xhealth: quality, accessible and affordable healthcare using mobile phone

xHealthAccess to Quality & Affordable Healthcare

Website: http://xhealth.co.ke

http://xhealth.co.ke/index.php

xHealth

• Counterfeit drug checker

• Drug information provider

• Health professional search engine

• Collaboration tool

Counterfeit Drug Checker&Drug

information provider

A user sends SMS with Serial Number of the

drug bought

A user initiates an App from xHealth

A user initiates an IVR session with xHealth

xhealth

SMS is sent using mobile network service provider’s network or using xHealth

MobileApp

xHealthAPP

Local operator

xHealth

or

SMS or Message from xHealth App received by

xHealth’s Counterfeit Drug Checker

xHealthxHealthAPP

Local operator

or or

xHealthxHealthAPP

Local operator

• Responds with “Counterfeit” or “Not Counterfeit”

Counterfeit?Not

Counterfeit?

or or

xHealthxHealthAPP

Local operator

Counterfeit?Not

Counterfeit?

or or

Yes/No

Yes/No

Yes/No

Yes/No

• Response “yes” or “no” sent back to the user via SMS or via xHealth Mobile App.

• If “yes”, advice on the drug use will be part of the response. • If “no”, suggestions on how to get “yes” drug accompanies

the message.

After user uses the drug…

• User reports drug adverse reaction• Use some gamification or drug

voucher to promt user to do the report

Okello Nelson

[email protected], Its not possible to pinpoint if it was caused by the drug if the incident is isolated. If, however, there are over 1000 incidents reported related to the same drug, then I think it can be concluded that it's possible that the reported condition could have been caused by something to do with the drug. As part of the pharmacovigillance component, we can include a check that uses artificial neural networks. This can improve its categorization the more its used. The same technique used in Fraud Detection. To conform to law or to not find ourselves on the wrong side of the law, instead of reporting that the drug was ineffective, we can find some other way of reporting the same.

Sally Ho

Pharmacovigilance systems relies largely on patient/ professional reporting events such as headache, skin rash, stomach discomfort etc, it is a way to capture post marketing real world side effects profiles, but of course, how do you know it is attributed to the drug, we dont know exactly... but is more like a surveillance system... hoping the bigger the sample size the more generalisable your data will be

Okello Nelson

I agree, [email protected] is a better solution. Is it possible to incorporate a short design of the pharmacovigillance component, then we'll discuss how it can fit in the presentation, to replace this?

Sally Ho

as mentioned the best would be a pharmacovigilance system to document adverse reactions then maybe questionnaire to asked how they found it swallowing the tablets? any issue/ barriers to stop them taking? It all depends if you want to look at the clinical function or more the administration of the meds themselves

Okello Nelson

It may be a wrong choice of term, but what I'm proposing is a way to get some feedback from the user after using a drug. As pointed out, a drug might not have been effective for a number of reasons, thus it may not be a proof of the drug being counterfeit. Like said, probably due to the user's own reaction to the chemical substances that are part of the drug. Any suggestion on how we can collect post-drug use experience?

xHealthxHealthAPP

Local operator

or or

SMS is sent using mobile network service provider’s network or delivered to the xHealth

Mobile App

xHealthxHealthAPP

Local operator

or or

SMS or request from xHealth Mobile App received by

xHealth’s Drug Effectiveness Reporter

If messages on a drug passes a threshold, the report is published on the social media

Fake/Not Fake report

xHealth

Fake/Not

Fake report

xHealth

• xHeath Social Data Miner retrieves people’s sentiment on the report from the social media and news articles

• xHealth Analytics processes the data by applying special algorithms to discover trends and insights.

Fake/Not

Fake report

xHealth

• An SMS alert sent to subscribers if a counterfeit or ineffective drug has been discovered or a message is delivered to the xHealth Mobile App

• Analysis reports and charts are generated and sent to subscribed organizations: NGOs, Government Agencies, Drug Manufacturers, etc.

Health profesional search engine

xhealth

User starts by sending SMS request, starting IVR session or using xHealth Mobile App

Okello Nelson

[email protected] +Chen That's true. There's a need for segmentation. In Kenya, the situation is the same; needs of urban dwellers and their rural counterparts are radically different. Any ideas on how to implement this segmentation?

Sally Ho

I am no goo at geography, so you need to bear with me...I would first indicate areas that you would like to roll out this application, for example, the city/ town where you live, then maybe work by km radius, to identify rural areas..... Do any of you know have to use GIS? is a statistical mapping tool used in outbreaks.Rurality is difficult to determine there isn't a definition either. We would have to set that definition

Sally Ho

for this one maybe we need to segment the users so we can be more specific in the service we want to provide?

kuan chen

I think it's good idea to segment users. Maybe segment in the following categories:Patient, health care provider,doctors and third party(gov.NGO)?

Sally Ho

I am thinking more about segmenting the patients further into, urban, para urban, rural because their access to healthcare needs are different I believe, Nelson will have to advise on the situation in Kenya

xHealth Find Doctor filters doctors by location of the user, specified specialty, and schedule availability

Sally Ho

so we need to GIS map the clinic facilities? how about also access for people that cannot travel?

kuan chen

I think so. it might not be difficult to trace the people's location with internet. Do people here mean doctor (or patient). If it mean doctor, then I think just find another one who can travel, if it means patient, the doctor could visit them

Sally Ho

Thats what I meant, the patients if the nearest dr is 10 miles away? what should they do?

A request to see a patient

Healthcare professional 1

Healthcare professional 2

Healthcare professional n

A request to attend to the patient is sent out to the matched healthcare professionals

Okello Nelson

[email protected] +chen I've implemented some changes. Please have a look. Is that what you had in mind?

Sally Ho

This is better I think, because you could give them an option to choose what they need, of course this is providing the assumption that people know what they need.

Sally Ho

How about if they dont need a Dr? all they need is another healthcare professional?

kuan chen

I think maybe it would be better here to say healthcare provider pool? (Doctor, health care provider...)

Healthcare professional 5 confirms availability



Create appointment

Selected

Some of the healthcare professionals confirm they can attend to the patient. Select the one whose schedule availability is closest

AppointmentConfirms Notify

If the doctor confirms the appointment, inform the user. Else, select the next doctor.

xhealth

AppointmentReschedules Notify

xhealth

If a doctor reschedules an appointment, notify the user of the change

Share Sentiment

xhealth

After a user has been attended to by a doctor, he can review and rate the doctor’s services. This will be used to recommend doctors to future patients

xhealth: quality, accessible and affordable healthcare using mobile phone

Health & Medicine

xhealth access

xhealth mobileappxhealth

drug boughta user

drug manufacturers

drug use

ineffective drug

xhealtha user

social media