviations from the protocol • Increased completeness (90% vs. 100% of visits) • Increased referrals (1% vs. 5% of visits) • Increased follow-up (0% vs. 26% of visits) • Real-time service data, also about drug consumption and stock outs • Increased satisfaction caregivers about services

  16. Challenges • CSI application • (Literacy) level of CSI users • Phone theft • Data entry not at point of care • CCM application • Paper register and application used concurrently • MOH reporting and supervision • General • Eyesight problems

  17. Conclusion • CSI application has potential to improve support to vulnerable children and reduce loss to follow up. • CCM application has potential to improve the effectiveness of service delivery at village clinics in Malawi. • Partnership between CRS Malawi and D-tree International successful

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