Innovative Approaches to improve social determinants … - NAMIREMBE.pdftake medication when you...
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Innovative Approaches to improve social determinants for Health: How Science, Technology and Innovation can be used to achieve this. November 2016 Eunice Namirembe [email protected] +256 776833855
Transcript of Innovative Approaches to improve social determinants … - NAMIREMBE.pdftake medication when you...
Innovative Approaches to improve social determinants for Health: How Science, Technology and Innovation can be used to achieve this.November 2016
Eunice [email protected]
+256 776833855
8 billion Mobile Phone subscriptions Globally (ITU,2015)
Over 1 Billion in Africa (Ericson mobility report 2015)
At least 50% have access to mobile phones in Africa (ITU)
95% of messages is read within 4min
Increasing number of internet users
The rapid growth in access to information and communication technology (ICT), particularly mobile phones and network connectivity, in Africa has created opportunities for health programs and systems to harness these technologies to positively impact health in the region
Pilot projects in digital health
More people being reached with timely and pertinent information
Lots of data collection
The rise of Digital Health
SMS
Content development
Internet
Voice messages
USSD
APPs
Call centres
Digital tools
Do you think a healthy
looking person can have
HIV?
1. Yes
2. No
To 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
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.
SMS mobilization
Increased uptake for health servicesafter SMS message
Week in which message was sent
Tomorrow there is FREE HIV testing at
the clinic . 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’
•Costs: 20 USD per year to significant improve adherence of a HIV patient (costs will be much lower if
scaled 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%
CD4 count <100 100-250 250-499 Above 500
BaselineCD4
32 65 13 2
Current CD4 1 17 32 16
TestimonialSarah Mukuru, Community member“I never knew that one can get health messages from a phone. It is very interestingexcept that I am not sure I will get airtime. I am planning to just read the messageon 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 isnot easy”
Cure for HIV/AIDS?
Content Development
Creating dynamic content for user engagement
• Polling, surveys
• User-generated content, posts, comments
• Links to resources
Confidential
Join the Conversation!
How old should you be
before getting married?
Write your comment here
________________________________
See other comments Girls should not get married until
after they finish school, and get a job.
Tell us what you think
How do you get users to participate?
Incentives with monetary value
• Airtime• Merchandise• Health products
Challenges
Languages
No baseline or scientific approach
Local content
Registration with telecoms companies takes too long
Too many pilots
Mobile phone illiteracy
Local content;
Lots of data collected
Privacy
Government Involvement and uptake
