A presentation given at Stanford on using technology to dam the HIV/AIDS treatment cascade.

1. HIV / AIDS
using technology to dam the cascade
Presentation by InSTEDD:
Caricia Catalani, DrPH, MPH
Innovative Support to Emergencies
Diseases and Disasters
Brooke Estin

3. the issues | global
the scale

4. the issues | global
the scale

5. the context

6. the context | HIV around the world
regional adult HIV prevalence
15 - 50 5 - 15 1-5 0.5 - 1.0 0.1 - 0.5 0.0 - 0.1 no data
(2009) (%)

7. the context | HIV around the world
33.2 million

8. the context | HIV around the world
33.2 million
Middle East & Eastern Europe Latin North America & Sub-Saharan
Caribbean North Africa & Central Asia America Western/Central Europe Asia Africa
240,000 460,000 1.4m 1.4m 2.3m 4.9m 22.5m

9. 17 million 2.5 million
women children

10. 30 million have lost parents
children to HIV/AIDS

11. the context | HIV around the world
Number of people on antiretroviral therapy (millions)
8
6
4
2
0
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

12. the context | HIV around the world
regional adult HIV treatment
81 - 100 61 - 80 41 - 60 21 - 40 1 - 20 no data
(2009) (%)

13. the context | HIV around the world
5 million

14. @ONE Campaign
33.2 million 5 million
infected in treatment

15. the problem

16. the problem | the cascade
Tested Enrolled CD4 Eligible Short-term Long-term
HIV positive in care tested begin ARTs adherence adherence

17. the problem | the cascade
why?
Tested Enrolled CD4 Eligible Short-term Long-term
HIV positive in care tested begin ARTs adherence adherence

18. the problem | the cascade
POLICY
CLINICS/ORG
INDIVIDUAL

19. the issues | the cascade
so what helps?

20. the approach | where to look?
the field the literature
local global

21. the approach | where to look?
the social the technical
people tools

22. the approach | where to look?
online offline
resources resources

23. the approach | where to look?
engage with understand
people in global best
their context practices

24. the approach | social + technical

25. mission
Our mission is to improve global health, safety and sustainable development through 4 areas:
Creating Collaboration Technologies
Ensuring Usefulness and Impact
Collaborating with People
Building Capacity
within communities to foster a local culture of innovation

26. mission
Our Our mission is to improve global health, safety and sustainable development through:
mission is to improve global health, safety and sustainable development through 4 areas:
Ensuring Usefulness and Impact
Collaborating with People
Building Capacity
Creating Collaboration Technologies
for social good

27. mission
Our Our mission is to improve global health, safety and sustainable development through:
mission is to improve global health, safety and sustainable development through 4 areas:
Creating Collaboration Technologies
Ensuring Usefulness and Impact
Building Capacity
Collaborating with People
through a bottom up design and development process

28. mission
Our Our mission is to improve global health, safety and sustainable development through:
mission is to improve global health, safety and sustainable development through 4 areas:
Creating Collaboration Technologies
Collaborating with People
Building Capacity
Ensuring Usefulness and Impact
through research and evaluation

29. Muddy Boot Doctors

30. Out of the Office Engineers

31. Community Based Researchers

32. Domain Experts

33. Creative Communicators

34. Resourceful Business Managers

35. Local Leadership

36. projects
Our approach facilitates collective Argentina Haiti Mexico Thailand
action by local partners, and is Bangladesh Indonesia Mozambique USA
being successfully applied Cambodia Kenya Rwanda Vietnam
China Laos Ghana Zimbabwe
globally.

37. tools platform
KEY Our mission FEATURES
BENEFITS & is to improve global health, safety and sustainable development through:
free and open source
customizable
use independently or together
realtime alerts
data synchronization
works on any phone
works with low signal
most don’t require internet
many don’t require literacy
cheap, fast & easy

38. tools
Verboice is a
customizable
application that
empowers users
to build their
own interactive
voice response
systems.

39. tools
Verboice is a
customizable
application that
empowers users
to build their
own interactive
voice response
systems.

40. tools
Baby Monitor is an
unconventional approach
to service delivery along
the birth continuum in
remote locations by
creating an interactive
voice response
application for mobile
phones that is designed
for mothers as end‑users.

41. tools
Resource Mapping
helps people to
collaboratively track
their work, resources
and results
geographically and
through SMS.

42. tools
Resource Mapping
helps people to
collaboratively track
their work, resources
and results
geographically and
through SMS.

43. tools
Remindem allows you to
set up a list of tips,
reminders and advice
that people can
subscribe to via text
messages. You can
schedule the messages
based on a schedule
you define.

44. tools
Remindem allows you to
set up a list of tips,
reminders and advice
that people can
subscribe to via text
messages. You can
schedule the messages
based on a schedule
you define.

45. Cool tools.

46. but what really
works?

47. the opportunity | win-win
systematic review of the literature

48. the opportunity | win-win
find the gold in the rubble

49. the opportunity | win-win
select few invited to apply for fellowship

50. the opportunity | win-win
intellectual community

51. Innovative Support to Emergencies
Diseases and Disasters
www.instedd.org