Tag: mHealth

The Winners: Susanna J Smith and My Nigeria Hospitals

We are excited to announce that My Nigeria Hospitals (@mynig_hospitals) and Susanna J Smith (@SusannaJSmith) are our winners for one free seat apiece in the upcoming course on Mobile Phones for Public Health (starts November 12!).

@ trainning just be fully interactive, to yield a positive result on participants
October 26, 2012 1:43 pm via Twitter for BlackBerry®ReplyRetweetFavorite
@mynig_hospitals
My Nigeria Hospitals
Phones&health are personal. #mHealth offers new possibilities for patient engagement & empowerment &ways to reach hard-to-reach pops. #tc309
October 26, 2012 1:25 pm via HootSuiteReplyRetweetFavorite
@SusannaJSmith
Susanna.J.Smith

 

Background on mHealth Twitter Chat

On October 12 at 1:00pm, TechChange hosted an mHealth Twitter Chat with the mHealth Alliance in preparation for our upcoming online certificate course on Mobile Phones for Public Health. In addition to soliciting feedback on our proposed syllabus and speakers, we were looking to award two free seats to individuals participating in the chat that would not otherwise have had access to the course.

In total, we had 44 participants exchange over 279 tweets during the one-hour chat. We’ve archived the discussion in our curated Storify of key contributions, questions, and links. If you want to dive deeper, check out the full Tweet Archive or search for hashtag #TC309.

 

Key Contributions by Tweeters

While in no way exhaustive, three key themes emerged through the constraints of 140-character contributions:

  • Engage telecommunications companies throughout the course, not just medical professionals who employ mobile-enabled strategies.
  • Explore sustainable business models for mHealth projects and organizations. Don’t just do a one-off project for the sake of doing it.
  • Understand the link between big data and mHealth. The challenges of mobile-enabled medicine are intertwined with managing information.

Thanks @ Mobile Midwife Initiative to fight staff shortages http://t.co/XFkt1v77 great #mhealth video #tc309
October 26, 2012 1:39 pm via TweetDeckReplyRetweetFavorite
@Cascadia
Sherry Reynolds
@ if I win a ticket, I'll be there!! 🙂 Read the syllabus and speaker bios. Def a great opportunity to learn about mHealth #tc309
October 26, 2012 1:52 pm via webReplyRetweetFavorite
@ReemGaga
Reem Ghoneim

Winner Selection Methodology

Choosing winners at random was more complicated than we had initially anticipated. Do you select by number of Tweets or by user? Do you bias towards number of contributions or value of contribution (# of RTs)? etc. In the end, we decided was to select a random user weighted by number of tweets, but we’re open to suggestions about improved methodology for future scholarship competitions.

This piece has been crossposted from Health Unbound. If you’re interested in learning more, please visit our course page on mHealth: Mobile Phones for Public Health.

On November 14th the Mobile Phones for Global Health Online Certificate course officially kicks off and as we head into the final countdown we are offering a special preview of what participants can expect from the four-week course!

With 75 feedback surveys completed (thank you to all those who participated) we identified some of the most well-known thought leaders in the field speaking throughout the course.  Students will have the opportunity to engage directly with leading applications developers, and learn from practitioners who have had significant experience in implementing mobile phone based communication systems around the globe. The agenda will include:

Weekly Course Topics:

  • Week 1: Introduction to Mobile Health
  • Week 2: Strengthening health systems
  • Week 3: Moving towards citizen-centered health
  • Week 4: Technology Standards & Interoperability and Learning from other mServices

Featured Speakers:
Patty Mechael, Executive Director of the mHealth Alliance will provide students with an engaging introduction to the field, discussing the evolution of mobile phones for international health, and how these technologies are being used to today to respond to some of the greatest global health challenges.

Kicking off week 2, Joel Selanikio, co-founder of DataDyne, will present on the development of Episurveyor, and how mobile phones are being used to collect, manage, and sort data.

Also in week two, the class will be joined by Isaac Holeman, Chief Strategist for Medic Mobile, who will engage with students on the range of open source applications in the Medic Mobile toolkit – including the well-known Frontline SMS system that allows computers to send messages to large groups of people at a low cost.

A number of other guest speakers and presenters will also be featured. Stay tuned as we get closer by checking the course landing page.

In addition to these guest speakers, participants will engage with case studies, multimedia tutorials, interactive exercises, and live demonstrations of such tools as interactive voice recognition (IVR),  SMS (text message) communication programs, smartphone applications, and health information systems for data collection and management. Through this combination of hands-on experience, and engagement with practitioners on the ground, the goal is to provide students with an in-depth introduction to the field of mHealth.

