M – Health ( CommCare App ) Pilot Project American Refugee Committee RAI - Malaria Program

Why we use CommCare App ? Data Management Structure of CommCare Malaria CommCare Sample Feedback from Users ( Strength and Weakness ) Challenges Way Forwards Contents

Why We Use CommCare.

To reduce the papers works of volunteers To avoid the errors recording To reduce the treatment errors. To get the reporting in Real Time.

To reduce the data entry workload by MIS Officers / Data Supervisors, hence MIS officers / Data Supervisors can more emphasize on monitoring, supporting and supervision to volunteers.

Severe patient can be identified through App and volunteer can perform the referral process accordingly.

Advance technology motivates the volunteers. App users volunteers can be monitored remotely on daily basis.

Can provide prompt Feedback to Volunteers

The App was developed in Jul / Aug 2015 Two sessions of CommCare training were conducted in Aug / Sept BCMVs and 14 MLOs were trained how to use the App One MIS Officer was trained to handle the Mobile users and Reporting on CommCareHQ. CommCare Training

CommCare Training at Kawthoung Mid - August 2015

CommCare Training at Mawlamyain Mid - September 2015

CommCare Training at Kawthoung -

Certificate Provided to Trainees.

ARC ’ s Data Management Process for CommCare App

BCMV MIS Officer M & E Log-in for data review, data checking Reporting (Submit) Feedback Direct Feedback Log-in for data review Report Feedback MLO Report

Volunteers Level BCMV register the daily patient data offline into the CommCare App. After they finish entry the data BCMV connect the mobile with the Wifi ( or ) internet to submit the complete register form to sever daily or weekly. (1) Daily = Who can access internet 24 hours (2) Weekly = who can ’ t access internet in their area ( to use the internet they need to go to the area where internet can accessible ) After submitted the data to sever, BCMV contact to their supervisors ( MLO ) or MIS Officer by phone to confirm whether their data have been received. MLOs inform the information to the MIS officer to check the data into the sever to cross check the # of tested and # of confirm cases. After, the data validate from the MIS Officer, MLOs provide feedback to BCMV that their data have been received and validated. Data Reporting Process

MLOs ( Malaria Migrant Lasi Officer ) MLOs conduct the monitoring and supporting visit to volunteers weekly basic. During visit, MLOs provide supports to the BCMV not only on the other activities but also M – Health. MLOs cross check the data between CommCare App and Register Books whether their reported is accurate. MLOs provide the on - site training and other necessary support regarding with M - Health and Mobile Phone. Data Reporting Process

MIS Officer MIS Officer verify the reported data from BCMV into the sever after inform by MLOs or BCMV. ( Daily / Weekly ) MIS Officer assure for discrepancies between the sever and reported number by BCMV. MIS Officer provide the feedback or clarify unclear issue with the MLOs or directly to BCMVs. MIS Officer conduct the monitoring and supporting visit to BCMVs once a month. MIS officer inform to M & E officer after verify and validate the data into the sever for utilization of data. Data Reporting Process

Monitoring and Supporting Supervison Visit by MIS Officer

Monitoring and Supporting Supervision Visit by MLOs

Malaria CommCare Sample

Mobile use for CommCare App Samsung Galaxy - V

CommCare App User Manual Developed CommCare App User Manual

Interface

Monthly Malaria Register Form

DOT Form

Vs Feedback from Users ( Strength and Weakness )

Feedback from volunteers Carbonless Vs CommCare Carbonless Correction can be made easily CommCare Easy to use. Convenient to carry everywhere Control by step by step recording on App Reduce errors in recording Reports can be submitted on real time. Positive cases can be notified by immediately. Reduce treatment error due to audio & image guide. Strengths

Feedback from volunteers Carbonless Vs CommCare Carbonless Not convenient to carry (especially on rainy season). Not controlled by step by step procedures. More potential for errors when recording Report submission on monthly basis. Volunteers need to notify positive cases to supervisors by phone. CommCare Correction cannot be made once saved on server. Correct data should be re- entered again. Difficult to type in patient name and address due to very small phone screen. Expansive internet charges. Poor internet connection. Damage mobile handset. Not familiar with touch screening mobile handset Constraint in charging phone battery Weaknesses

High volunteers turn over rate ( difficult to manage the user name and data in hand over process ) Limit access to internet in all M – Health cover area Double workload for volunteers ( Register book and M - Health ) Small phone screen for volunteer for data typing Occur missing Mobile Phone, broken phone screen from volunteers Mobile phone software errors in installation No back up mobile phone for lose and missing phone No maintain cost for broken phone Challenges

Areas expansion in Ethnic Health Partners in 2016 (10 Health Facilities and 2 Border Point from Karen Department of Health and Warfare ) To provide high quality with big screen mobile phone for M - Health in 2016 To produce a strong procedure for lost and missing phone To put maintain cost and back up mobile phone in re - programming under RAI To continue in area expansion the M - Health activities if other fund source for M - Health activities is available Way Forwards

Thank you very much for your kind attention!