AMREF Presentation Uganda, 29 april 2011
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Transcript of AMREF Presentation Uganda, 29 april 2011
Collaborations on mHealth in UgandaAMREF Senior Management Meeting , 29 April 2011
Bas Hoefman [email protected]
+256 779890945
Developing countries have more mobile phones than
“developed” countries
2000
Total 719 million
Developed
Developing
*EstimatesThe developed/developing country classifications are based on the UN M49, see: http://www.itu.int/ITU-D/ict/definitions/regions/index.htmlSource: ITU World Telecommunication/ICT Indicators database
2005
Developing
Developed
Total 2.2 billion
Mobile cellular subcriptions, by level of development
2010
Total 5.3 billion
Developing
Developed
Mobile subscriptions: developing vs developed
Source: ITU World Telecommunications
There are about 12 Million mobile subscribers in Uganda 70% has access to mobile phones
NGO founded in 2007 in Amsterdam
TTC develops Interactive and Incentive based mobile programs
Pioneer in mHealth in Africa
Mobile Tools for Health, Education & Social Impact: SMS, Voice, Data
First TTC program in Mbarara Target: 15.000 Celtel subscibers HIV/AIDS Quiz Results: 20 % response rate Uptake in HCT of +40% at AIC Built our own platform + toll free short
code
Text to Change has active programs in 6 countries (red) and upcoming programs in 8 more (yellow)
mHEALTH
Family planning/ rep health
PMTCT
Medicineadherence
Mobilisation health
services
Drug stock outs
HIV/AIDS
TB
Data collection
M Learning / training
Antentatel care
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
correct! 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.
Question
Response to answer
Incentives with monetary value
Examples:
• Airtime• Merchandise• Health products
Mosquito net
Barcelona shirt
Airtime
Text to Change Campaigns
• Aids information Centre Uganda (AIC) Arua, January 2009.– Target group: 10.000 MTN mobile subscribers in Arua– Program focus: HIV/AIDS Awareness and promote uptake of couple HCT– Net Response Rate: 21 %– Uptake of HCT services at AIC: + 35%– Media: Radio, Newspapers, Posters.
• United Nations – ECOSOC ‘Texting 4 Health campaign’, Jinja, Uganda, June 2009– Target Group: 10.000 MTN subscribers in Jinja– Program focus: HIV/AIDS, Malaria and Child Health– Net Response Rate: 23 %– Media: Radio, Newspapers.
Other campaigns
• Health Child – IICD, Jinja, Uganda, 2009-2010 – Target group : 3500 people in Jinja– Program focus: Program focus: HIV/AIDS Awareness and promote uptake of VCT, malaria,
family planning, prevention of mother to child transmission (PMTCT), increase access to health services
– Media: radio, flyers, SMS
• Deutscher Entwicklungsdienst (DED), Lira, Uganda 2010– Target group : 7000 people in Lira– Program focus: HIV/AIDS awareness and promotion and use of HIV testing
and counseling services.– Media: radio, flyers, SMS– Response rate: 53%
Example of uptake in HIV testingTomorrow there is FREE HIV testing at the clinic in Lira. Please come and bring your partner! Tell your friends and family to come also!Week in which message was sent
Combining strengths: Public Private Partnerships
.
M4RH Program in Kenya &TanzaniaPartner: Family Health Int.
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.
Use SMS to Improve TB and HIV treatment adherence and Improving access to
Services
Research partner: The Infectious Diseases
Institute (IDI)
Reminders
Please do not forget to take your TB medicine to reduce the risk for further spread of TB. Please beep 0784121381 if you have any problems.
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.
Medicine
Information
How can TB be transmitted?
1. At birth2. Shaking hands with
people with TB3. By breathing in air
containing TB bacteria
To reply type: 1<space><Answer Nr> to 8181
This is correct. Always cover your nose and mouth when coughing to prevent TB from spreading to your family and friends.
Question
Response to answer
Increasing knowledge & raising awareness
Kawempe Homecare ART
Adherence Study
6 months2 groups: 224 Patients Baseline adherence: 85% with 75% greater than 95%.End of the study: 90% had a and adherence of greater than 95% Viral load tests : a very high level of viral suppression
SMS effective tool to increase awareness
levels
Promotion of Medical Male Circumcision via SMS
•To learn about Male circumcision and its advantages send: TOHARA to 1504
•To enquire on sites offering MC services send:
WAPI to 1504
This is a free service!
To receive Post Operative Text Messages send :BAADA to 1504This is a free service!
Post Operative Text Messages send :BAADA to 1504:
Day 1:If you notice severe pain, soaking blood of the bandage, inability to pass urine or severe swelling of the penis please go back to the Male Circumcision service center.
Partnership AMREF & TTC: • AMREF: strong local presence, extensive experience
and experts in health content• Text to Change: specialist in mHealth projects• Combined efforts in conducting research on the
impact of mHealth • Joint proposal development to attract funds to
support future AMREF / TTC mHealth activities
Potential Collaboration AMREF and TTC:1. Stop TB project2. Malaria ,AIDS and TB integrated project3. e/mLearning –upgrading of Nurses & Midwives4. Medical Male Circumcision to reduce HIV and other STIs Uganda
Proposed mHealth activities:1. TB and HIV/AIDS Drug Adherence2. mLearning and Training 3. Awareness creation & Sensitisation 4. Data collection
mLearning: eMclopediaInformation system for reference.
Navigate the system by SMS:--> Send one message to select an option<-- Receive back message(s) with the next menu
Remote Data collection: (Social) incentives
Scalable Sustainable
We are looking forward to a long and fruitful partnership. www.texttochange.com
Thank you very much !