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How Do Community Workers Feel about mHealth?
       CORE Group Spring Session 2011
Mali          Bolivia      Yemen
El Salvador   Armenia      Sudan
Guatemala     Haiti        Uganda
Egypt         Mozambique   Vietnam
Jordan        Mali         Philippines
Bangladesh    Pakistan     Myanmar
Malawi        Tajikistan   Guinea
Afghanistan                West Bank
Awaiting Data Input – Haiti (Save the Children USA)
Survey Coordinator – Bolivia (Save the Children USA)
Microfinance Registries – Myanmar (Save UK)
Laptop                 Netbook




PDA      The Tools
                     Cell Phones
Because it is everywhere…
Start with the end-user in mind.

How can mobile technology help them do
 what they’re already doing?
- Adam Slote Chief Health Advisor, USAID Global Health, GH
  Mini U, October 2010
The Users
“People don't want to have apps which
  solve what YOU think are problems

They want apps which solves what THEY
 think is a problem.”
- Christopher Kusek (@CXI), retweeted by Ed Jezierski
  (@edjez) 3 May 2011
The Users




Photo: CommCare – Futures Group, 18 Dec 2009
Each technology deployment has
 unique characteristics and needs.
The solution must be carefully thought out.

It must be inclusive of all stakeholders.

     •   Donor
     •   Program
     •   M&E
     •   IT
     •   Field Staff
     •   CHW
     •   Beneficiary
Fight the urge to push the
solution without input of all
stakeholders.
The solution must satisfy the program need.


But, it must work in the hands of the User.
It’s not about technology…

    it’s about People.
Afghanistan March 2011
Technology is becoming easy...

Problems can be solved - they are technical!
The Challenge is:

Point of interaction between user and
 beneficiary
How should I begin?
Technology Solution Criteria


Functionality - What can it do?

Usability -     Can it be used?

Scalability –   Can it be used on a wider scale?
Functionality

1st – clearly understand your “What”


•Program and intervention needs.

•M&E indicators(Results Framework)
Functionality

The “What” always precedes the “How”


(The “How” is the technology “Solution”)
Functionality

 Technology serves your “What”…
   …not the other way around.

Resist forcing your “What” to fit the “How”.
Usability


Technology always works in the lab and
during training…

…it can quickly become irrelevant in
the context of field conditions.
“What Device?”
Usability


“If it doesn’t work in the field…

…then it doesn’t work”.
Scalability
Small pilots are often successful…

but they seldom scale up to wider
implementations
Scalability


       So….Your solution worked!

Can your solution expand to additional
locations?

Hint: Consider “Cloud”-based Software
as a Service” (SaaS) solutions.
Additional Considerations Before You Begin

Connectivity:             not available  available

Power availability:       low (car battery/solar)  high

Data transfer method:     USB  SMS  GPRS  Network

Data quality:             not important  important

Survey structure:         simple  complex (branching)

Data Privacy and Security: low  high
mHealth and the CHW
Google Groups: ICT4CHW

ict4chw@go​oglegroups​.com

   Moderated by Dr. Neal Lesh of D-Tree
SixBlue Data
David Isaak – Mobile Technology

         http://www.sixbluedata.com
        http://www.sixbluedata.com

         disaak@sixbluedata.com

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CORE Group 2011 SixBlue Data