Improving Community Health Reporting : The case of m-JALI, Makueni County Mbinda, M (AMREF Kenya)...
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Transcript of Improving Community Health Reporting : The case of m-JALI, Makueni County Mbinda, M (AMREF Kenya)...
![Page 1: Improving Community Health Reporting : The case of m-JALI, Makueni County Mbinda, M (AMREF Kenya) Gitimu, A (AMREF Kenya) Ofware, P (AMREF Kenya)](https://reader035.fdocuments.net/reader035/viewer/2022062304/56649e045503460f94af0ebb/html5/thumbnails/1.jpg)
Improving Community Health Reporting:
The case of m-JALI, Makueni County
Mbinda, M (AMREF Kenya)Gitimu, A (AMREF Kenya)Ofware, P (AMREF Kenya)
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Background Information
- CHS seeks to strengthen linkages between communities and the formal health systems
- Within its framework lies the CBHMIS – for providing information to monitor and evaluate the CHS
- Policy makers and health service providers at all levels need accurate data in order to gauge the effectiveness of existing policies and programs and to shape new ones
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- This information needs to be – not only accurate – but also reach the decision maker(s) soon enough to be meaningful (timeliness)
Time lapses Time lapses
Background Information (cont.)
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Issues
- Accuracy and timeliness of community health reporting has been one of the primary challenges – hence a major drawback for the CHS
- Structures for capturing this data have been largely manual and where efforts have been made to automate, these efforts have been partial
- In most cases the time lapses indicated in the figure above range between a few days to several months
- There have been calls for efforts to improve efficiency of the systems by innovating to cut these time lapses
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Description
- AMREF has designed and developed an initiative aimed at further cutting these time lapses
- Working within a MNCH project being implemented under 3 building blocks- HRH- CSS- HMIS
- Mobile technology has revolutionized nearly every area of life – from health to education to finances…..
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- Recent advances in mobile technology have made it practical to automate some aspects of health care delivery in low-income countries
- With universal coverage and decreasing costs, mobile phone access and use has substantially improved over the past half decade (ITU, 2014).
- The use of mobile phones to support the practice of medicine and public health (m-Health) has seen an increase in intervention in the past few years
- One of the objectives of the HMIS building block is to improve reporting rates and timeliness of information to support planning and decision making
Description (cont.)
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Approaches for Automating CBHMIS
DHIS2
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CBHMIS on Mobile (M-JALI)
- M for Mobile and JALI for (Jamii Afya LInk)
- The software package consists of two applications
Device-side Server-side
Transmission
Retrieval
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Device-side application-Easy to use application (running on Android platform) incorporating all tools for CHS data
-Capture, transmission and retrieval of data to and from the server/web database
-Runs on both 2G and 3G networks – with best performance on 3G
-Offline capability – access network, download existing data to the phone memory, go to the field
-Timed synchronization to the CBHMIS database/web application
CBHMIS on Mobile (M-JALI) …….cont.
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Server-side application-Runs on a web server with a SQL Server database and application code in ASP.NET
-The API handles device authentication and provides a set of functions for devices to transmit data to and from the server
-Web pages enable users at higher levels to monitor, view and verify data uploaded to the database
CBHMIS on Mobile (M-JALI) …….cont.
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- Application has been developed, tested, commissioned and fully functional
- 1 CU is fully implementing paperless reporting (50 CHWs, 3 CHEWs trained and using the application and implementing paperless reporting for CHS data
- Substantial improvement on timeliness, accuracy and mechanisms for validating data collected by CHVs
CBHMIS on Mobile (M-JALI) …….cont.
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Sample Screen-Shots – mobile application
Home Screen Login Screen Tools Home
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Sample Screen-Shots – mobile application
Household List preview Specific household summary
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Sample Screen-Shots – mobile application
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Sample Output Screen-Shots – Web Application
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Lessons Learnt
- Solutions developed for communities need to offer more value than merely automating manual processes
- Wide opportunity for incorporating other functions of community health e.g. diseases surveillance to benefit from improved timeliness of reporting
- On-ground support can be better managed by building champions from among the users (CHWs and CHEWs)
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Next Steps
- Roll-out to other CU’s
- Complete reporting cycle – production of MOH 515 summary (automated) through the web-based CBHMIS under development
- Web-API to push/pull data to/from DHIS
- Research to gather scientific evidence on the cost-effectiveness of the three approached for managing community health data – in progress
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