Embed Size (px)
Citation preview
National Implementation of SMS for Life in
Cameroon
SMS for Life is a program that was initially
adopted by the NMCP and SightSavers
NTD & Trachoma surgery programs in
Cameroon to give greater visibility of
stocks and surveillance information.
Mango is a general purpose mobile
application platform that uses everyday
technology, such as mobile phones, email,
web based reports and maps to provide
last mile solutions in resource challenged
environments.
Introduction
SMS for Life in Cameroon
Greenmash is a software and services
organisation that develops, deploys
and supports the mango platform.
Operational in Cameroon, DRC,
Nigeria, Ghana, Kenya, Tanzania, and
South Africa.
Malaria No More (MNM) is an
international NGO committed to
ending Malaria deaths. In Cameroon
MNM is the implementing partner for
SMS for Life in Cameroon.
Jan 2012: NMCP requests support from Roll Back Malaria to strengthen M&E
March 2012: SMS for Life team and Greenmash meet NMCP in Yaoundé to discuss requirements
May 2012: H.E. Andre Mama Fouda, The Minister of Public Health and NMCP meet with Greenmash in Geneva: agree to implement SMS for Life for Malaria and extend the platform use for all health programs in Cameroon
November 2013: Training workshop in Yaoundé for NMCP and SightSavers management teams
Timelines
SMS for Life in Cameroon
April 2014: System goes live and
SightSavers NTD program training of 10
districts in the Southwest Region.
May 2014: Training of regional trainers
for NMCP in Mbalmayo
June 2014: NMCP includes SMS for
Life in Global Fund concept note
ensuring funding through 2017.
October 2014: Scale up activities of
SMS for Life begin in all 10 regions.
November 2014: UNFPA begin
discussions to use platform to monitor
Reproductive Health Indicators.
Public-Private Partnership
• Peace Corps Volunteers (PCVs) in 8 regions are assisting in training
health facility workers and will continue to play an active role throughout the
implementation to support SMS for Life.
SMS for Life in Cameroon
• Key MNO supporting the national implementation of SMS for Life.
• MoPH integrating SMS for Life to improve quality of data across the entire
health system
• International recognition of SMS for Life by RBM for the impact success
in eliminating stock outs of malaria medications in Tanzania and Kenya.
Improved data management
for MoPH
CHAI Commodity
data
Health facilities
Treatment data
Planned activities
NMCP Commodity
data
Health facilities
Treatment data
Planned activities
UNFPA Commodity
data
Health facilities
Treatment data
Planned activities
Sightsavers
Commodity data
Health facilities
Treatment data
Planned activities
Ministry of health: real time aggregated view, consolidated dashboards, access to detailed
program data. Real time integration with other key systems, e.g. LMIS & dhis2
Data capture - SMS
• Simple, affordable and effective
• Can be used with any phone
• Two way communication and instant feedback
• Can be made free to use
• Processes can be automated and scheduled
• Examples of operational use include:
• SMS for Life in Kenya, Ghana and Cameroon.
• PMI Expansion Plan in DRC
• NTD stock and treatment data in Cameroon and Nigeria
Stock data collection Request message
• Every Thursday at 2:00 pm you will
receive the following text message:
SMS for Life: Please send in your stock
counts of ASAQ, AL, SP, injectables and RDT
as soon as possible. Reply to this message or
text 8005. Thank you. DMO
Action required by you:
1. Count your ASAQ, AL, SP, injectables and RDT stock
2. Write it down on paper in the sending format
3. Send your stock count SMS by replying to the request message
6
A = 4.5 kg to 8 kg B = 9 kg to 17 kg C =18 kg to 35 kg D = >36 kg
Type in: MST AxxBxxCxxDxxExxFxxGxxHxxIxxJxxZxx (xx = stock count)
Send SMS message to 8005
ASAQ (artesunate-amodiaquine)
AL (artemether-lumefantrine)
E = 5 to 15 kg F = 15 to 25 kg G = 25 to 35 kg H = >35 kg
Infant (3 tabs) Toddler (3 tabs) Child (3 tabs) Adult (6 tabs)
Infant (6 tabs) Toddler (12 tabs) Child (18 tabs) Adult (24 tabs)
Anti-malaria medicines and RDT stock
reporting: products and codes
7
RDT
J = TDR
SP I = SP
Injectables Z = All injectables
(quinine, artesunate)
Surveillance data reporting Request message
• Every first Tuesday of the month, at
2:00 pm you will receive the
following text message:
“SMS for Life: Please send in your
surveillance data as soon as possible. Reply
to this message or text 8005. Thank you,
DMO”
• Action required by you:
1. Collect the 15 surveillance indicators from the monthly monitoring/report form
2. Write the numbers down on paper in the sending format
3. Send your surveillance numbers SMS by replying to the request message
8
Surveillance data reporting: patient data and codes
9
Code Surveillance indicator
K Total number of consultations for disease (all causes), < 5 years
L Number of RDTs done by health personnel, < 5 years
M Number of positive RDTs, < 5 years
N Number of thick blood smears done by health personnel, < 5 years
O Number of positive thick blood smears, < 5 years
P Number of patients treated with an antimalarial, < 5 years
Q Total number of consultations for disease (all causes), ≥ 5 years
