M - H E A LT H S O L U T I O N S F O R A N O VA H E A LT H I N S T I T U T E B E T H B O Y E R , R A C H E L F O N G , E M I LY F R I S C H , L A U R E N M C K E A N , N I C O L E P H A N , C AT I E T O B I N , J O A N N A W I L L I A M S

S A LT C O N S U LT I N G T E A M

M O PA N I D I S T R I C T, L I M P O P O

P R O V I N C E I N S O U T H A F R I C A

M O B I L E H E A LT H U N I T S

FA M I LY F R E E P R O J E C T

HIV Services Pre-packaged ART

Chronic Care Services Adherence Clubs

Screenings

C U R R E N T PA P E R B A S E D S Y S T E M

M O B I L E H E A LT H U N I T PAT I E N T D ATA C O L L E C T I O N

P R O B L E M S W I T H PA P E R B A S E D S Y S T E M

• Paper registers can be lost—all information lost

• May forget to bring register on mobile health unit

• No back up

• Still need to manually enter data into system and interpret what was written

• More difficult to track patient’s past visits

• No assistance or flagging system for nurse and lay counsellors when seeing patients

W H AT A N O VA A S K E D U S T O D O :

• Design a system to:

• effectively collect patient information for all mobile health unit (MHU) client

• assist nurse and lay counsellors to effectively detect health problems, flag clients who need routine examinations or follow up at their nearest healthcare facility

• Enable data to feed into the Health Information System used by the South African Department of Health

• Feasibility and cost-effective analysis

M O B I L E P H O N E U S E I N S O U T H A F R I C A

40% use of internet browsing via phones

89% of South Africans have a mobile phone

55% have Nokia or similar type of cell

phone

34% have a smart phone

N E T W O R K S I N S O U T H A F R I C A

• Vodacom • MTN • Cell C • Telkom

V O D A C O M

10,200 cellular towers in

South Africa

99.8% population

covered

84% 3G reliability

3G96% 3G data population coverage

• Create apps for free using Community Plan

• Can be used offline

• Can be synced to other data systems (i.e. Tier.net and DHIS)

CommCare Mobile Data is entered into CommCare forms

CommCare HQ Website Access and

download data

• Proven the need for a new method of patient data collection

• Described what the client asked us to provide

• Selected a platform to meet the client’s needs

• Provided evidence on feasibility of implementing an m-Health solution in the client’s setting

S O FA R W E H AV E …

P R E S E N T I N G O U R A P P : A N O VA M O B I L E

PAT I E N T R E G I S T R AT I O N

PAT I E N T R E G I S T R AT I O N

“Yes”

“No”

S C R E E N I N G

S C R E E N I N G : G U I D E S F O R C A R E

S C R E E N I N G : P R O M P T S

S C R E E N I N G : H E L P B U T T O N

H I V A D H E R E N C E C L U B F O R M : I N P R A C T I C E

H I V A D H E R E N C E C L U B F O R M

PAT I E N T N O T P R E S E N T:

PAT I E N T I S P R E S E N T:

A S S E S S M E N T: W E I G H T

A S S E S S M E N T: A R T

A S S E S S M E N T: L A B S

A S S E S S M E N T: E D U C AT I O N

I M P L E M E N TAT I O N

Supply mobile health unit workers with Vodacom Smart Speed phone (with data plan)

Provide trainings for unit and facility staff to properly use and analyze.

User manual included.

C O S T S :• Smart phone

One time investment (replace as needed)

• Data plan Ongoing cost

• Training One time

investment

F U T U R E S T E P S

• Add chronic care form

• Break adherence club forms into separate forms based on adherence club schedule (Lab or Consult days)

• Add SMS text reminders for patients

A N O VA M O B I L E

Q U E S T I O N S ?

S A LT C O N S U LT I N G T E A M