Mobile Tech Innovation for Health Frances Longley Chief Executive Amref Health Africa UK  

The Challenge Sub-Saharan Africa has 25% of the world’s disease burden BUT just 3% of the world’s healthworkers Health services are expensive and unevenly spread across countries Working conditions are often poor and standards of care vary enormously There’s not enough training capacity to fill the gap in healthworker numbers

The Challenge i-PUSH Pilot Country: Kenya Access to quality healthcare is beyond the reach of millions, due to shortage of supply and the often impossibly high out-of-pocket costs 40% of Kenyan women don’t visit a doctor when they need one Health clinics are unable to invest in quality improvement due to a unpredictable demand and income

The Solution Amref Health Africa, the continent’s largest health NGO, is piloting an innovative new approach to increase both demand and supply for quality healthcare in some of the poorest and most marginalised communities in Kenya.

i-PUSH Innovative Partnership for Universal Sustainable Healthcare i-PUSH brings together knowledge, quality and health financing to achieve: Substantial increase in the quality of care offered by clinics and health workers Radical improvement in access to healthcare by targeting low-income groups through inclusive financing • Five-year €9.95 million project funded by the Dutch Postcode Lottery’s Dreamfund • Implemented by Amref Health Africa and the PharmAccess Foundation in Kenya

African Innovation i-PUSH brings together three African mobile tech innovations: • M-TIBA: ‘health wallet’ created by PharmAccess, connected to a mobile money wallet, that patients can use to pay and save for medical expenses using their mobile phones • Leap: Amref’s mobile phone platform providing Community Health Workers (CHWs) with training (m-learning) and communication tools • M-Jali: Amref’s mobile application enabling CHWs to collect health data at household level more easily and effectively

Focussing on Women We are consciously putting women at the centre of this project Women care for the family and are currently the most vulnerable, particularly in the slums and in remote rural areas By putting women at the controls, we are bypassing the broken system and making healthcare demand-driven

i-PUSH Innovative Partnership for Universal Sustainable Healthcare Target group: women of reproductive age (15-49), primarily pregnant women and women with young children

Our Approach • Send money (€4 million in total) directly to the health wallets of women and motivate them to save for healthcare (M-TIBA) • Include 300 health facilities in a quality improvement programme (M-TIBA / SafeCare) • Train 5,000 Community Health Workers to enable them to perform their role optimally (Leap) • Collect, analyse and distribute community-level health data (M-Jali)

Theresa’s Story

PROGRESS: Test in Rural Samburu, Kenya

PROGRESS: Full Pilot in Dagoretti, Kenya First quarter results FIVE private clinics enrolled in pilot, assessed for Safe Care quality improvement and given a Quality Improvement Plan All FIVE linked to M-TIBA payment system 158 Community Health Workers trained using Leap, able to promote M-TIBA and trained to use M-JALI for data collection 1,188 women signed up and 47% already using M-TIBA to save for healthcare

Thank You Frances Longley Chief Executive Amref Health Africa UK www.amrefuk.org