Transcript Community-based maternal and neonatal care

Mobile Services that Empower Vulnerable Communities
Mother Infant Pair Mobile Application
Malawi
Lyness Kanada
M & E Specialist
March 20, 2013
ICT4D Conference
Accra, Ghana
Acknowledgements:
CHIKWAWA
DIOCESE
IMPACT Background
• USAID/PEPFAR-funded GDA serving 100,000
OVC and PLHIV, July 2010 - June 2014
• Designed to complement WALA Program in 9
districts in central and southern regions
• Collaboration with Government of Malawi
through MoGCSW, MoH, NAC & OPC/DNHA
and US Peace Corps
• Improve wellbeing of OVC and increase
access to treatment and care for PLHIV
– SO1: Improved wellbeing of 60,000 OVC
– SO2: Access to treatment and care for
40,000 PLHIV enhanced
IMPACT Background - IMPACT Consortium Members
•
•
•
•
•
•
Africare
Chikwawa Diocese
Emmanuel International
PCI
Save the Children
World Vision
• D-Tree International
• National Assoc of
People Living with HIV
and AIDS in Malawi
• Dedza Catholic Health
Commission (CHC)
• Lilongwe CHC
• Zomba CHC
WALA
partners
Faith
based
partners
Tech
Asst
partners
Private
sector
partners
• Opportunity International
Bank of Malawi
• TNM
MIP application
•
Mother Infant Pair protocol: guidelines on following up
infected women and their exposed infants during
antenatal, post-partum and postnatal home visits until
child is aged two
•
Application guides HSAs through content on each home
visit
•
Application developed on CommCare platform, running on
Nokia 2700c phones
•
21 HSAs trained -46 more to be trained by May 2013
MIP Application Design
Main Menu
Registration
Antenatal Visit
MIP Application Design Cont’
Post-partum visit
Postnatal visit
Key Successes
• Application has helped HSAs understand CBMNC guidelines better
•
Adherence to protocol has improved
• Clients have been more open to HSAs during follow-up visits as
compared to before using the phone - application has improved
relationship between HSAs and clients
• Continued counseling on drug adherence for both mother and child
at each visit to avoid defaulting
• Referrals are being made during home visits
• Capacity built within CRS on mobile applications
Key Issues / Challenges
• Testing all sections of the application - time from
pregnancy until child is two
• Using application on MIP households may
compromise on confidentiality issues - CBMNC
application
• Some MIPs don’t disclose their status to their
spouses – becomes difficult for HSAs to conduct
home visits
Lessons Learned
• Application can help improve PMTCT as exposed women
are fully followed up and each visit done correctly as per
protocol
• Need to add component to the application to be used on
non MIPs as well
• Relevant DHO staff under MoH are oriented on the
application - to take over when IMPACT finishes
• Application uses GPRS data transmission at $0.00003/Kb
(compared to $0.03/Kb for a single SMS)
Conclusion
MIP Mobile Application
Improving quality of service offered to HIV infected
women and their exposed infants!!
Mobile Services that Empower Vulnerable Communities
Questions!