MobiHealth Abdi Barre Anders Bragstad Thomas Hilde Fredrik Haaland Tiwonge Manda Raoul Ntiranyuhura Olav Poppe
Our Project Improve work of Malawi community health workers: Replace paper based reporting with mobile phones Make feedback easier Use DHIS software
Key facts about Malawi Ranks 164 at the UN's Human development index. It is categorized into the Low-Human-Development countries 44,4% chance for a child to die before reaching 40 years. Life expectancy is between 52 and 54 years. The prevalence of HIV is 11,9%. 17% of the child-deaths is caused by Malaria. UNDP. (2008). Human Development Report. WHO. (2008). Malawi: health profile.
Feedback We want to facilitate feedback to HSAs More knowlede leads to better decision Seeing data being used is incentive for accurate reporting Data quality is improved
Current situation Time consuming to compile reports, therefore: Only quarterly meetings for giving feedback Reports have tables and figures only
DHIS 2 & DHIS Mobile Digital data is easier to process DHIS 2 can compile reports in seconds Monthly (or weekly) feedback possible + Instant feedback possible with SMS/Phone
The paper forms The current way of collecting data
Papers for everything Developing countries often lack electricity. Most information is stored on papers.
Our form The HSA Home Visiting Form is filled out by a Health Surveilance Assistant (HSA) when visiting a pregnant woman.
Our form - The different types of data There are 7 groups of data, and they were grouped based on the natural borders presented in the form: O Mothers data O HSA data O Visiting data O Danger Signs O Additional data O Birth plan O Supervisor approval data
From paper to data
Representing data in DHIS DHIS terminology: An datafield in the form is represented by a Data Element A Data Group consists of one or many Data Elements One or more Data Groups can be assigned to a Data Set
An example from our form A Data Element would i.e. be the "Name" of the mother All Data Elements conserning the mother would make the Data Group 'Mothers Information' All of the Data Groups would make the Data Set representing the form.
From aggregated to name-based data All papers, having all the information, all the time, results in a lot of replicated data. Name-based DHIS can register users and programs.
DEMO
Our Challenges Long distance Lack of valid information Learning DHIS DHIS unstability issues
Challenges of implementation Infrastructure Lack of technical expertise Lack of resources (especially financial) Gaining political support Integration with existing HIS
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