HIV / AIDSInnovative Support to EmergenciesDiseases and Disasters

using technology to dam the cascade

Presentation by InSTEDD:Caricia Catalani, DrPH, MPH

Brooke Estin

the scale

| globalthe issues

the scale

| globalthe issues

the context

| HIV around the worldthe context

regional adult HIV prevalence (2009) (%)

15 - 50 5 - 15 1 - 5 0.5 - 1.0 0.1 - 0.5 0.0 - 0.1 no data

| HIV around the worldthe context

33.2 million

| HIV around the worldthe context

Caribbean

240,000

Middle East & North Africa

460,000

Eastern Europe& Central Asia

1.4m

Latin America

1.4m

North America & Western/Central Europe

2.3mAsia

4.9m

Sub-Saharan Africa

22.5m

33.2 million

17 million women

2.5 million children

30 million children

have lost parents to HIV/AIDS

| HIV around the worldthe context

8

6

4

2

0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Number of people on antiretroviral therapy (millions)

| HIV around the worldthe context

regional adult HIV treatment (2009) (%)

81 - 100 61 - 80 41 - 60 21 - 40 1 - 20 no data

| HIV around the worldthe context

5 million

33.2 million infected

5 million in treatment

@ONE Campaign

the problem

| the cascade the problem

TestedHIV positive

Enrolled in care

CD4tested

Eligiblebegin ARTs

Short-termadherence

Long-termadherence

| the cascade the problem

TestedHIV positive

Enrolled in care

CD4tested

Eligiblebegin ARTs

Short-termadherence

Long-termadherence

why?

| the cascade the problem

INDIVIDUAL

CLINICS/ORG

POLICY

so what helps?| the cascade the issues

the field the literature

| where to look? the approach

local global

the social the technical

| where to look? the approach

people tools

online offline

| where to look? the approach

resources resources

engage with people in

their context

understand global best practices

| where to look? the approach

| social + technicalthe approach

mission

Building Capacity within communities to foster a local culture of innovation

Our mission is to improve global health, safety and sustainable development through 4 areas:

Cre

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mission

Our mission is to improve global health, safety and sustainable development through:

Creating Collaboration Technologies for social goodB

uild

ing

Cap

acit

y

Our mission is to improve global health, safety and sustainable development through 4 areas:

Ens

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mission

Our mission is to improve global health, safety and sustainable development through:

Collaborating with Peoplethrough a bottom up design and development processC

reat

ing

Co

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ora

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chno

log

ies

Our mission is to improve global health, safety and sustainable development through 4 areas:

Ens

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pac

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Bui

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mission

Our mission is to improve global health, safety and sustainable development through:

Ensuring Usefulness and Impactthrough research and evaluation

Our mission is to improve global health, safety and sustainable development through 4 areas:

Cre

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Tech

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Muddy Boot Doctors

Out of the Office Engineers

Community Based Researchers

Domain Experts

Creative Communicators

Resourceful Business Managers

Local Leadership

projectsOur approach facilitates collective

action by local partners, and is being successfully applied

globally.

ArgentinaBangladeshCambodiaChina

HaitiIndonesiaKenyaLaos

MexicoMozambiqueRwandaGhana

ThailandUSAVietnamZimbabwe

tools platform

Our mission is to improve global health, safety and sustainable development through: KEY BENEFITS & FEATURES

free and open source

customizable

use independently or together

realtime alerts

data synchronization

works on any phone

works with low signal

most don’t require internet

many don’t require literacy

cheap, fast & easy

Verboice is a customizable

application that empowers users

to build their own interactive voice response

systems.

tools

Verboice is a customizable

application that empowers users

to build their own interactive voice response

systems.

tools

Baby Monitor is an unconventional approach to service delivery along

the birth continuum in remote locations by

creating an interactive voice response

application for mobile phones that is designed

for mothers as end‑users.

tools

Resource Mapping helps people to

collaboratively track their work, resources

and results geographically and

through SMS.

tools

Resource Mapping helps people to

collaboratively track their work, resources

and results geographically and

through SMS.

tools

Remindem allows you to set up a list of tips,

reminders and advice that people can

subscribe to via text messages. You can

schedule the messages based on a schedule

you define.

tools

tools

Remindem allows you to set up a list of tips,

reminders and advice that people can

subscribe to via text messages. You can

schedule the messages based on a schedule

you define.

Cool tools.

but what really

works?

systematic review of the literature

| win-winthe opportunity

find the gold in the rubble

| win-winthe opportunity

select few invited to apply for fellowship

| win-winthe opportunity

intellectual community

| win-winthe opportunity

Innovative Support to EmergenciesDiseases and Disasters

www.instedd.org