Mother Infant Pair Mobile Application
Malawi
Lyness Kanada
M & E Specialist
March 20, 2013
ICT4D Conference
Accra, Ghana
Mobile Services that Empower Vulnerable Communities
Acknowledgements:
CHIKWAWA DIOCESE
CHIKWAWA DIOCESE
IMPACT Background• USAID/PEPFAR-funded GDA serving 100,000
OVC and PLHIV, July 2010 - June 2014• Designed to complement WALA Program in 9
districts in central and southern regions• Collaboration with Government of Malawi
through MoGCSW, MoH, NAC & OPC/DNHA and US Peace Corps
• Improve wellbeing of OVC and increase access to treatment and care for PLHIV– SO1: Improved wellbeing of 60,000 OVC– SO2: Access to treatment and care for
40,000 PLHIV enhanced
IMPACT Background - IMPACT Consortium Members
• Opportunity International Bank of Malawi
• TNM
• D-Tree International• National Assoc of
People Living with HIV and AIDS in Malawi
• Dedza Catholic Health Commission (CHC)
• Lilongwe CHC• Zomba CHC
• Africare• Chikwawa Diocese• Emmanuel International• PCI• Save the Children• World Vision
WALA partners
Faith based
partners
Private sector
partners
Tech Asst
partners
MIP application• Mother Infant Pair protocol: guidelines on following up
infected women and their exposed infants during antenatal, post-partum and postnatal home visits until child is aged two
• Application guides HSAs through content on each home visit
• Application developed on CommCare platform, running on Nokia 2700c phones
• 21 HSAs trained -46 more to be trained by May 2013
MIP Application Design
Main Menu
RegistrationAntenatal Visit
MIP Application Design Cont’
Postnatal visit
Post-partum visit
Key Successes
• Application has helped HSAs understand CBMNC guidelines better
• Adherence to protocol has improved
• Clients have been more open to HSAs during follow-up visits as compared to before using the phone - application has improved relationship between HSAs and clients
• Continued counseling on drug adherence for both mother and child at each visit to avoid defaulting
• Referrals are being made during home visits
• Capacity built within CRS on mobile applications
Key Issues / Challenges
• Testing all sections of the application - time from pregnancy until child is two
• Using application on MIP households may compromise on confidentiality issues - CBMNC application
• Some MIPs don’t disclose their status to their spouses – becomes difficult for HSAs to conduct home visits
Lessons Learned
• Application can help improve PMTCT as exposed women are fully followed up and each visit done correctly as per protocol
• Need to add component to the application to be used on non MIPs as well
• Relevant DHO staff under MoH are oriented on the application - to take over when IMPACT finishes
• Application uses GPRS data transmission at $0.00003/Kb (compared to $0.03/Kb for a single SMS)
Conclusion
MIP Mobile ApplicationImproving quality of service offered to HIV infected
women and their exposed infants!!
Questions!
Mobile Services that Empower Vulnerable Communities