MEDA, Business Developmentand the

Utilization of Information Technology

Presented to mHealth Working Group

June 2010

Clear language and communication is vital to the success of any organization; this same rule applies when dealing with IT

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Table of Contents

MEDA TZ

1. Maintain:

1. Expand:

2. Explore:

MEDA worldwide

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Situation

• Malaria mortality and morbidity

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Complication

• ITNs new on scene

• Clear world health targets set in Abuja, Nigeria in 2000

• Focus is on at-risk groups: Px women and infants & 60% coverage

• Limited funds, no distribution

Solution:

TNVS

2004

Success factor: Clear event for issuance of a voucher

From that flowed a distribution sector

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Maintain: back-end systems…

DataManagement

TNVS

•Voucher scanner

•Voucher database

•Clinic and retailer database

•Voucher tracking and security

•Voucher statistics

•Stakeholder numbers

ProgramManagement

Core Business Processes

Technology Solutions

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Maintain: Here is a representation of our voucher transaction database

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Maintain: We maintain a separate database for each of our 4,300 clinics with profile data on each

Code Region Name District Latitude Longitude Type

10426 Arusha Namanga Dispensary Monduli -2.55105 36.78766833 Rch Clinic

10427 Arusha Ngereiyani Dispensary Monduli -2.98109301 36.85513973 Rch Clinic

10428 Arusha Olmolog Dispensary Monduli -2.86671826 37.126472 Rch Clinic

10429 Arusha Selela Dispensary Monduli -3.21059355 35.94780743 Rch Clinic

10430 Arusha Sinya Dispensary Monduli -2.78273293 36.95404351 Rch Clinic

10431 Arusha Tingatinga Dispensary Monduli -2.97728964 36.95686519 Rch Clinic

10432 Arusha TMA Dispensary Monduli -3.3462865 36.45869315 Rch Clinic

10501 Arusha Arash Dispensary Ngorongoro -2.37680742 35.50595641 Rch Clinic

10502 Arusha Digodigo Dispensary Ngorongoro -2.1457512 35.73580563 Rch Clinic

10503 Arusha Enduleni Hospital Ngorongoro -3.20602306 35.27414382 Rch Clinic

10504 Arusha Kakesio Dispensary Ngorongoro -3.37899872 34.98797357 Rch Clinic

10505 Arusha Loliondo Dispensary Ngorongoro -2.05198118 35.62422037 Rch Clinic

10506 Arusha Malambo Dispensary Ngorongoro -2.51106271 35.60578823 Rch Clinic

10507 Arusha N.C.A.A. Dispensary Ngorongoro -3.24539253 35.48083484 Rch Clinic

10508 Arusha Nainokanoka Dispensary Ngorongoro -3.03020963 35.69011688 Rch Clinic

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Expand: Representation of 4,300 government-owned RCH clinics

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Maintain: And we maintain a yet another database for each of our 7,000 retailers

Code Region Name District Latitude Longitude Type

1 Arusha Emanuel Bajuto Ngorongoro -3.23672 35.20340 Retailer

2 Arusha Joseph Sendui Ngorongoro -2.10829 35.49736 Retailer

3 Arusha Haruna Kasimu Ngorongoro -3.30468 35.23440 Retailer

4 Arusha Safari Shauri Ngorongoro -3.23327 35.39268 Retailer

5 Arusha Husna Hassan Ngorongoro -3.16899 35.48395 Retailer

6 Arusha Samwel Goyo Ngorongoro -2.17817 35.41268 Retailer

7 Arusha Sammy Huho Ngorongoro -3.12799 35.28058 Retailer

8 Arusha Jonh Clement Ngorongoro -3.21678 35.33834 Retailer

9 Arusha Jonh Darago Ngorongoro -3.14624 35.52682 Retailer

10 Arusha Jonh Machota Ngorongoro -3.22395 35.51290 Retailer

11 Arusha Jonh Tippe Ngorongoro -3.14897 35.49879 Retailer

12 Arusha Halima Mwanga Ngorongoro -2.03261 35.37574 Retailer

13 Arusha Prosper Mosha Ngorongoro -2.30507 35.36384 Retailer

14 Arusha Prevanus Katinhila Ngorongoro -2.09442 35.42066 Retailer

15 Arusha Josephat Ami Ngorongoro -3.26011 35.36409 Retailer

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Expand: Representation of Hati Punguzo’s 7,000 retail outlets

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Maintain: MEDA TZ is approaching its goal of 100% GPS coverage for all TNVS stakeholders

GPS Coordinates Collection -- Annual Comparison

2007 2008

RCH GPS Coordinates 3,000 3,843

ITN Outlets GPS Coordinates 1,057 4,015

GPS Coordinates Collection Progress as of Dec. 31, 2008

Stakeholders GPS Coordinates % Collected

RCH Clinics 4,475 3,843 86%

ITN Outlets 6,918 4,015 58%

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IT baseline allows us to adapt program changes easily

Malaria objectives changed from at-risk groups to household coverage (2 nets per HH) and then Universal (all sleeping spaces being covered)

Change in objectives made possible, and possibly fueled by, influx of huge sums of donor money

GF begins in 2004, Tanzania first grant recipient

PMI begins in 2006

Gov’t of TZ decides to “catch up” the coverage of children under five.

MEDA and other cooperating NGOs finished the U5CC in May 2010

Distribute 7.2 million nets

Next up is Universal Coverage Campaign with 14MM nets

Key issue remains: What happens next? If the free net distribution is “catch up,” how do we “keep up?”

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Scaling up: Technology base allows MEDA TZ to find new ways…

TNVS

U5CC / UCC

DataCollection

Handheld GPS units and a vehicle

tracking system collect location coordinates for:

•Clinics

•Retailers

•District offices

•Villages

•Petrol filling stations

Vehicle tracking software improves general operations:

•Planning TNVS monitoring activities

•Driver performance and

vehicle safety

•LLIN issuing points

ProgramManagement

Detailed maps can be generated and

overlaid with other statistics using

various GIS software platforms

•ESRI

•Google Earth

Data Dissemination

Technology Solutions

Core Business Processes

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Expand: We can then drill down by geography. Here is a region.

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Expand: And then to the District level…

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Expand: As detailed as we need to. Here is the ward level.

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Expand: The next step involves appropriating other mapping technologies into the database. Here is our data overlaid on Google Earth.

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Expand: We can pinpoint a location. Here is MEDA’s office.

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Expand: Here is profile data attached to the location

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Table of Contents

MEDA TZ

1. Maintain:

1. Expand:

2. Explore:

MEDA worldwide

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Explore:

TNVS

U5CC / UCC

DataCollection

DataManagement

ProgramManagement

Data Dissemination

•SMS system for key

indicators

•Online forms and reports

for monitoring activities

•SMS voucher

Integrated database

(GPS reports, voucher

tracking and statistics, program

stakeholders, LLIN results

Management dashboards

Public access data via

online wiki-site

Technology Solutions

Core Business Processes