Andrew Wyborn, Greenmash mHealth: Global Projects, Software & Critical Perspectives Icd4 London Meetup GSMA HQ, London, UK Tuesday 26th January 2016 For more info: http://www.meetup.com/London-ICT4D/events/227274734/

1. mHealth in action: Improving
access to health services in Tanzania

2. Population Services International (PSI)
Tanzania is a not-for-profit Tanzanian trust
which has been working to improve the
health of Tanzanians since 1993.
Mango is a general purpose mobile
application platform that uses everyday
technology, such as mobile phones, email,
web based reports and maps to provide
last mile solutions in resource challenged
environments.
The background
Improving access to health services
in Tanzania
Greenmash is a software and services
organisation that develops, deploys
and supports the mango platform.
Operational in Cameroon, DRC,
Nigeria, Ghana, Kenya, Tanzania,
Somaliland, Madagascar and South
Africa.
Partners since 2012. PSI have been
using Mango applications for 5 years
to improve program performance and
the health of Tanzanians

3. Mango: a proven, scalable and robust
mobile application platform that uses
everyday technology, such as mobile
phones, email, web based reports and
maps.
Delivers last mile solutions in resource
challenged environments that significantly
improve performance management.
Provides real time business intelligence to
support strategic decision making
Built for basic devices
Mango : Advanced Technology

4. Mango: Providing operational support

5. • Collect data from tough environments
• Translate data in to meaningful and easy to use information in
real time
• Make that information visible to multiple participants irrespective
of location
• Make informed decisions to improve performance management
The common thread…

6. Why did PSI invest in a referral
and e-voucher system?
• Improve the uptake of health services in Tanzania
• Improve the tracking and auditability of issuing vouchers
• Make it easier to add and edit available services and values
• Provide a dynamic view of program performance
• Provide a dynamic view of liabilities
• Reduce the risk of fraud

7. Where the activities take place
• 29 regions
• 169 districts
• Approx. 50m people (?)

8. How does it work?
SMS
USSD
Mobile money
Mango Web interface

9. What happens to the data?

10. Clear reports, charts & maps

11. Ability to manage the program
• Questions
• Services
• Messages
• Workflows
• On and offline
data entry
• Reports

12. The headline results
• Number of referrals more than doubled within a few
months of launch – more Tanzanians are receiving health services.
• Financial liabilities are now easier to manage
• Since vouchers also expire there is no outstanding liability
• Health workers are now paid faster and more efficiently
• Participating clinics are now able to predict how much
funding they will receive, and are paid electronically
• Major reduction of manual processes for referrals.
• Major improvements to health worker performance.
• Major improvements to health service uptake.

13. • The system is evolving rapidly
• Refer a friend service
• More health services
• Integration with DHIS2
The future

14. Mango Solutions
mango
Patient Adherence
Patient reminders,
follow up, tracking
and case history
Client/ Clinic Management
Capturing
transactional and
aggregated data at
facility level
Diagnostic Test Data
eVoucher
A transaction-processing
solution that links end
users, suppliers and
clients in an end-to-end
electronic voucher
distribution system.
Supply chain management
Fully automated or
manual inventory,
order and forecast
management
including barcode
capture
Early Warning System
Providing an early
warning system
across a country to
address shortages
and overstocks
Automatic capture
and recoding of RDT
test data and images
from within one
application

15. Benefits and added value
• Saves time: reporting tasks can be
completed in minutes
• Saves money: data collected
electronically and reports generated
automatically
• Real time informed decision making
• Reduces stock outs: e.g. Kenya total
stock outs eliminated
• Dynamic forecasting: for consumption
and demand
• Real time order placement: from all or
any level with processing by any
authorised user.
• Reduces waste: overstocks can be
reallocated to avoid waste
• Real time data exchange: with other
information systems such as LMIS
and DHIS2 e.g. PSI in Tanzania
• Reduce training costs: training
materials can be published and
distributed electronically.
• High accuracy & reporting rates
e.g. Kenya 90%+ Ghana 85%+ DRC
70%+
• High staff motivation and improved
communication at all levels
• Real time data validation

16. Contact Us
e. andrew.wyborn@greenmash.com
t. +44 20 8224 1740
m. 0773 089 8802
www.greenmash.com