AIDS2012 July 2012
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Transcript of AIDS2012 July 2012
Best Practices, Experiences and Lessons learnt on using mobile phones to impact HIV/AIDS Behavioral ChangeAIDS2012July 2012
Eunice [email protected]
+256 776833855
Developing countries have more mobile phones than “developed”
countries
6 billion Mobile Phone subscriptions Globally (ITU,2011)
433 million in Africa (GSMA 2011)
53% have access to mobile phones in Africa (ITU)
95% of messages is read within 4min
Over 14 million mobile subscribers in Uganda as at June 2011
At least 50% of Ugandans can access a mobile phone
5 Major Mobile Operators
At least 1.2 million people infected in Uganda in 2011
At least 130,000 new infections every year
More women than men infected
Ref: Global AIDS Response Progress Report: Uganda Jan 2010-Dec 2012
Uganda: Mobile & HIV/AIDS Statistics
NGO founded in 2007 in Amsterdam
Social Mobile Service & Content provider
TTC develops Interactive and Incentive based mobile programs
Pioneer in mHealth in Africa – 1st Mhealth programme in Africa
Mobile Tools for Health, Education & Social Impact: SMS, Voice, Data
Text to Change has active programs in 8 countries (red) and upcoming programs in 7 more (yellow)
Family planning/re
p health
PMTCT
Medicineadherence
Mobilisation health services
Drug stock outs
HIV/AIDS
TB
Data collection
Antentatel care
mHealth
First TTC program in Mbarara ( 2008) Target: 15.000 Celtel subscribers HIV/AIDS Quiz Results: 20 % response rate Uptake in HCT of +40% at AIC Built our own platform + toll free short
code
Do you think a healthy looking person can have HIV?1. Yes2. NoTo reply send: QUIZ<space><answer nr> to 8181
Users participate in free Health quizzes
Well done! Someone who looks healthy may be HIV positive and could infect others. To know your own and your partners’ status, you should test for HIV together
Lira District 2010
After 3 hours radio show 4000 people opt-in7000 people reached
Health Quiz
Response rate: 53%
SMS mobilization HCT
Duration: 3 months
Program costs: 6000 USD
Costs per person: < 1,- USD
SMS mobilization
Increased uptake for VCT after SMS message
Week in which message was sent
Tomorrow there is FREE HIV testing at the clinic in Lira. Please come and bring your partner! Tell your friends and family to come also!
• Started in April 2010 -112 clients – 104 clients (93% ) were active on the program
• Sending reminders to clients to take ARVs
• Increased adherence after SMS use :87% adherence above 95% @ project start and 93% after 3 months
• Testimonial from partner ‘A greatly successful project as seen in the results below, the clients adherence increased, their viral load reduced and their CD4 also went up’
+
Providing Comprehensive Holistic Care to Clients with TB, HIV/AIDS and Cancer
Adherence Below 95% Above 95%
Baseline 13% 87%
3monts 7% 93%
End of project 8% 92%
PEPFAR SMALL GRANTS
RemindersMedicine
Information
HIV changes your life, but don't panic. If you live healthy and
take medication when you need to, you can live a good, long life.
Greetings! Please do not forget to take your medicine. Please call 0784121381 if you have any problems.
Combining strengths: Public Private Partnerships
• Reach people at workplace• Quizzes on HIV/AIDS• HCT Mobilization
• Time and cost effective• 4 companies joined• Scientific research (in
progress)
Text at work and stay healthy!
Health & company messages
Participants 1500 /company
Health SMS Quiz 40 questions
Response rate over 50%
VCT mobilization 3
Company messages
10
Total / company 80000 messages
Duration: 12 months
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TestimonialSarah Mukuru, Community member Kinyara“I never knew that one can get health messages from a phone. It is very interesting except that I am not sure I will get airtime. I am planning to just read the message on condom use to my husband so that we start a serious discussion. For a longtime I have wanted to talk about these things but as you know our men here, it is not easy”
Cure for HIV/AIDS?
EPMTCT/ Mother Reminder program in rural Uganda
Increase number of ANC visits to a minimum of 4.
Increase PMTCT uptake & adherence for HIV positive pregnant women
Increase number of women delivering at the health clinic
Provide postnatal support; examples: info about nutrition and hygiene.
• To enquire on sites offering MC services send: WAPI to 1504
Promotion of Medical Male Circumcision via SMS
• High uptake of SMS inquiries suggests that use of mobile phone technology has ability to increase access to MMC for HIV prevention services
• To receive post MMC health messages send: BAADA to 15014
• To learn about Male circumcision and its advantages send: TOHARA to 1504
Response
How do you get users to participate?
Incentives with monetary value
Examples:
• Airtime• Merchandise• Health products
Mosquito net
Barcelona shirt
Airtime
Measure impact
• Uptake health services• Response rates
• Adherence improvement
Combining with other media:
Radio
Television
Newspapers
Posters
Text to Change: Why does it work?
Simple in Concept powerful in Result;
Multimedia approach ;
Partnerships with mobile operators, telecom industry, NGO‘s, private sector and governments;
Software that works in Africa;
Toll free services;
Demand driven programs;
Local content;
Focus on the end-user
Flexible SMS system