HIV | TechChange | The Institute for Technology and Social Change

In honor of World AIDS Day 2014, we celebrate several TechChange alumni who are heroes in the front lines of fighting HIV and AIDS across the world. From their communities in San Francisco, Vietnam, Malawi, South Africa, and Zambia, these extraordinary individuals are using mHealth technology, online training for HIV preventing, and more to save lives with HIV awareness campaigns through online trainings and SMS campaigns, Android mobile apps for accurately prescribing antiretroviral medication, and more. Check out the top five ways TechChange alumni are using technology to fight HIV.

1. Encouraging HIV testing and care in Vietnam with mHealth gamification programs
Caroline Francis and her team across FHI 360 Vietnam have launched mHealth pilot programs to encourage HIV testing and care maintenance through gamification with mobile phones. In their programs in Hanoi and Ho Chi Minh City, mHealth is a key strategy for FHI 360 “to incentivize health-seeking actions, increase the timeliness of data collection, improve patient communications, and document system-client interactions. MHealth can also facilitate workforce development through task shifting, performance support, and human resources management.”

Check out this video on their “Fansipan Challenge” mHealth pilot program here.

2. Promoting HIV support group and health management classes with SMS reminders
In her blog post on “mHealth: Healthcare Reaching Remote Places with Mobile Phones and SMS”, Reverend Neelley Hicks describes the success of a community health worker’s use of SMS messages to remind HIV+ members of a community in Malawi to attend support group and HIV health management classes. The significance of reaching these program beneficiaries was not small, as “community health workers often must walk miles to find someone only to learn they are away. But the mobile phones stay with the person – making them much easier to reach.”

Mercy-mHealth-United-Methodist-Communications

Mercy (pictured with Maeghan Ray Orton from Medic Mobile) at UMCom workshop in Malawi

3. Scaling HIV Prevention in California via eLearning
A&PI (Asian and Pacific Islander) Wellness Center, a San Francisco-based organization with that started to fight the HIV/AIDS crisis in A&PI communities beginning in the late 1980s, collaborated with Project Inform and TechChange to develop the California Statewide Training and Education Program (CSTEP), a curriculum that sets the standard in HIV treatment and technically and culturally competent training for clinical and non-clinical providers working in the HIV field. The A&PI Wellness Center works to address the health needs of marginalized and vulnerable groups, regardless of race, ethnicity, gender identity, sexual orientation, or immigration status.

To register for these free online courses on HIV prevention training, please click here.

4. Correctly prescribing HIV antiretrovirals (AVR) drugs with an Android smartphone mobile app in South Africa

To help clinicians to correctly prescribe antiretrovirals, Dr. Musaed Abrahams, an alumnus of our mHealth – Mobile Phones for Public Health online course, has launched a mobile app for managing antriretroviral treatment (ARV) medication in South Africa.

The Aviro HIV mobile app acts as a virtual mentor for clinicians to easily consult for proper ARV (Anti-retroviral) initiation and treatment during the patient consult. Designed for Android and based on the current South African guidelines, it provides real-time, immediate feedback and guidance for the clinician, so that excellent and reliable care can be delivered to every patient. Following a care checklist, it gives clinical prompts aiming to educate and raise the standard of patient care.

Download the Aviro Android app on the Google Play store here.

5. Advocating for reproductive health education in Zambia with SMS
After taking several online courses with TechChange, Priscilla Chomba-Kinywa created a SMS solution called U-Report to promote sex education to prevent HIV in Zambia among youth. She incorporated the feedback from Zambian youth in the process of building out this campaign and program. The first year of the program’s pilot in 2 provinces had 50,000 young people voluntarily sign up and engage the 24/7 trained counselors by asking them questions on HIV, sexually transmitted infections, and other reproductive health issues.

Want to learn how you can use technology to address challenges such as HIV and other global challenges? Enroll in one of our online courses here and get $50 off any course with the coupon code, ENDAIDS2014, before December 5, 2014.

Treating HIV with antriretroviral treatment (ARV) medication can be very challenging, given how complicated it can be to dispense these pills correctly. Especially in remote clinics throughout the world, it can be difficult for clinicians to distribute ARVs because they require customized mixes of medication based on the specific symptoms of individual patients in order to be effective.

Aviro featured on a national news broadcaster in South Africa

We asked Musaed to tell us more about his new mHealth Android app below.

1. What personal experiences of yours inspired this app?

I have worked for Medicines Sans Frontiers (MSF) for over 6 years, training clinicians throughout Southern Africa on the best practices on HIV Care. Through my experience I quickly recognized some of the challenges nurses and clinicians face day to day with changing guidelines and lack of training resources. I also recognized that many nurses were using technology informally, and were conversant with their mobile technology.

My aim was to create an app that can bridge the training and information gap with the already existing technology – particularly with mobile phones.The Aviro HIV app was created with this goal at the forefront. Providing a mobile tool for doctors and nurses, using technology to simplify the initiation and management of patients on anti-retroviral therapy (ART), with connectivity providing further referral support for complex patients.

2. What impact did the TechChange mHealth online course you took have on designing and launching this app?

This mHealth online course gave me an overview of different components of mhealth and how they interlink – specifically monitoring and evaluation, communication and decision tree support tools which were my interest. I valued most the practical examples/case studies and insights from the developing world and their implementations of mHealth projects, and challenges that they needed to overcome. Although I was already conversant in human-centered design, the HCD-focused workshop in the course rounded out my knowledge in this area while being engaging and informative.

Aviro

3. What exactly went into creating this Aviro mHealth app?

It was a team effort involving those with both HIV technical expertise as well as mobile development. We collaborated with the best medical expertise on HIV including James Nutall, Graeme Meintjes, and Ashraf Coovadia to design treatment algorithms. We incorporated human design thinking principles when working with African digital artist, Jepchumba to do the user experience (UX) design in collaboration with nurses on the ground in South Africa. Funding was provided with a partnership with MTN Foundation, Aviro’s technology partner. In addition, we partnered with nurse and clinician organizations, the Anova Health Institute and Southern African Clinician Society, for testing implementation of the app.

4. How successful has it been so far? (Any metrics you can share?)

We just launched the app at Social Media Week and Southern African Clinicians Society last week and have had over 300 downloads by South African nurses and doctors. we have interest from the SA National Dept of Health in adopting the app nationwide. Currently, we are working on an iPhone/iOS version of the app and will keep updating the app with new versions as we get more downloads and feedback.

Clinicians test Aviro

Download the app here on the Google Play store

About Musaed Abrahams

Musaed has worked and trained in Southern Africa as a HIV Training coordinator of MSF (doctors without borders). With over 5 years experience of coordinating HIV courses for nurses and doctors, with trainings in South Africa, Mozambique, Malawi and Zimbabwe he has developed innovative educational approaches to medical training.

Interested in mHealth to use mobile phones to improve healthcare delivery? Enroll now in the same course that Musaed took, mHealth – Mobile Phones for Public Health which runs from November 17 – December 12, 2014.