2. Namitete, Malawi

3. St. Gabriel’s Hospital
250,000
people
100
miles
2
doctors

7. 100
phones
$10
each

11. Emergency Care
CHW alerts the clinic
Clinic dispatches
Injury
resources
Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.
Technol Health Care. 2010 Jan; 18(2): 137-44.

12. Emergency Care
CHW alerts the clinic
Clinic dispatches
Injury
resources
150 patients over 6 months
Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.
Technol Health Care. 2010 Jan; 18(2): 137-44.

13. Patient Tracking
Patient misses
appointment
CHW reports
patient’s status
CHW receives alert
CHW locates and
checks in with patient
Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.
Technol Health Care. 2010 Jan; 18(2): 137-44.

14. Patient Tracking
2100 hours saved
$3,500 saved
Patient misses
appointment
CHW reports
patient’s status
CHW receives alert
CHW locates and
checks in with patient
Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.
Technol Health Care. 2010 Jan; 18(2): 137-44.

15. Management
Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.
Technol Health Care. 2010 Jan; 18(2): 137-44.

16. Stock Levels
Restocking based on need
STOCK LEVELS
Reports are
monitored at
Clinics upload reports
central office
for vital stock levels

17. Symptom Monitoring
Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.
Technol Health Care. 2010 Jan; 18(2): 137-44.

18. Symptom Monitoring
2x number
of TB patients
Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.
Technol Health Care. 2010 Jan; 18(2): 137-44.

20. Image courtesy Logan Abassi, UNDP

23. 80,000 SMS

24. “My name is J___ ____ my brother is working in Unicef
and I live in ____ I have 2 people that is still alive
under the building still ! Send Help!”

29. Graphic by Abraham Flaxman

32. What do we have?

33. Image courtesy of Global Cycle Solutions

34. Mobile money
Images courtesy of http://www.safaricom.co.ke

35. Mobile + radio
50% in West Africa
40% on mobile
Photo credits: Kate Kelly, developingradiopartners.org

36. Real systems

38. diverse low end phones

40. SIM apps

41. MMS-based diagnostics
Images courtesy of the Fletcher Lab at UC Berkeley, Diagnostics for All, Dr. Ozcan’s lab at Image from givengain.com

42. Machine learning
Image from http://www.cs.jhu.edu/~jason/465/

43. 2,364 people accessing emergency care.

44. 10,795 patients remaining in care across 3
infectious disease treatment and prevention
programs.

45. 858 new TB patients identified and
entered into care.

46. 2,690 health workers reporting stocks
112x faster and 4x cheaper, serving
270,800 people.

47. 1,036 health workers doing remote
treatment consults 100x faster, serving
71,820 people.

48. 356,637 patients

49. 1.78 million people

52. 500,000 cell phones per day
“Cell Phones #2” by Chris Jordan, Atlanta 2005

54. 300,000

55. josh@medicmobile.org