Participate in the Live Twitter Chat and YOU Could Win 2 Free Passes!

Leading up the course, the mHealth Alliance and TechChange will provide an opportinity to for individuals to win a free pass to enroll in the course! Together TechChange and the mHealth Alliance will host a live-Twitter chat from @techchange and @mHealthAlliance using #tc309 on Friday, October 26 at 1pm EDT.

During the chat we will engage all participants in a variety of discussion topic and questions related to mHealth. We’re eager to hear from you about questions that you may have on latest innovations and projects in the field. All participants in the twitter chat will be included in a drawing to win a free seat in our upcoming course: mHealth Mobile Phones for Public Health. We will give a away a total of 2 seats. More details to come but tweet at @techchange or @mHealthAlliance if you have questions, and we look forward to having you join us there!

OpenTok helps us bridge self-paced content and real-time video engagement. If you’re interested in exploring our platform, check out our upcoming course on mHealth: Mobile Phones for Public Health, organized in partnership with the mHealth Alliance. Class starts on Nov. 12!

 

Generally speaking, most online learning is divided into two camps: Self-paced content (Coursera, Moodle, etc.) or real-time video webinars (Adobe Connect, etc.). The problem is that our experience indicated that we needed both self-paced content to accommodate the mid-career professionals that comprise most of our students interested in technology, as well as real-time engagement to provide direct interaction with technologists and practitioners. Rather than compromise, we set out to build our own online learning platform.

When we set out to re-imagine online learning for our needs at TechChange, we realized that in order for our learning approach to work, we needed to create an environment conducive to collaboration and co-creation of learning. Our ability to beam in experts from all over the world for remote interviews is crucial to to making this type of learning possible. We use a video chat service called OpenTok to power these engagements.

OpenTok is a flexible video streaming service that allows us to integrate live video chat into our learning platform without having to worry about the actual video streaming itself. OpenTok provides a robust application programming interface (API) that allows a developer to integrate OpenTok services directly into your website or mobile application. They also offer pre-built solutions that you can simply embed into a website, but the brilliance of the OpenTok model is in their fully-featured API.

We tried other video platforms before finding OpenTok, but none of them offered the flexibility and feature richness that OpenTok offers. Using OpenTok we are able to allow remote presenters to simply log into our website and start publishing their audio-video feeds to our courses in only two clicks. This has greatly increased the ease of use of the platform and made it possible to convene important conversations between experts and course participants from countries around the world, including: Libya, Pakistan, Kazakstan, Kenya, Thailand, Egypt, and many others

Due to the bandwidth and other constraints we face bringing together this global audience (our courses generally include participants from 20+ countries), OpenTok’s robust API has been key to our success. With OpenTok speakers and participants can easily toggle video and audio streams to conserve bandwidth. We also convene participant panels where small groups of course participants can discuss pressing issues and share their personal experiences. We believe this video interaction goes a long way to creating virtual learning communities and adds greatly to course outcomes.

More recently, we used OpenTok to power our live stream of the International Conference of Crisis Mappers 2012. We received an excellent response to this offering and are looking forward to using OpenTok to allow other conferences and events to further engage with the global audiences that hunger for access to these important discussions. We believe it is especially important to provide access and inclusion to these communities that for any number of reasons are unable to be physically present for the increasing number of important discussions happening at ICT4D events and conferences in D.C. and around the world.

Finally, none of this would have been possible without OpenTok’s incredible customer support and technical assistance. I’ve spent countless hours on their IRC channel getting advice and support from members of their tech team. A special thanks goes out to @digitalsai, @meliho, and @jonmumm and others at OpenTok for all of their technical assistance and invaluable support as we’ve developed our OpenTok integration.

Nick Martin is President and CEO of TechChange and is the Lead Facilitator for the upcoming course: Mobile Phones for International Development. Class starts Sept. 24. Apply Now!

In the last month, I’ve witnessed an exciting shift in how development in Africa has been treated in the media, especially with regards to mobile phones (Including this excellent post by Ken Banks in BBC). For the first time, we’re seeing the perspective shift from how the US needs to intervene to assist the helpless and needy, to a new frame of what lessons the US and the rest of the world can learn from the many innovations in high tech and mobile technology taking place across the African continent.

