text to change @ mhealth summit 2010

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mHealth Summit Washington, DC

November, 9th 2010

Hajo van [email protected]

@hajovanbeijma

Text to Change: mobile phone based health programs in Africa and South-America.

-Offices in The Netherlands and Uganda;-6 people staff;-14 finished mHealth campaigns, 5 active campaigns in 5 countries;-5 ongoing research studies;-120,000 participants in 2009. 150,000 in 2010;-Partnerships with 15 organizations;-Working in: Uganda, Kenya, Tanzania, Cameroon, Madagascar, Namibia and Bolivia;-Scale to 16 countries in 2011 and 2012 via IICD and the Connect4Change consortium.

Overview – Workplace programs – Research – Partners - Future

Text to Change and mHealth:

From pilot to scale, through:-Collaboration;-Low-tech for end-user, high-tech web-based server system;-Local content from local partners;-Long term contracts with all mobile providers;-Free services for the end-users;-Servicing governments, NGO’s and companies.


Example: mHealth for workplace programs in Uganda:

-In 2009 and 2010. Sms based workplace programs for companies in Uganda and Kenya;-Partnership with: HIPS Uganda, ZAIN and KIT;-Research based, with 9 month long impact study;-Scale through adding value to the health policies of companies via mHealth: fast, cost-effective and measurable results.


Research projects:

- University of Oslo, Norway, department of Media and Communication: Mobile Communication andBehavior Change in Action.- University of Utrecht and KIT, The Netherlands: Uptake in HIV testing via the use of sms.- Makerere University Uganda and Microsoft: Improve TB treatment completion.- IBM Research, USA: The use of social incentives to change behavior in text message based programs.- Family Health Int.: The use of mobile phones in family planning messages in Kenya, Tanzania and Ghana.


Workplace program Research: The impact of text message quiz programs in Uganda: some of the effects on health education and prevention. Researchers: A.M. de Lepper*, C. Tuijn**, L. Oskam*** Universitair Medisch Centrum Utrecht, Universiteit Utrecht, the Netherlands** Koninklijk Instituut voor de Tropen/Royal Tropical Institue, Amsterdam, the Netherlands

Methods:The data was retrieved retrospectively from a web-based database. All available data are text messages sent by participants in answer to text message quizzes (TMQ) sent by Text to Change (TTC). The TTC projects studied were done in collaboration with their local partner, Health Initiatives for the Private Sector (HIPS) and ran in September-October 2009 and May-November 2010.Participants of the TMQs provide all available data. They are approached through an introductory text message asking if he or she would like to participate in a TMQ. In the researched projects participants were aimed to be either employed at or relatives/acquaintances of employees at Kinyara Sugar Works LTD, Massindi, Uganda or at Kasese Cobalt Company LTD, Kasese, Uganda . In total there are about 1400 participants from KSWL and 1100 participants from KCCL. The main outcome parameters measured in the current study are - Knowledge gain- Effects on prevention of HIV-transmission- Parameters on texting behavior of participantsResults are expected in the first half of 2011.


Partner: IICD • Dutch NGO specialized in ICTs for development;• more than 15 years of experience;• 22 health programs in Burkina Faso, Malawi, Mali, Zambia, Uganda and Tanzania.Aim in sector health• Developing health professional capabilities;• Improving health care delivery;• Increasing administrative efficiency.IICD and Text to Change:• Health Child: developing local health information centers in Jinja, Uganda to promote maternal and child health and support health education.


Consortium of Dutch NGOs Akvo, Cordaid, Edukans, ICCO, IICD partnering with Text to Change (2011-2015) Large-scale development programs based on the use of ICT and mobile phones to improve economic development, education and health; 12 countries (Africa and Latin America); Health programs focus on improving the effectiveness, efficiency and equality of the health care system; Special focus on sexual reproduction and health rights for women and girls; Targeting 3,000,000 patients with a $64 million 5 year budget.



Partner: Family Health Int. M4RH Program in:Kenya and Tanzania.

► MOBISCOPY

http://tinyurl.com/2byhamq

● Confirmation● Result response● Knowledge sharing● Quality Control

► KIT Information Platform mHealth


Text to Change: Why does it work?• Partnerships with mobile operators, telecom industry, NGO's and governments;• Software that will work in Africa;• Demand driven programs;• Local content;• Evidence based;• Interactive education.Goals:• Create more awareness;• Gather data on knowledge;• Increase testing via sms referral.


Challenges: * Learn from failures, they do exist…* Pilotitis…* Sms services in local languages;* Improve text message software;* Zero rating the service;* Service over all mobile networks;* Better data analysis;* More partners;* Local content;* Create sustainable programs;* Better training of peer educators on text messages;* Open Source system to establish interoperability between mobile for development systems.


Pilotitis: Chart by Sean Blaschke, Unicef Uganda


Scalability:

Only way is: large scale operations with new mobile infrastructure partners: Companies, NGO’s and Governments.

Focus: End User!

www.texttochange.com+31 20 486 [email protected]


text to change @ mhealth summit 2010

Health & Medicine