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Keynote presentation for seminar Mobile technology for nutrition (Wageningen, May 2014) scetching the landscape of mobile and ICT applications in nutrition (linking to mhealth trends)
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Mobile Nutrition, the landscape
Seminar Mobile technology for nutrition Centre for Development Innovation, 28 May 2014
Mirjam Schaap
mNutrition
Using mobile technology in planning, managing and providing nutrition services
12 mNutrition + ICT applications
mHealth innovations as health system strengthening tools: 12 common applications and a visual framework, Labrique et.al., August 2013
Client education and behavior change communication (BCC)
Sensors and point-of-care diagnostics
Registries and vital events tracking
Data collection and reporting
Electronic health records
Electronic decision support
Provider-to-provider communication
Provider work planning and scheduling
Provider training and education
Human resource management
Supply chain management
Financial transactions and incentives
mHealth mHealth apps used as health systems strengthening innovations
12 mNutrition + ICT applications mNutrition
Client education and behaviour change communication (BCC)
Sensors and point-of-care diagnostics
Registries and vital events tracking
Data collection and reporting
Electronic health records
Electronic decision support
Provider-to-provider communication
Provider work planning and scheduling
Provider training and education
Human resource management
Supply chain management
Financial transactions and incentives
- mNutrition projects comprise of packages of 2 or more apps; - employ 1 or more mobile (phone) functions (SMS, IVR, wifi)
Mobile Integrated Resources for Aurat-women (MIRA) channel - Help connect to health services - Iconic messaging + audio support
Connect4Change Ghana - IVR – reach illiterate audience - with text to change (TTC) Share nutrition info through SMS - Save the Children, Unicef, TTC
Client education and behavior change communication (BCC)
1
Mobile data collection - Examples
4
UNICEF Malawi Nutrition surveillance: collect and transmit child nutrition information via SMS - Rapid SMS - Feature phone
UNHCR Standardised Expanded Nutrition Surveys (Sens) - Open Data Kit - Android
Manage collection across regions; Faster to fill + compile; Data more accurate:
● collect+digitize at source ● no more data entry ● data cleaning limited ● pre coded ranges, skip logic
user friendly / motivating; easy monitoring of collection team easy visualisation
Mobile data collection tablets : Advantages
4
Electronic decision support: eNUT
6
Supporting diagnosis + treatment of childhood malnutrition - App takes nurse through guidelines - Acces + enter patient data - 20% more accurate in diagnosis
http://www.d-tree.org/
Supply chain management
11
SMS for life - Mobile phones - Internet - Mapping technologies monitoring stock levels
mHealth Compendium, volume 3, USAID, 2013
Financial transactions and incentives: Interactive Alerts
12
Improving vaccine coverage through small incentives
Sean Blaschke (Unicef Uganda)
Uganda: pilotitis mHealth Mortorium Datastorage = DHIS2
District health
info. system 2
Using Mobile Phones for Nutrition Surveillance: A Review of Evidence. Barnett, I. and Gallegos, J. IDS, 2013
Mobile phones for nutrition surveillance
- lack of hard evidence on the impact - mobile phones may make nutrition surveillance timelier - mobile phones may improve data quality - lack of comprehensive cost-effectiveness evaluations - need more focus on analysis, visualisation + reporting data - no evidence on the empowering effect - technical, financial and ethical challenges - sustainability and scale-up:
- government support + functioning healthcare system + strategic partnership private sector
Key factors for mNutrition success
Country ownership + leadership Partnerships Coordination Standards / interoperability Financial sustainability + scale mNutrition strategies should
● fit into existing health + nutrition system functions ● Complement goals of nutrition service provision
Resources
mHealth Compendium, volume 3, USAID, 2013
mHealth innovations as health system strengthening tools: 12 common applications and a visual framework, Labrique
et.al., August 2013
Using Mobile Phones for Nutrition Surveillance: A Review of Evidence. Barnett, I. and Gallegos, J. IDS, 2013
Sustainable Financing for Mobile Health (mHealth): Options and opportunities for mHealth financial models in low and
middle-income countries, mHealth Aliiance, Vital Wave Consulting, 2013
[email protected] www.delicious.com/mirjamschaap www.delicious.com/mirjamschaap/mnutrition www.delicious.com/mirjamschaap/mobile www.twitter.com/mirjamschaap nl.linkedin.com/in/mirjamschaap/
www.wageningenUR.nl/cdi www.facebook.com/CDIwageningenUR www.twitter.com/CDIwageningenUR
Mirjam Schaap