Just Saturday afternoon, I found myself checking CNN to see the latest headlines and events from around the world. The top story of the hour, “Seven Ways Mobile Phones have Changed Lives in Africa,” could have been written specifically for our upcoming course on Mobile Phones for International Development by referencing case studies such as M-PESA, the popular mobile money transfer program in Kenya and a case study that we look at extensively in a number of our online courses. I was also pleased to see other projects and organizations mentioned like m-Farm, Ushahidi, Mxit and more– all of whom are already pushing boundaries globally.

There were also references to mHealth initiatives directly relevant to our upcoming course with the mHealth alliance on Mobile Phones for Public Health.One of the organizations specifically mentioned is m-Pedigree, which is the result of Bright Simmons (disclosure: a colleague and International Youth Foundation global fellow) and the work he is doing in Ghana to prevent counterfeit pharmaceuticals with mobile phones.

It’s certainly exciting to see our field getting mainstream attention like this. I’m heading to Ethiopia this week with UPEACE to conduct a workshop, but mainly what I’m looking forward to is an opportunity to meet some of these innovators and see what’s happening first-hand. In Africa and elsewhere, it’s exciting to see the frame shift from “What can we teach?” to “What can we learn from each other?” Stay tuned for a post from the field!

Text to Change’s Chief Technology Officer, Marcus Wagenaar, sat down with me yesterday to discuss new projects on the horizon and innovations in the mHealth field.  Text to Change is an international NGO which uses technology for social change, or as Marcus puts it, “not just a tech company.”  Instead, outreach is where Text to Change works. As the knowledge bearers about mHealth systems and needs, they help design, conceptualize, manage and analyze outreach and projects with their implementing partners to address gaps in healthcare systems and information.

I asked Marcus to talk a bit about some of his favorite projects:

m4rh

Mobiles for Reproductive Health (m4rh), in collaboration with FHI, uses SMS and web based software to send targeted messages about reproductive health.  The user gets their first message and is given 1-3 options for response, such as “if you want more information about condoms, text back 001.” They are then inside a tree of responses win which they can navigate back and forth and discover new information.  The project has been running in Kenya and Tanzania for over a year with pilots in Ghana and Rwanda underway. FHI provides the content and updates, Text to Change runs the IT backend in each country, all from Kampala.

m4rh is one of Marcus’ favorites because it’s “inherently scalable, once it’s set up anyone can access it for free by texting the first keyword to get the main menu” and it’s the “perfect example of Text to -Change because it provides people with information to make informed choices about their lives. In situations where information is lacking or inaccurate around sensitive issues of reproductive health, m4rh allows people to access information that can give them more control over their lives.  They still make their own decisions but at least they have all necessary information to make an informed choice.”

As example of its popularity; in May 2012 more than 40 thousand people have accessed the M4RH information service in Kenya alone. The specific information people access in the system is analyzed. Also, SMS surveys amongst users are carried out to enable deeper analysis of behavioral patterns. By combining this information various things can be deduced. Examples are: which contraceptives are popular in which age groups, what are the differences in male and female use of the system, are the choices people make influenced by the system, etc. These research results or not yet in the public domain but have been shared at various mHealth conferences and we hope to be able to share the results with a wider audience in the near future.

Medical Male Circumcision

The Medical Male Circumcision project, in partnership with Jhpiego in Tanzania and potentially Uganda, is a service hat sends information, similar to m4rh, as well as supporting patient recovery.  Individuals in the beneficiary population get messages regarding where they can receive Medical Male Circumcision and why it’s important, such as “Male circumcision can reduce the risk of female-to-male HIV transmission by 60%”.  After surgery, patients receive messages as soon as the surgery is complete regarding what to expect during their recovery. The Medical Male Circumcision project provides a Virtual Nurse who advises patients: “Make sure that you do not have sex for the first two days,” for example, or later on in the recovery “if your urine is discolored, visit the clinic.” The messages are “specific but lighthearted” with quiz questions every week to engage the patients and to assess how much they know about Medical Male Circumcision. Messages are meant to be encouraging and a “positive way to ensure recovery,” reduce stress, and “decrease health costs overall” by addressing concerns before they become serious health issues.

Text to Change monitors how many people they reach with their messages, how often they are reached, and how much it costs to reach a person. Researchers were able to show a statistically significant association between those men who texted in to the toll-free number asking where male circumcision was available and those who actually followed through and got circumcised. This is a good example of providing people with information to help them making informed decisions about their own health.

