© 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