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Framework for Planning, Implementing, Framework for Planning, Implementing, and Evaluating an mHealth Project for and Evaluating an mHealth Project for

Family Planning or Maternal and Family Planning or Maternal and Newborn Health Newborn Health

Framework for Planning, Implementing, Framework for Planning, Implementing, and Evaluating an mHealth Project for and Evaluating an mHealth Project for

Family Planning or Maternal and Family Planning or Maternal and Newborn Health Newborn Health

Dr Heli BathijaDr Garrett Mehl

5 May 2010

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Experience of an ongoing effort relating Experience of an ongoing effort relating to a planned project in Sierra Leone to a planned project in Sierra Leone

Background:•Sierra Leone, in West Africa, is in the bottom rankings of the Human Development Index with unacceptable maternal and child mortality figures.

•The health system in Sierra Leone is characterized by a lack of appropriately qualified health care workers, insufficient supplies of drugs and equipment, poor co-ordination and management, and charges levied at point of service delivery.

•Free health care for pregnant and lactating women and children under 5: launch 27 April 2010

-Government of Sierra Leone, November 2009

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Mobile phones are Mobile phones are everywhere everywhere in Sierra Leone, in Sierra Leone, so why not to take so why not to take advantage of them inadvantage of them instrengthening health strengthening health systemssystemsfor enhancing for enhancing maternal and maternal and newborn health and newborn health and survivalsurvival

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• Choices• Roles

•Partnerships•Advocacy•Resources

•Gender

•Training•Pilots

•Main project

•Feasibility•Acceptability•Impact

Planning

ReproductiveHealth

Challenges

Improved ReproductiveHealth Status

and Programmes

Implementation Evaluation

Framework for mHealth ProjectFramework for mHealth Project

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1. Planning phase1. Planning phase

Started in Started in

March 2010March 2010

---- On-going---- On-going

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Choices Options How decided

Importance PriorityOrder

Field of work MNH

FP

both

IDIs with MOH

ownership 1

Objectives Access, quality,

Saving lives

IDIs with health personnel

results 2

Approaches SAM, networking, mentoring, hotline

Literature review,

feasibility 3

Levels IFC,

Health system

Literature review,

IDIs with partner organizations

feasibility 3

Choices:Choices:

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Choices Options How decided

Importance PriorityOrder

Hardware Ordinary cell

PDA

Smart phones

IDIs with IT Applications, cost

3

Software None,

limited and specific,

broad and flexible

Review of experiences elsewhere

Practicality, sustainability

3

Areas District, region coverage necessity 1

Collaborators National

International

Meetings, existing collaboration

Approvals, integration, funding

2

Time frame Short, long funds deliverables 1

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2. Definition of roles and responsibilities of collaborators · Management

· Technology

· Health services

· Training

· Research

· Coordination

· Communication

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•Gender


•Main project


Planning

ReproductiveHealth

Challenges


and Programmes



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Advocacy for the project · National authorities

· Partners

· Media

· Population

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Partnerships · Why?

· National

· International

· How?

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Resource mobilization

· In kind : Possibility to link up with existing activities and use their resources

· funds:a. Within already funded programmesb. Applying for earmarked funds

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Using "Gender lens" for

•choosing collaborators

accessing resources

disseminating results

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•Gender


•Main project


Planning

ReproductiveHealth

Challenges


and Programmes



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2. Implementation phase2. Implementation phase

Possibly starting in July Possibly starting in July 20102010

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2. Carrying out pilot(s) to test feasibility2. Carrying out pilot(s) to test feasibility

•Focus on Keeping It Small and SimpleFocus on Keeping It Small and Simple

•Emphasize quality over quantityEmphasize quality over quantity

3. Carrying out the project itself3. Carrying out the project itself

1. Training in

•Technology use•Research•Maternal and newborn health•Family Planning

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•Gender


•Main project


Planning

ReproductiveHealth

Challenges


and Programmes



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3. Evaluation phase3. Evaluation phase

To start To start very shortlyvery shortlyafter theafter theimplementationimplementationhas begunhas begun

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Health systems research to Health systems research to assessassess

•Feasibility : observations, IDIsFeasibility : observations, IDIs

•Acceptability: FGDs, IDIsAcceptability: FGDs, IDIs

•Impact: Case studies, registry dataImpact: Case studies, registry data

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Conclusions and recommendations Conclusions and recommendations based on experiences in Sierra Leonebased on experiences in Sierra Leone

•Things are already happeningThings are already happening

• strategic thinking quickly neededstrategic thinking quickly needed

•Easy to become excitedEasy to become excited

•requires strong coordinationrequires strong coordination

•Private Public Partnerships deserve more attentionPrivate Public Partnerships deserve more attention

•Need a ChampionNeed a Champion

05_hb_dakar_dec1 framework for planning, implementing, and evaluating an mhealth project for family...

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