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Bangkok | Mar-17 | Medic Mobile, Village Level Healthcare

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Presenter: Jay Evans

Veröffentlicht in: Wissenschaft
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Bangkok | Mar-17 | Medic Mobile, Village Level Healthcare

  1. 1. ‘Opportunities & Challenges to enhance village level healthcare in South & Southeast Asia through ICT and energy access
  2. 2. Over 12,500 frontline health workers In Africa and Asia use our tools Delivering care for over 1 million families
  3. 3. 95% of the global Has access to a mobile signal
  4. 4. Designing new systems of care
  5. 5. Focus on health workers using principles of human-centered design
  6. 6. Building health systems that reach everyone
  7. 7. Tools for basic phones Easy-to-use tools for health workers, household caregivers, and patients
  8. 8. Tools for smart phones Easy-to-use tools for health workers, household caregivers, and patients
  9. 9. The Medic Mobile app Android app for frontline health workers and managers
  10. 10. However, the path to scale and impact involves much more than just technology
  11. 11. Scale “Buckets”
  12. 12. Infrastructure Success of field level eHealth health deployments are highly dependent on energy access. Electrical grid has not expanded as rapidly as access to cell signals.* Even if access to electricity is in place the choice of the right hardware is critical. * Source: World Bank 2016
  13. 13. Human Resources While Community Health Workers may own cell phones, they may not be aware of all of the extended features. Adequate training and refresher trainings are needed. In the end, health workers have to see a benefit for themselves if they are to continue using an eHealth tool.
  14. 14. Users ● Female Community Health Volunteers (FCHVs) - Nepal’s national network of community health volunteers ● Health workers (nurses and mid-level physicians) at all primary health care facilities i ● Public Health Nurses, Administrators and Statisticians at the district health office .
  15. 15. Financial Sustainability Digital health initiatives often cost much more than originally planned. ……Surprise. Local community must be engaged and “own” the digital health initiative. Government and/or the community must have a plan for uptake by end of the pilot evaluation.
  16. 16. Impact Lots of eHealth pilots…very little evidence of impact AND scale. (Especially at village/community level) It’s not just about the data.. It is about health outcomes. Coordination between health verticals. Everybody wants their data, but what does the community want.
  17. 17. We don’t need another app
  18. 18. We need: Better coordination, build an evidence base and advocacy for digital best practices.
  19. 19. Building an evidence base
  20. 20. Building an Evidence Base • Build evidence base on health outcomes • Full cost analysis, Cost per CHW, Cost per patient, including hardware refresh and retrainings • Pathways to scale: MoH, Partnerships, Private Sector
  21. 21. Advocacy
  22. 22. Advocacy • Push for Digital Principles: Design for scale, Design for Sustainability, Reuse and Improve* • Collaborate with government to build regulatory frameworks. • Data/SMS costs • Work much more closely with groups solving energy infrastructure issues in communities. * From Principles for Digital Development found at http://digitalprinciples.org
  23. 23. Working together to: • Build an evidence base • Implement digital principles + best practices • Scale what we know works , develop protocols • Pathways to care for NCDs • Ecosystem information/background in country • MoH and MoE collaboration.
  24. 24. Questions and Discussions
  25. 25. jay@medicmobile.org | medicmobile.org We are all health workers @medic Thank you