R Number of RDTs done by health personnel, ≥ 5 years
S Number of positive RDTs, ≥ 5 years
T Number of thick blood smears done by health personnel, ≥ 5 years
U Number of positive thick blood smears, ≥ 5 years
V Number of patients treated with an antimalarial, ≥ 5 years
W Total number of consultations for disease (all causes), pregnant women
X Number of pregnant women tested positive for malaria (all tests)
Y Number of people who died from confirmed malaria
NOTE: Reporting period is the past calendar month
How to extract surveillance data from the monthly
monitoring/reporting form
10
Total
6
7 K Q W8
9 L R
10 M S
11 N T X
12 O U
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 Y
33
Total number of consultations for disease (all causes)
Number of cases suspected for uncomplicated malaria (clinical uncomplicated malaria)
III. MORBIDITY, MORTALITY AND CASE MANAGEMENT
Pregnant Women< 5 years >= 5 years (pregnant women excluded)
Number of Long Lasting Insecticidal Nets (LLINs) distributed
Number of fever cases suspected for uncomplicated malaria without diagnostic test done (microscopy or Rapid
Diagnostic Test)
Number of uncomplicated malaria cases with positive RDT
Number of thick blood smears done by health personnel
Number of positive thick blood smears
Number of Rapid Diagnostic Tests (RDT) done by health personnel
Number of positive Rapid Diagnostic Tests (RDT)
Number of hospitalisations for suspicion of severe malaria
Number of hospitalisations for confirmed severe malaria (microscopy or RDT)
Number of severe malaria cases with positive microscopy
Total number of hospitalisations for disease (all causes)
Number of uncomplicated malaria cases with positive microscopy
Number of severe malaria cases with positive RDT
Number of Rapid Diagnostic Tests (RDT) done and read/intepreted by Community Health Providers in fever
cases
Number of fever cases suspected for uncomplicated malaria with negative RDT that received an antimalarial
Number of fever cases suspected for uncomplicated malaria that received an antimalarial without confirmatory
testing (RDT or microscopy)
Number of confirmed uncomplicated malaria cases presenting to health personnel who received ASAQ
combination
Number of confirmed severe malaria cases treated with injectable artesunate
Number of confirmed severe malaria cases treated with other injectable antimalarials (quinine, arthemether)
Number of confirmed uncomplicated malaria cases presenting to health personnel who received anti malarial
treatment according to national policy (with ACT, ASAQ excluded)
P V
Number of cases (complicated malaria or RDT negative) referred to health facility by Community Health
Providers
Total number of people who died from disease (all causes)
Number of people who died from confirmed malaria
Number of uncomplicated malaria cases (pregnant women excluded) confirmed by Community Health Providers
with positive Rapid Diagnostic Tests (RDT)
Number of confirmed uncomplicated malaria cases (pregnant women excluded) treated by Community Health
Providers according to national policy (with ASAQ)
Number of fever cases reported by Community Health Providers
Mango: Increasing visibility – improving decision making
• Commodity management
• Surveillance
• eReferral and eVoucher
• Case management
• Loss to follow up
• Clinical decision trees
• Health worker support
• Key population registration
• Patient tracking and reminders
• CD4 test result capture
• Integration (dhis2, LMIS, HMIS)
Applications include:
Data capture: smart device forms
• Collect rich data sets
• Easy to use with menus, pictures and video
• Works offline as well as online
• Forms can be configured and managed centrally
• Reduces the overhead for training
• Requires an investment in a quality smart device
• Multiple operational programs, e.g. Tanzania
and Ghana
Applications to support future
plans
eReferrals and
eVouchers to increase
service uptake with a
paperless, cashless
and auditable system
Smart device applications to support field
based events, key population registrations,
supervisory visits, enhanced training, offline
reporting
Benefits and added value • Saves time: reporting tasks can be
completed in minutes
• Saves money: data collected
electronically and reports generated
automatically
• Real time informed decision making
• Reduces stock outs: e.g. Kenya total
stock outs eliminated
• Dynamic forecasting: for consumption
and demand
• Real time order placement: from all or
any level with processing by any
authorised user
• Reduces waste: overstocks can be
reallocated to avoid waste
• Real time data exchange: with other
information systems such as LMIS
and DHIS2 e.g. PSI in Tanzania
• Reduce training costs: training
materials can be published and
distributed electronically
• High accuracy & reporting rates:
e.g. Kenya 90%+ Ghana 85%+ DRC
70%+
• High staff motivation and improved
communication at all levels
• Real time data validation
Greenmash
Andrew Wyborn, CEO
E-mail: [email protected]
Website: www.greenmash.com
Thank you
SMS for Life
• Jim Barrington, Program Director
• Rene Zeigler, Program Manager
• Imoite Omulepu, Cameroon Consultant
+237 698 21 60 28
Contacts
