Space for NCD monitoring? Mobile data collection tool for health surveillance surveys in difficult settings Space for NCD monitoring? Víctor Illanes MD, MSc- MSF OCBA Ghassan Aziz MD- HSP program manager- MSF OCBA

Health Surveillance Program (HSP) aim to collect The Need Difficult settings (e.g conflict affected zone) with no regular surveillance program in place HSP Health Surveillance Program (HSP) aim to collect Rapid, Actionable information from crisis- affected persons in the region in order to better target current and future interventions BASAL ASSESMENT FOLLOW UP ASSESMENTS

The Survey Photo: Aziz, G. MSF HSP Manager MSF Spain data collection team (medical students) interviewing an IDP Family in Babylon-Iraq, July 2015

HSP data collection tool (Dharma Mobile™) Survey tablet Database automatically updated Analysis almost realtime performed (web based)

The Survey Preparation Survey collection Encoding of the data Analysis Training Authorization Sampling planning Survey collection Encoding of the data Analysis Mobile data collection tools (iPads) using MSF-customized assessment software are used in all settings by all interview staff throughout the duration of The Health Surveillance Program. HSP results are analyzed automatically and available in 'real time' via the ‘MSF HSP web portal. Staff movements, performance, and HR details are available on the portal in addition to HSP results from all sites.

The Survey HSP Mobile data collection (Dharma Mobile™) Preparation Training Authorization Sampling planning Survey collection Analysis Mobile data collection tools (iPads) using MSF-customized assessment software are used in all settings by all interview staff throughout the duration of The Health Surveillance Program. HSP results are analyzed automatically and available in 'real time' via the ‘MSF HSP web portal. Staff movements, performance, and HR details are available on the portal in addition to HSP results from all sites.

Dashboard Home page

Space for NCD monitoring? Initial assesment prevalence Healthcare access initial and follow up Population practices and perceptions Potentially outcome indicators e.g Frequency of hospital consultations for asthma attack e.g. Awareness and education regarding NCDs (i.e. outcome of a community Health education program)

East Dar’a (south syria) survey Source OCHA (CC BY 3.0) (26 interviewers) Training 3 days Data collection (18/26 clusters) 5 days 988 households visited 761 households included 4235 individuals included

Fields of the survey Demographics Vaccinations Migration Neonatal Mortality Sexual and reproductive health Access to health services Shelter Smoking Utilities Mental Health Food security Paediatrics Essential items Repatriation Income generation

Access to health services HTP Age Dg Medical treatment BP measured last 12 M Salt consumption DM Type of Medication HBS last 30d BS in HF llast 30d Doctors visit last 12m Times examined for feet sores Asthma Like Exact condition Asthma attack in last 12 m Hospital visit for asthma attack last 12 m

The response Operations Advocacy Assesment in follow up

Advantages and challenges of the tool Collection speed No encoding Analysis simplified and easily accesible to all stakeholders Interoperability Cost? New logistic challenges

Thank you for your attention! Victor.illanes@barcelona.msf.org Msfe-HSP-manager@barcelona.msf.org Thank you for your attention!