Bobby Jefferson, Anita Dartar

Garten, Abby Clay

ICT4 Development Conference

Sep 2010

Futures GroupOur Mission

Futures Group develops and delivers

innovative, locally relevant, evidence-

based solutions to improve the health

and well-being of people worldwide.

Futures Group Program Areas

Population, Maternal and Child Health

HIV and AIDS, Infectious Diseases

Gender

Our Reach

25 Office Locations

450 Staff World Wide

Futures Group Technical Services

Health Informatics

Strategic Information

Modeling ,Forecasting, Economic Analysis

Policy and Advocacy

Our Clients

USAID CDC DFID

Global Fund WHO

Gates Foundation Packard Foundation

European Union GTZ

Consortium

Nigeria, Kenya, Uganda, Tanzania, Rwanda, Zambia, South Africa, Haiti

Guyana, Ethiopia 244 ART Health facilities 112 Satellites 535 PMTCT sites

Rural, remote, faith based mission hospitals “serving poorest of poor”

No power, intermittent power, No IT staff, No internet, Sparse mobile coverage

Nurses, Clinicians, Adherence Counselors, need health data, M&E program

data in knowledge repository

Lack of referrals or linkage to existing technology systems

Cost effectiveness and sustainability -- no funds for proprietary licenses, or

yearly maintenance fees

Futures GroupeHealth mHealth approach

creative common approach Use of freely available, reusable, tools, “coded in country”

Offline Solutions, Disconnected model

Reusable software and technology across countries and programs

Programmers and IT staff in country

Low costs, Inexpensive $250-$350 Netbooks Solar mobile phones, SMS

Physician conducts consultation with data already in IQCare

Lab scientist retrieves ordered tests from IQCare, conducts tests and enters results into database

EMR SystemIQCare

(Facility Level)

DonorsOGAC, CDC, HRSA, USAID

MOH National Reports(Kenya , Uganda, Nigeria, Rwanda-IQChart)

Pharmacy , Supply ChainManagement Sciences Health,

ARV dispensing tool (ADT)

SCMS, Crown Agents,

Clinical/Medical PartnersSchool of Medicine, Faith Based Orgs

Mennonite Christian Charities

In-country ICOBI, CHAK, IMAHealth Indicators

Immunization, Well Baby, WHO -3ILPMS

Integrated HIV, TB, PMTCT

Community Mobile health solutionsDimagi, D-Tree, MIT Media Labs,

mHealth Alliance,

Financial Mgmt PartnersPastel Software,

Tableau DashboardCMMB

Laboratory PartnersOpenELISBika Labs

TherapyEdge

Interoperability

Intel, Netbooks, low cost,

low powerInveneo

District Indicators, DHIS v2.0 software,

Next Gen Indicators (NGI),

HIV/QUAL, HEALQUAL

HL7

Other EMR (OpenMRS,BaobabCareware, SMARTCare,iSante, CTC2)

IQTools

Futures FieldTeam

PMTCT Monthly Report

No computers at all PMTCT sites

No funds to purchase SmartPhones, iPhones

Limited internet bandwidth

IQSMS - Timely, Quality Reporting by Health Workers

IQSMS User Level Report formatting

Data validation

PMTCT MONTHLY REPORT

Jan-10

PMTCT Antenatal Clinic (ANC) Monthly Summary

Form

All women attending ANC for the

given report periodL

PT

F 1

ANC 01. New ANC clients this month 1188

ANC 02. Previously known to be HIV positive 17

ANC 03. Total number tasted 574

ANC 04. Number of new client had HIV test at ANC 277

ANC 05. Tested HIV-Positive 37

ANC 06. Post-test counseled for positive and negative 574

ANC 07. Number of partners tested for HIV 16

ANC 08. Tested HIV-Positive 4

Paper Report SMS

Data Type Validation

Report Duplication Check

• IQSMS software, Immediately Messages Health Care Worker if PMTCT Report fails Data Quality checks and alerts SI staff

• Only after passing All Data Quality rules, IQSMS software adds PMTCT report to aggregate database

IQSMS Reporting

Immediate Data Quality Alert

Pass or Fail

PMTCT Report

IQSMS Benefits Submission via low cost mobile phones in the field

IQSMS project takes advantage of mobile phones already owned by health worker. By using a

familiar device, training requirements are similar to paper based training

Low cost of SMS submission ($0.04 per SMS)

Fuel and Transport cost savings in staff travel and reliable data submission

Health Care Workers no longer required physically to transport paper reports or fax PMTCT

reports to central project offices.

PMTCT Data can be made accessible to a wider audience (local, district, region, levels

Health facilities interested to know how their statistics compare with others in their districts

Excel

PMTCT MONTHLY REPORT

PMTCT Antenatal Clinic (ANC) Monthly

Summary Form

ANC 01. New ANC clients this month

118

8ANC 02. Previously known to be HIV

positive 17

ANC 03. Total number tasted 574ANC 04. Number of new client had HIV test

at ANC 277

ANC 05. Tested HIV-Positive 37ANC 06. Post-test counseled for positive

and negative 574

ANC 07. Number of partners tested for HIV 16

ANC 08. Tested HIV-Positive 4

Solar Power Cell phones

Ms Access

Database

PDA device

Web Internet

Desktop

Excel Only

M&E Electronic Reporting System

Futures Group

Futures Group

Futures Group

“After successful assessment, the IQ Care system developed and supported by the Futures

Group and Catholic Relief Services came up top in terms of overall features (technical and non

technical) and also in terms of largest number of installations “

WHO sponsored EMR Assessment Report

, Kenya May 2009

Rwanda

ICAP Columbia University 44 sites

Intra Health International 17 sites

Elizabeth Glaser EGPAF 16 sites

Family Health Inter FHI 45 sites

Catholic Relief Services 13 sites

Kenya

Catholic Relief Services

Pathfinder International

Gertrude Children Hospital

Catholic Relief Services

John Snow International

Rakai Health Services Vaccine Research

Uganda

Intra Health International Southern Sudan

Mennonite Christian Charities

Catholic Relief Services

Nigeria

Futures GroupThank You

Bobby Jefferson bjefferson @ futuresgroup

Lanette Burrows lburrows @ futuresgroup

Futures SI Advisor in-country

www.futuresgroup.com

www.iqstrategy.net