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2012 Social Good Summit - Pediatric Aids panel
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© 2010 frog design. Confidential and Proprietary.
© 2010 frog design. Confidential and Proprietary.
© 2010 frog design. Confidential and Proprietary.
UNICEF - Rwanda
Programs Using Mobile Phones to Eliminate Pediatric HIV in Africa RapidSMS
Rwanda1
UNICEF - Zambia,
Malawi
Project
Mwana5
UNICEF - Uganda
M-Trac9
EGPAF - Kenya
The Pamoja
Project13
EPGAF - Mozambique
EpiSurveyor
for PBF
verification
17
EGPAF - Tanzania
Improving
EID TAT21
MAMA - South Africa,
India, Bangladesh
MAMA2
mothers2mothers -
South Africa
Mother Baby
Pair Tracking6
EGPAF / WHO - Kenya
Health
Connected
Study
10
UCLA
LUCAS14
UCLA - South Africa
Philani
Mentor
Mothers
Project
18
South African Medical
Research Council -
South Africa
Good Start III 22
Jembi Health - Rwanda
R.H.E.A.3
Medic Mobile - Ethiopia
HIV-Link7
Earth Institute, Novartis
- Ghana
Ghana
Telemedicine11
ERNECA Ministry of
Health and Social
Welfare - Zanzibar
Wired
Mothers15
mPedigree - Ghana
mPedigree19
ANC, Grameen
Foundation
MoTECH23
Praekelt Foundation -
South Africa
Young
Africa Live4
Mxit - South Africa
Mxit8
Millenium Villages - 10
Countries
Closed User
Group12
Switchboard - Liberia,
Ghana, Tanzania
Switchboard16
UNICEF, Uganda
uReport20
Dimagi, 15+ Countries
including India, Rwanda
CommCare24
InSTEDD - Cambodia
HIV mobile
appointment
reminders
25
MRC, UCLA, HSRC, Stellenbosch
University, University of Washington,
SA Department of Health - South
Africa
Mobenzi
Outreach26
1 3
5
5
9
1310
17
21
2 6 18 224 8 26
20
11 19 16
16
16
7
24
15
© 2010 frog design. Confidential and Proprietary.
Mother & Child
shared journey
Actors &
Touchpoints
cards
Defining Event
Lenshina, Mother, KENYA
Lenshina feels sick and goes to the clinic. There she finds out to be pregnant and HIV Positive.
Mobile Opportunities
Mobile phones and technology
can address 4 key challenges
faced by expectant and new
mothers, their children, and the
health care workers who care for
them.
Demand, Awareness & Education
Coordination, Supervision & Quality of Care
Supply Chain Management
• Stigma/fear & isolation
• Adherence to drug regimens
• Knowledge re: self-care and care for her baby
Tracking & Retention of Mothers & Babies• Delayed test results to mother
• HIV testing and re-testing of child
• Linkages to on-going treatment for mother and pediatric treatment
• Training of CHWs
• Communication between CHW and nurses
• Updates to new protocols
• Delays at clinics.
• Stockouts of test kits, medications, and other commodities
• Transporting blood samples to lab
• Transporting results back to clinic
Challenges
Maternal deaths have
increased 40% since 1998
due to HIV/AIDS. Mothers
need caring, accurate,
straightforward information
that is timely and discreet.
MAMA South Africa provides vital health information via
mobile phones to expectant and new mothers and their
families, supporting them week-by-week during pregnancy and
the first year of baby’s life. Most South African moms-to-be
learn that they are HIV positive for the first time during
pregnancy, and lack social support to help them cope with the
diagnosis of a life threatening disease while adjusting to the
demands of pregnancy and a new baby.Audience
Low-income and at-risk
expectant and new
mothers, as well as their
household decision
makers.
Key Technologies
Mobile Website/Portal
(askmama.mobi), staged
SMS messages,
interactive quizzes
via USSD
Metrics/Evidence
MAMA will target 500,000
women and household
decision-makers over two
years. 100 registered for
SMS services in first two
weeks.
MAMASouth Africa
Joanne StevensMAMA South Africa
SOUTH AFRICA
Challenges
Logistical challenges in
remote communities
delay EID results and
subsequent interventions.
The Mwana Initiative has improved test result turn-around
time by over 50%. It delivers early infant diagnosis (HIV)
results to rural and under-served communities in Zambia and
Malawi via text messages rather than paper. Community
Health Workers also register births and trace patients via SMS
to ensure that they receive key childhood interventions.
Audience
Community Health
Workers
Key Technologies
Basic Mobile Phones,
RapidSMS
Metrics/Evidence
EID test result turn-around
time improved by
over 50%.
Project Mwana
Erica KochiUNICEF Innovation Team
ZAMBIA & MALAWI
Design Principles
Having data and not knowing what to do with it is as bad as not having any data.
“
”
Mobile has to be part of a multi-pronged approach, that will work with and within other systems.
“
”
We need to look at the problems both at the national scale and at the level of the single mother. Then solve them in a way that works for both.
“
”
We need to bring designers, health technical leads and mobile technologist together more often
“
”
PUT THE USERS FIRST GO BEYOND MOBILE THINK SYSTEM-WISEMASH-UP COMPETENCES
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