Project Mwana Story

Project Mwana

Project Mwana

Goal:

Using Mobile Technology to Strengthen Health Services

for Mothers and Infants in Rural Clinics

Project Mwana

MoH Zambia & Malawi

UNICEF Zambia & Malawi

UNICEF Innovation

Project Mwana

April 2010

Constraints

Use clinic workers phones

Low operational barriers to scale

Is affordable & sustainable

Project Mwana

Methodology

Write a bit of working software

Test with real users

Get feedback

Project Mwana

Positive lessons

Clinic staff grasped concepts

Self or Peer training possible

Clinics without signal could be included

Project Mwana

So what did we build?

Project Mwana

Results160

Overview

Secure SMS delivery of DBS Results

First problem we looked at:

Early Infant Diagnosis (EID)

Dry Blood Spot (DBS)

CLINICS

LAB

ref - Early Infant Diagnosis: System Summary (2008) – MoH & Clinton H/A Initiative

DBS samples take too long getting back to mothers

ref - Early Infant Diagnosis: System Summary (2008) – MoH & Clinton H/A Initiative

DBS samples take too long getting back to mothersResults160 addresses this part:

Access Database (Ndola LAB)

Data Synch

Server (MoH Lusaka)Access Database (Ndola LAB)

Data Synch

Access Database (Ndola LAB) Server (MoH Lusaka)

Data Synch

Access Database (Ndola LAB) Server (MoH Lusaka)

User Registration:

Join <ClinicID><Name><PIN>

Join 403020Maria2606

From: Results160

Hello Maria, there are 3 DBS results for your clinic.

Please reply with your PIN to retreivethese results

When results are ready

To: Results160

2606

User sends PIN

Results arrive

From: Results160

The 3 results are,Sample 102534 -Not Detected*************Sample 910253 -Detected*************Sample 108253 -Rejected*************

Service Requirements

Secure

Private

Traceable

Real-time

Accountability“Hi, New Results Available”

“Hi, New Results Available”

“Hi, New Results Available”

Marion

Anna

Beatrice

Accountability

Marion

Anna

Beatrice

Accountability“The 3 results are ... ”

“Anna has collected these results”

“Anna has collected these results”

Marion

Anna

Beatrice

Cost• SMSs are free to users

• Lab – MoH connection uses cheap data

• Uses clinic workers personal phones

• SMS usage monitored

RemindMI

Overview

Patient Follow-Up for Mothers & Infants

ref - Early Infant Diagnosis: System Summary (2008) – MoH & Clinton H/A Initiative

DBS samples take too long getting back to mothersResults160 addresses this part:RemindMI addresses this part of the cycle:

OpportunitiesCommunity volunteers at clinics

Currently find patients that are LTFU

Strong relationships

SMS reminders of clinic appointments to care givers (Remind Mothers and infants)

Clinic -Community Communication using group sms

Clinic visit reminder

Community Agent

Sign-Up

6 days6 weeks

6 months

Birth Registration

Communication

RemindMi group messaging

2 Groups:

“CLINIC under 5 clinic this Friday”

“CBA locate Lea Banda in Zone 2”

Project Mwana

Help

Users can SMS help to Results160

With a description of their problem

Support team will call them back

“HELP I've forgotten my PIN code”

“HELP we need to register more staff”

Project Mwana

Project Mwana

Moving Forward

Status:

System is ready to deliver results

Staff at 11 clinics have been trained

System is in English and Bemba

Project Mwana

Project MwanaPhase 2 Objectives

Zambia

• Evaluate and update Results160

• Roll out to more sites (+10 Luapula, +10 Southern)

• Investigate other needs e.g Malnutrition

Malawi

• Pilot Results160

• Roll out Malnutrition

Project Mwana

Thank You!

http://projectmwana.posterous.com