neal lesh, d-tree international, dimagi inc in search of effective mhealth
DESCRIPTION
Roadmap Introductions and overview CommCare Five cautionary suggestions 1.Open source is a deep concept 2.Design under the mango tree 3.Don’t automate broken systems 4.Beware unused data 5.Building capacity takes timeTRANSCRIPT
Neal Lesh, D-tree International, Dimagi Inc
In search of effective mHealth.
Phones won’t save the worldbut we can build some great
toolsdeliberately.
Roadmap
• Introductions and overview• CommCare • Five cautionary suggestions
1. Open source is a deep concept2. Design under the mango tree3. Don’t automate broken systems4. Beware unused data5. Building capacity takes time
91-97: PhD computer science, UW97-04: Artificial Intelligence & HCI04-05: MPH global health, Harvard05-08: Vagabond eHealther…◦ Tanzania (Harvard PEPFAR, D-tree, MVP)◦ Rwanda (Partners in Health, Columbia)◦ South Africa (D-tree, MRC )◦ Bangladesh (BRAC, Dimagi)◦ Malawi (Baobab)
Me
4
Many other collaborations: IRC, Ifakara, OpenMRS, OpenROSA, Intrahealth, DataDyne, UW, PATH, Cell Life, …
Almost everywhere, somebody local has a phone.
mHealth Areas
Outreach
Data Collection
Decision Support
Tele-Medicine
OpenROSA Consortium
OpenROSA Consortium
Cell Life Makerere DataDyne
SSI D-tree Dimagi
…..
…. …. UWCommCare
To strengthen and monitor community health programs
JavaROSA open source software
Growth Spurt for D-tree
• Office in Dar es Salaam, TZ
• Five pilot projects, ~55 users
• Two controlled studies• Starting to standardize
our practices
Roadmap
• Introductions and overview• CommCare • Five cautionary suggestions
1. Open source is a deep concept2. Design under the mango tree3. Don’t automate broken systems4. Beware unused data5. Work glocally
CommCare
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HEALTHY PREGNANCY
Vitamin A, IronStarted tetanusFinished tetanusStarted IPT (Malaria)Finished IPT (Malaria)Deworming tabletHas birth planTested for HIV
Child Mortality in Tanzania(per 1000 births)
The Lancet, Volume 371, Issue 9620, Pages 1276 - 1283, 12 April 200 11
Video
• Population health data• Implementation monitoring
• Process improvement• Evidence-based change
• Supervision
• Checklists, Protocols• Scheduling• Job satisfaction
Benefits of CommCare
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Field Office
Community Health Organization
Government, other development efforts
Roadmap
• Introductions and overview• CommCare • Five cautionary suggestions
1. Open source is a deep concept2. Design under the mango tree3. Don’t automate broken systems4. Beware unused data5. Building capacity takes time
Open source is a deep concept
• Not free (total cost of ownership)• Get by giving , but giving can be
uncomfortable for many organizations• Much open source code is not collaboratively
built, some not even released• Conducive to local ownership• Not conducive to good tech support
Design under the mango tree
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Don’t automate broken systems
• CommCare doesn’t save lives, CHWs do.
• Tech won’t get health workers to take temperatures, but it might help supervisors to get them to.
• mHealth is tools, so find places where better tools will have impact.
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Map it before you automate it
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Beware unused data
Successful Report
Unsuccessful Report
Building capacity takes time
• So start now! Don’t expect a lot right away.
• Invest in local capacity and give opportunities to local innovators
• Coded in Country– Akin to FairTrade label for software
What are we going to do today, Brain?
The same thing we do every day, Pinky….
Make a plan to TAKE OVER THE
WORLD!!!!!