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Tuhuma Tulli
Strategic Information Advisor
Introduction
• Tanzania AIDSRelief operates in four out of 26
  regions and have 420 PMTCT sites currently
  providing PMTCT services
• With the existing sites; it is not cost-effective to staff
  each PMTCT site with a dedicated SI Staff
• Most of the sites are in remote locations.
• Solution: Needed a quick, effective , low tech
  solution that will allow for a some level of patient
  data automation to ensure the transmission of
  qualitative data within donor designated reporting
  requirements using the limited resources.
PMTCT Issues

• Maintaining up to date data for HQ
   • Timely report submission
   • Data accuracy and quality
   • Timely update of patient level data
• Sustainable, low maintenance solutions
• Central data repository updatable from anywhere
• Strengthening Referrals
• Keeping Community Health Workers informed
SMS application for Reporting
• Why SMS?

  – Familiar to users
  – No special software required for user handsets
  – Any handset can be used
  – SMS is available almost anywhere
  – Excellent solution for rural and resource
    challenged environments
SMS coverage in Lesotho
SMS reporting – How?
• Each phone used in sending report is registered
  with the server through sms:
                 Successful registration for FirstName
                 SurName with number xxxxxxxxxx
SMS reporting – How?
• Report data is entered as an SMS in a
  predetermined format:
PMTCT MONTHLY REPORT
Jan-10
                                                                      Paper Report   SMS
PMTCT Antenatal Clinic (ANC) Monthly
Summary Form


                                                             LPTF 1



All women attending ANC for the given report period

ANC 01. New ANC clients this month                      1188


ANC 02. Previously known to be HIV positive             17

ANC 03. Total number tasted                             574

ANC 04. Number of new client had HIV test at ANC        277

ANC 05. Tested HIV-Positive                             37

ANC 06. Post-test counseled for positive and negative   574

ANC 07. Number of partners tested for HIV               16

ANC 08. Tested HIV-Positive                              4
SMS reporting – How?
• SMS is received at in-country office on phone
  connected to server
SMS reporting – How?
• Server performs DQ check against various rules and
  responds to sender, if data passes then it is
  integrated into database. If it fails then user is
  notified of the discrepancy and can immediately
  correct and resend.
Summary


 User sends formatted                SMS arrives at cost effective
 report as an SMS                                                           Server Application
                                     cellphone tethered to central           polls phone for
                                                server                       incoming SMS




Data can be formatted into        Server replies with                Data from SMS is stored in
XML data for use in other         confirmation SMS                   SQL Database and cleared
applications or transmitted via   confirming success/failure         from phone
GPRS/3G/Other internet
Futures Group

• Data is
  immediately
  available for
  analysis and
  distribution
Other advantages
• Sustainability
   • Very little hardware required
   • Cheap handsets can be used
   • Cellphones already in use
• Availability
   • Server can connected to UPS ensuring availability
   • Server maintains cellphone charge via cable
   • For prolonged power outages at server, cellphone stays
   powered for days
       • Reports are received on handset.
       • After power restored, server retrieves reports
Futures Group
Thank You
Contact
Bobby Jefferson
Lanette Burrows
Futures SI Advisor in-country

www.futuregroup.com
www.iqstrategy.net

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Innovative Technology for Development: Tuhuma Tulli, AIDSRelief/Futures Group International Strategic Information advisor for Tanzania

  • 2. Introduction • Tanzania AIDSRelief operates in four out of 26 regions and have 420 PMTCT sites currently providing PMTCT services • With the existing sites; it is not cost-effective to staff each PMTCT site with a dedicated SI Staff • Most of the sites are in remote locations. • Solution: Needed a quick, effective , low tech solution that will allow for a some level of patient data automation to ensure the transmission of qualitative data within donor designated reporting requirements using the limited resources.
  • 3. PMTCT Issues • Maintaining up to date data for HQ • Timely report submission • Data accuracy and quality • Timely update of patient level data • Sustainable, low maintenance solutions • Central data repository updatable from anywhere • Strengthening Referrals • Keeping Community Health Workers informed
  • 4. SMS application for Reporting • Why SMS? – Familiar to users – No special software required for user handsets – Any handset can be used – SMS is available almost anywhere – Excellent solution for rural and resource challenged environments
  • 5. SMS coverage in Lesotho
  • 6. SMS reporting – How? • Each phone used in sending report is registered with the server through sms: Successful registration for FirstName SurName with number xxxxxxxxxx
  • 7. SMS reporting – How? • Report data is entered as an SMS in a predetermined format: PMTCT MONTHLY REPORT Jan-10 Paper Report SMS PMTCT Antenatal Clinic (ANC) Monthly Summary Form LPTF 1 All women attending ANC for the given report period ANC 01. New ANC clients this month 1188 ANC 02. Previously known to be HIV positive 17 ANC 03. Total number tasted 574 ANC 04. Number of new client had HIV test at ANC 277 ANC 05. Tested HIV-Positive 37 ANC 06. Post-test counseled for positive and negative 574 ANC 07. Number of partners tested for HIV 16 ANC 08. Tested HIV-Positive 4
  • 8. SMS reporting – How? • SMS is received at in-country office on phone connected to server
  • 9. SMS reporting – How? • Server performs DQ check against various rules and responds to sender, if data passes then it is integrated into database. If it fails then user is notified of the discrepancy and can immediately correct and resend.
  • 10. Summary User sends formatted SMS arrives at cost effective report as an SMS Server Application cellphone tethered to central polls phone for server incoming SMS Data can be formatted into Server replies with Data from SMS is stored in XML data for use in other confirmation SMS SQL Database and cleared applications or transmitted via confirming success/failure from phone GPRS/3G/Other internet
  • 11. Futures Group • Data is immediately available for analysis and distribution
  • 12. Other advantages • Sustainability • Very little hardware required • Cheap handsets can be used • Cellphones already in use • Availability • Server can connected to UPS ensuring availability • Server maintains cellphone charge via cable • For prolonged power outages at server, cellphone stays powered for days • Reports are received on handset. • After power restored, server retrieves reports
  • 13. Futures Group Thank You Contact Bobby Jefferson Lanette Burrows Futures SI Advisor in-country www.futuregroup.com www.iqstrategy.net