mobile-Community HealthAnjuli Dasika, Jackie Wolf, Nick Reid

Global Information Engagement Program

What were we supposed to do?● Enhance communication between Doctors and Community

Health Workers● Streamline and improve patient data collection

Enhance Health Work in Rural SettingsRoleCHWs working in remote rural communities are tasked with checking patient vitals, giving out limited quantities of medication, and recording health information

Challenges● Limited time and energy

○ ~10 households, 50+ patients ○ 3 minute visits per patient, 2.5 hour visits for pregnant mothers ○ 2 hour electronic data entry post-field visits

CHW-Doctor CommunicationRoleCurrently CHWs only interact with doctors directly in at the clinics on behalf of their patients.

Challenges● Distance makes getting MD knowledge difficult● Lacking medical context to diagnose

“An app can’t build a bridge”

KOL-Health App

● Real-time data entry● Offline-first architecture● Patient-centered data● Case-specific messaging

Health Information Ecosystem● Many organizations supporting health workers● Share thin-technologies to support communities

Our Process ● Field visits

○ Bhovanipur, Balichak○ Bhai Nagar, Balichak○ Jamdargur, Godapiasal

● Methods○ Semi-structured interviews○ Testing with prototype

Having a trained, third-party translator is important

Health workers keep personal logs of community members’ records, even when it is not required

Can the community feel represented?● Community volunteers information● Multiple stakeholders beyond the mother

3 types of literacy in community health work● Literacy levels and languages ● Health literacy and knowledge● Digital literacy

(All of which vary greatly)

In India there are Indias within India

Just the beginning...

Tailor content

Re-evaluate the work process

& build a bridge

Empower the community

Thanks!

Questions?