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Open Source Mobile Phone Platform for Community Health

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Background di⋅ma⋅gi: [Hindi] adj. related to the mind, smart Founded in 2002 at Harvard and MIT Media Lab Successful track record of developing diverse &

innovative technology solutions for healthcare Core-Collaborate model: Core team of Dimagi experts

collaborates with >40 institutional and individual partners

Experience with US and Global healthcare delivery best practices spanning over 20 countries

Leadership in healthcare Open-Source development Highly qualified team with physicians, scientists,

public health experts, engineers and management consultants

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Mission

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Dimagi's mission is to integrate innovative technology into global public and private services in order to

improve human health and wellbeing.

We seek collaborations and partners that emphasize local ownership and open access to the systems and

technologies that we support.

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Creating Impact Through Technology

CONFIDENTIAL

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A Community Health Worker in a Ugandan village using

Dimagi’s mobile health application to capture antenatal care data

Dimagi’s projects have been improving the quality of life and of health care around the world

Aware of the resource-poor areas in which it works, Dimagi also develops license-free solutions that it scales with large NGO partners in the local regions

Dimagi is the founding member of multiple open-source consortiums and the lead developers in many open-source projects

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COMMCARE: CASE MANAGEMENT TOOL FOR CHWS

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COMMCARE PROGRAM GOALS

CHW: High-quality, community-based careCommCare provides modules that help CHWs perform their

jobs well, and leverages mobile technology to collect data efficiently and accurately

Clinic / Supervisor: Coordinated supervision and managementCommCare generates reports on CHW activities and can

provide alerts and reminders by SMS or email

MoH / HQ: Real-time, data-rich monitoring and evaluation and population health surveillanceCommCare captures a wealth of health surveillance

information that can be aggregated in real-time from a distributed network

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THE VALUE OF USING COMMCARECommunity Health

WorkerClinic /

SupervisorMinistry of Health /

HQ

Data collection Job Aid Checklists Reminders Case management Feedback

Supervisor reports Alerts, reminders and

follow-up triggers Activity reports and

ability to track individual cases

Basic error checking and health stats

Population management Epidemiologic

surveillance Interoperability with

HMIS

Capabilities

Benefits Quality improvement

Protocol adherence Decision support Work management

Supervision and performance management

Communication among health workers / care coordination

Workforce improvement

Data consistency Rapid turnaround

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CURRENT AND PLANNED COMMCARE DEPLOYMENTS

Used in 8 countries and 14 public health organizations

Over 90,000 forms

Lead Organization Country Implementing Organizations Topic Status

BRAC Tanzania UW Routine care Finished

CARE India D-tree Safe motherhood Launching

CIDRZ Zambia CIDRZ, Dimagi Safe motherhood Ongoing

CRS India Dimagi Safe motherhood Launching

CRS Malawi D-tree Many Launching

CRS Tanzania D-tree Orphans and Vulnerable children Finished

Grameen-Intel Bangaldesh Dimagi Safe motherhood Ongoing

IntraHealth India Dimagi Safe motherhood Launching

ITIDO Tanzania UW, Dimagi Routine care, safe motherhood Ongoing

JHPIEGO Tanzania D-tree Safe motherhood Launching

NEEDS India Dimagi Safe motherhood Ongoing

MVP Tanzania D-tree Safe motherhood Finished

PATH Tanzania D-tree TB Finished

Pathfinder Tanzania D-tree HIV support Ongoing

PACT/PIH USA Dimagi HIV Launching

PIH Mexico Self drug dosing Ongoing

UNICEF Tanzania D-tree Safe motherhood Launching

Univ. Michigan. South Africa Self MDR-TB Launching

World Vision Afghanistan Dimagi Safe motherhood Launching

World Vision Mozambique Dimagi Safe motherhood Launching

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PATIENT SELECT

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PATIENT VISIT

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SAMPLE HOUSEHOLD VISIT FORM BREAKDOWN Identify household

Basic household survey

Identify deceased persons

Identify pregnant patients

Identify HIV patients

Identify sick patients

Child health

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COMMCAREHQ: CENTRAL SERVER

All household visit forms sent to central server

HQ supports standard reports and custom reportsAvailable via

internet or can be automatically sent out

Possible to connect to existing HMIS systems

Data collection and aggregation

Health Surveillance Workforce

management and improvement

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EXAMPLE REPORTS

Submissions by CHW over Time

Case Activity by CHW

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EXAMPLE REPORTS

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CHW

CLINIC/SUPERVISOR

CLIENT

CommCareHQSUPERVISOR/DISTRICT/PROVINCE

PROGRAM MANAGERS

SMS- Alerts- Activity reports- Health stats - Coordination

GPRS- Form Submission- Work Management- Activity reports

Data Collection Supervisor Reports Feedback Quality Improvement

PROPOSED USE OF COMMCARE IN CHW PILOT

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PROPOSED IMPLEMENTATION PLAN

Define scope and create MOU with MOH and other stakeholders Create CommCare forms based on paper process and curriculums Plan Integration with existing HMIS and IT systems Identify MOH team lead for CommCare design period

Monitor and

Improve

Deploy

Iterate

Planning / Set-up

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2 “Design and Refine” with CHWs Improve usability Pre-pilot and field test

Run Study with CHWs during 3 to 6-month pilot Meet with select CHWs bi-weekly to gather feedback Provide weekly reports and feedback to all stakeholders Call under-performing CHWs to understand barriers

(Can’t charge phone, no coverage, etc).

Evaluate data for changes needed, deploy updated technology

Enroll next cohort of CHWs