M-HEALTH SOLUTIONS FOR ANOVA HEALTH INSTITUTE BETH BOYER, RACHEL FONG, EMILY FRISCH, LAUREN MCKEAN, NICOLE PHAN, CATIE TOBIN, JOANNA WILLIAMS SALT CONSULTING TEAM
M - H E A LT H S O L U T I O N S F O R A N O VA H E A LT H I N S T I T U T E B E T H B O Y E R , R A C H E L F O N G , E M I LY F R I S C H , L A U R E N M C K E A N , N I C O L E P H A N , C AT I E T O B I N , J O A N N A W I L L I A M S
S A LT C O N S U LT I N G T E A M
M O PA N I D I S T R I C T, L I M P O P O
P R O V I N C E I N S O U T H A F R I C A
M O B I L E H E A LT H U N I T S
FA M I LY F R E E P R O J E C T
HIV Services Pre-packaged ART
Chronic Care Services Adherence Clubs
Screenings
C U R R E N T PA P E R B A S E D S Y S T E M
M O B I L E H E A LT H U N I T PAT I E N T D ATA C O L L E C T I O N
P R O B L E M S W I T H PA P E R B A S E D S Y S T E M
• Paper registers can be lost—all information lost
• May forget to bring register on mobile health unit
• No back up
• Still need to manually enter data into system and interpret what was written
• More difficult to track patient’s past visits
• No assistance or flagging system for nurse and lay counsellors when seeing patients
W H AT A N O VA A S K E D U S T O D O :
• Design a system to:
• effectively collect patient information for all mobile health unit (MHU) client
• assist nurse and lay counsellors to effectively detect health problems, flag clients who need routine examinations or follow up at their nearest healthcare facility
• Enable data to feed into the Health Information System used by the South African Department of Health
• Feasibility and cost-effective analysis
M O B I L E P H O N E U S E I N S O U T H A F R I C A
40% use of internet browsing via phones
89% of South Africans have a mobile phone
55% have Nokia or similar type of cell
phone
34% have a smart phone
N E T W O R K S I N S O U T H A F R I C A
• Vodacom • MTN • Cell C • Telkom
V O D A C O M
10,200 cellular towers in
South Africa
99.8% population
covered
84% 3G reliability
3G96% 3G data population coverage
• Create apps for free using Community Plan
• Can be used offline
• Can be synced to other data systems (i.e. Tier.net and DHIS)
CommCare Mobile Data is entered into CommCare forms
CommCare HQ Website Access and
download data
• Proven the need for a new method of patient data collection
• Described what the client asked us to provide
• Selected a platform to meet the client’s needs
• Provided evidence on feasibility of implementing an m-Health solution in the client’s setting
S O FA R W E H AV E …
P R E S E N T I N G O U R A P P : A N O VA M O B I L E
PAT I E N T R E G I S T R AT I O N
PAT I E N T R E G I S T R AT I O N
“Yes”
“No”
S C R E E N I N G
S C R E E N I N G : G U I D E S F O R C A R E
S C R E E N I N G : P R O M P T S
S C R E E N I N G : H E L P B U T T O N
H I V A D H E R E N C E C L U B F O R M : I N P R A C T I C E
H I V A D H E R E N C E C L U B F O R M
PAT I E N T N O T P R E S E N T:
PAT I E N T I S P R E S E N T:
A S S E S S M E N T: W E I G H T
A S S E S S M E N T: A R T
A S S E S S M E N T: L A B S
A S S E S S M E N T: E D U C AT I O N
I M P L E M E N TAT I O N
Supply mobile health unit workers with Vodacom Smart Speed phone (with data plan)
Provide trainings for unit and facility staff to properly use and analyze.
User manual included.
C O S T S :• Smart phone
One time investment (replace as needed)
• Data plan Ongoing cost
• Training One time
investment
F U T U R E S T E P S
• Add chronic care form
• Break adherence club forms into separate forms based on adherence club schedule (Lab or Consult days)
• Add SMS text reminders for patients
A N O VA M O B I L E
Q U E S T I O N S ?
S A LT C O N S U LT I N G T E A M