instedd's experience in southeast asia & opportunities for africa

SACIDS – InSTEDD Experience in Mekong Region 2009

InSTEDD Experience in South-East Asia and opportunities for Africa

Eduardo Jezierski(Engineering)not a [email protected]


MBDS“Strengthen national and Mekong sub-regional capabilities in disease surveillance and response to outbreaks of priority diseases, in order that they can be effectively controlled.”

Program Areas:

1. Strengthen sustainable national capacity in disease surveillance, outbreak investigation and responses;2. Strengthen health manpower development in field epidemiology;3. Establishment of a sub-regional surveillance network.


MBDS Conceptual Structure

MBDS CountriesCambodiaChina (Yunnan, LaoMyanmarThailandVietnam Land area: 2,570,426 sq kmPopulation: 313,642,000

StrategiesCross Border CooperationAnimal-Human interface Epidemiology CapacityICT CapacityLab CapacityRisk CommunicationsPolicy Research

Cross-Border SitesContact informationDirect communicationsJoint trainingsData sharing


Key Learnings

• Strengthen the government’s role in health• Sustainability through capacity building• Strengthen the existing networks• Partner with national tech and telcos• Up/Down/Horizontal communications• Simplify tracking and sharing progress, data


Strengthen The Government’s Role in Health

• Work through ministries• In support of gov’t strategies and goals• Provide staff support to government• Bring partners in under guidance of MOH


The lab is a Regional Resource – InSTEDD works with implementing partners to scale efforts in the region

InSTEDD Regional Innovation Lab

Sustainability through capacity building:InSTEDD Innovation Lab


Building Local Capacity: Regional iLab

Requirements are best understood by local constant dialogue

All technologies go obsolete or need maintenance

Technologies need to integrate with existing efforts and strategies

Establish local team that can design systems with end users

Local team builds modular, open source systems, train in QA; and build on existing & new systems

Train in interoperability and architecture. Extend existing apps.


Strengthen Existing NetworksRegional SurveillanceSupporting MBDS OfficeStrengthening National Surveillance With Govts & NGOs

Innovation Lab Catalyst AND informal hub Foster Regional network Technology design and

development for the region Training and Events Technical & Program staff

Implementing Partners Work in their countries

implementing local health programs with InSTEDD support

Use InSTEDD technologies InSTEDD provides training Exchanges with the Lab Regional Community of Practice

Vietnam 2010:TBD

Lao 2010: TBD

Thailand 2009+ Change FusionOpen Dream

InSTEDD Regional Innovation Lab


A Platform for PartnersInSTEDD builds technology with design efforts in the Mekong using the Innovation Lab as a hub

Users and organizations have new ideas for communication and reporting technologies

InSTEDD or Implementing Partners extend and build the technologies on the existing foundation

Users get customized, locally owned ICT build on a strong foundation.


Simplifying local innovationInSTEDD builds technology with design efforts in the Mekong using the Innovation Lab

Users and authorities have new ideas for communication and reporting technologies

Implementing Partners build the technologies with InSTEDD extending the existing foundation

Users get customized, locally owned ICT build on a strong foundation.

Thank you!It works great

and local engineers can maintain it!

Let’s take GeoChat and build an ILI

application on it!

Maybe we can

use SMS to report

ILI…InSTEDD + Change Fusion (Thailand)

Let’s extend tools to do

mobile reports


Start with simple protocols

- req. Training on designing & evaluating protocols-Reinforce with self-run excercises, pocket cards- People will figure out what else can be done


Partnering with Telcos

• Imagine every road is a toll road… …and ambulances have to pay!

• Influence by business reason (easier) or policy

• Outcome: a national toll-free 2-way SMS & voice number, accessed by anyone via GeoChat apis in an easy-to-extend platform


InSTEDD GEOCHATSMS, email, web, twitter Location, unstructured chats, semi/full structure infoOpen or secure groupsExplicit Location (automatic w operator data)SMS-Only interaction possible, low bandwidth viewsSoftware as a Service and Free + Open Source6000+ users, ~35% + SMS only


Up/Down/Horizontal Communications

Collecting data…– Simplify getting unstructured, semi-structured and structured

information

Alerting…– Of whatever information you think is important– Targeted by geography and topics

Breaking Silos– National – sms chat across the border– Organizational – Local MOH, Pasteur, CDC, etc – Domains - animal & human health experts together


Example applications built locally

Veterinary hotline Very customized smartphone apps + SMS summaries and automated alerts for response & follow up

HIV treatment adherence – appointment reminders and follow up guidance – SMS and backend database connected to MRS

Rapid Response Address BookOutbreak Rapid Response

Team & contact guidance, who to call where when etc


Sharing data & transparency

• Growing a culture of transparency and goal orientation

• Technology can simplify how to share data, improving timeliness and quality

• In 2010: Shared resource maps, events, and improving“Regional Warehouse” modifications to DHIS2


Thank You!

With support from Google.org, Rockefeller, CDC and others

http://[email protected]


Appendix


InSTEDD Organization – iLab Cambodia

ExecsCEO, Programs, Tech

Innovation Lab, Phnom Penh- Program Mgmt & Liason

Grow local partners- Product Management

Design Products & Field Support- Engineering

Implement, extend and localize products

Int’l Program

Managers

Platform Engineers

• User Scenarios & Requirements•Complex Engineering Challenges•Bugs and issues in platform

•Training in Technology and Methods•Design Ideas•Platform tools and building blocks•Technical Support

• New projects and partner leads

• Int’l partner management

• Governance, Org Development, Operations• Program Strategy• Technical Strategy

instedd's experience in southeast asia & opportunities for africa

Technology

existing efforts

instedd technologies

regional resource instedd

local capacity

instedd support

regional ilabrequirements

existing foundationusers

existing networkspartner