ictc - celebrating our ten year anniversary in 2014 ehealth working group co chairs: philip downs...

ICTC - Celebrating our ten year anniversary in 2014

eHealth Working GroupCo Chairs: Philip Downs (RTI), Alex Pavluck (Task Force),

Members: Dr. Sangchul Yoon (Yonsei University), Andrew Bastawrous (LSHTM), Kurt Dreger (JHU), Benedict Hoefnagels (LFTW), Stewart Jordan (LSHTM), Michael Bailey (JHU), Aisha Stewart (TCC), Whitney Goldman (HKI), Geordie Woods (Sightsavers),

E-Health is the application of Information Communication Technologies (ICT) to promote healthcare services support, delivery and education. mHealth (Healthcare based on mobile phones technology) provides an additional tool to promote ICT.


SCOPE Support ICTC working groups by translating

program goals into ICT system functional requirements for review and approval

Provide a forum for developers and system implementers to engage with ICTC and related organizations in a coordinated fashion

Ensure that Monitoring and Evolution indicators are a component of new ICT system design and implementation

Provide guidance on issues of data ownership, access, and storage


eHealth support will be in 3 phasesPhase 1: Planning/System requesti. ICTC WGs will provide a system request via a logic model so we can understand the goals of the systemii. ICTC WGs will describe the scope of the project and any constraintsPhase 2: Analysis phasei. Feasibility assessment - can we build it? should we? will it be used?ii. Translate the logic model into functional requirements of the systemiii. Provide this analysis back to the ICTC WG for approvalPhase 3: Designi. Recommend existing system or design/implementation partnerii. Support implementation?


eHealth Logic Framework

EXAMPLE


mHealth Pilot Projects• Kiwi prints – mobile system to track de-identified

data about an individual’s receipt of services (e.g., vaccines, nutritional supplements, TT surgeries), Pilot test in Mozambique, Kenya

• Project BOM - mHealth comprehensive eye-care initiative, Pilot test in Malawi


Kiwi PrintsOverview

Data transfer

Kiwi Server/ Database

Image Sources: Maxim-LIS, SecuGen Scanner, Wikimedia Commons, and RTI’s Kiwi App screenshot

Confirm fingerprint identity

Records of inputs/interventions

received by an individual

Outputs produced for clients

Application

Open Source Fingerprint ID Software

Kiwi Data Collection Software

Tablet or Smartphone

Fingerprint Scanner

+

Hardware

+

Kiwi


Mozambique PilotTT Surgical Reporting

Queen Elizabeth Diamond Jubilee Trust – Start-up workshop• Need for real time data for reporting, monitoring , and decision making. • National reporting systems need to be respected• A simple mHealth solution is needed to report on de-identified data (place and

time of surgery, gender, age, type of surgery, details on follow-ups, details on outcomes, # of refusals, # epilating).

Kiwi Prints Pilot• Incorporate data entry for TT surgeries• Possibility of piloting Kiwi prints platform (Nov 2014) for registration and

monitoring surgical frequency and surgical/patient outcome. • A more comprehensive Mhealth system will require coordination with reporting

requirements of MISAU

ICTC - Celebrating our ten year anniversary in 2014 8

Registering an Individual/Record Entry

Scanning and registration process for an individual with screen prompt for services being provided through the intervention.


Trachoma AppOverview

WiFi / 3G

Access provided to - Ministry of health- Country manager (Sight savers)- Official NGO partners - Supervisor of OCO’s- mHealth IT support group

District level

• Captured data are temporarily saved on each mobile device

National level

• Patient data sent to the central server computer in the ministry of health


Context of App

Preoperative evaluation

Operation record

Postoperative follow up

Additional:- Calendar - Mapping - Inventory


Pilot test in Severance hospital (July 2014)• Trichiasis diagnosis using mobile App • Performed by non-medical college students• Making training protocols & manuals

Malawi implementation (Current) • Application is dissemination in Malawi along with

the National inception timeline• Including a training curriculum for the OCO’s• Launched on October 16th


Advantages andChallenges

Advantages• Integration with previous back-log into HMIS • Verification for operated patients • Comprehensive management from preoperative evaluation to post-operative follow up• Surgical quality control• Counseling and education • Monitoring and evaluation• Efficient chain support Challenges• WiFi/3G connection • Cost and sustainable financing• Training and technical support• Lack of a consensus on regulatory framework for mHealth • Partnership

ictc - celebrating our ten year anniversary in 2014 ehealth working group co chairs: philip downs...

Documents

year anniversary

ictc wgs

scope support ictc

kiwi prints pilot

mobile system

mhealth pilot projects

system implementers

existing system