Data Collection

The data collection project is in the pilot phase with the Center for Disease Control in Tanzania within the mHealth Alliance. The project targets mothers after they have delivered and will speed up data collection about Vertical or Mother-to-Child-Transmission (MTCT) of HIV.  Currently, midwives and nurses fill in registers for mothers and babies to track their data by hand.  The individual patient data is rarely analyzed and often inaccessible to researchers and government representatives so that today there is no reliable number for the transmission rate for MTCT in Tanzania.  This Data Collection tool pilots a new form for tracking MTCT data, where healthcare workers take data from the standard register, write it on a worksheet and then copy it line by line and send it to a central location using SMS.  The data collected will allow the CDC to calculate the transmission rate for the first time in Tanzania and will enable impact evaluation of interventions that aim to lower the number of Mother to Child Transmission of HI, which is part of the Millennium Development Goals.

I also asked Marcus to give a window into exciting innovations in the pipeline:

FormHub              

FormHub is an Open Source initiative by Columbia University.  Text to Change is working with Columbia to develop and use their platform in the field. Text to Change is currently implementing this technology with one of their partners. The partner will conduct a survey in Uganda’s Luwero District, interviewing 1000s of teachers and students in secondary school about physical abuse, sexual abuse, living conditions, and emotional and physical wellbeing of children.  This is the first ever large-scale survey about these sensitive issues performed in Uganda. The partner designs the survey questions, Text to Change enables easy data collection using mobile technology and the formhub platform. Using cheap Android phones, 60 trained Ugandans will carry out the survey using FormHub.

Marcus also wants to use FormHub to automate data gathering in health and medical setting in remote clinics because it’s simple to use for the designer, data collector and data analist and it’s open source.  Many more interesting projects to come!

Vusion

Vusion is a new SMS open source platform development by Text to Change. The backend is based on the Vumi system developed by the Praekelt Foundation.  Marcus sees Vusion as the next big thing in SMS messaging, and here’s why:

  • Vusion is focused on providing a scalable enterprise messaging platform
  • It can connects to multiple telecom companies and aggregators in multiple countries and multiple shortcodes
  • Once Vusion is set up, you won’t need a programmer to design campaigns or access data so it’s easy for non-technical project managers to use without programming skills
  • An API enables access to SMS data from external applications, which enables easy development of for example; advanced real-time data visualizations, website-widgets, twitter integration, etc.
  • Vusion has different access levels and enables organizations to implement and manage multiple SMS programs in parallel from one central platform.

Programmer? You can download Vusion from github and see what the skeleton looks like.

Some of the cost implications of SMS projects are annual dedicated shortcode fees and aggregator costs.  Vusion reduces this by enabling shortcode sharing. Users can use the same shortcode for small projects to share infrastructure and still be in full control over their campagins and projects  This is the approach Text to Change has been pioneering for years but Vusion will make it easier for organizations to be more involved in their own campaigns by having full access to their projects and the associated data.

Vusion was launched with an extensive demo on the 15th of June in Amsterdam. There is no recording of real-live demo but an accompanying presentation is available on slideshare.

Interested in learning about Mobiles for International Development? Check out our upcoming course, mHealth: Mobile Phones for Public Health, starting in November. 

Mobile health technologies are one of the fastest growing, arguably most innovative new platforms that utilize the power of mobile phones. As mentioned before by Jordan Hosmer-Henner on the TechChange blog: “Mobiles have the potential to increase efficiency at nearly every step of health care provision.”

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It’s hard not to get excited about the work being done bringing health care into the digital age. Mobiles have the potential to increase efficiency at nearly every step of health care provision. These efficiencies aren’t hypothesized—waiting to develop given improvements in technology or infrastructure—they’re being realized right now in clinics and health systems around the world.
​Imagine two clinics in rural areas, Community Health Workers (CHW) in one are overburdened searching through paper records to identify previous drug treatment regimens, unable to confirm children with diarrhea are receiving oral re-hydration salts, travelling hours carrying blood samples and results back and forth from the nearest hospital where tests can be preformed.

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We’re going to continue to look at  emerging mobile health applications this week. While last time the focus was on promising technologies on the horizon, these projects share an approach that maximizes the impact of what’s already available—in most places that means sending an SMS. The low cost and high penetration of mobiles make them an incredibly powerful platform for promoting health. In these examples, mobiles are used to expand public health education and improve patient monitoring.​

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An issue that comes up time and again in the technology for development space is whether to focus on an applications’ reach or the richness of services provided. In the next couple of posts I’m going to be looking at how this debate is playing out in mHealth.

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