ICTC - Celebrating our ten year anniversary in 2014 eHealth Working Group Co Chairs: Philip Downs (RTI), Alex Pavluck (Task Force), Members: Dr. Sangchul Yoon (Yonsei University), Andrew Bastawrous (LSHTM), Kurt Dreger (JHU), Benedict Hoefnagels (LFTW), Stewart Jordan (LSHTM), Michael Bailey (JHU), Aisha Stewart (TCC), Whitney Goldman (HKI), Geordie Woods (Sightsavers), E-Health is the application of Information Communication Technologies (ICT) to promote healthcare services support, delivery and education. mHealth (Healthcare based on mobile phones technology) provides an additional tool to promote ICT.

ICTC - Celebrating our ten year anniversary in 2014 SCOPE  Support ICTC working groups by translating program goals into ICT system functional requirements for review and approval  Provide a forum for developers and system implementers to engage with ICTC and related organizations in a coordinated fashion  Ensure that Monitoring and Evolution indicators are a component of new ICT system design and implementation  Provide guidance on issues of data ownership, access, and storage

ICTC - Celebrating our ten year anniversary in 2014 eHealth support will be in 3 phases Phase 1: Planning/System request i. ICTC WGs will provide a system request via a logic model so we can understand the goals of the system ii. ICTC WGs will describe the scope of the project and any constraints Phase 2: Analysis phase i. Feasibility assessment - can we build it? should we? will it be used? ii. Translate the logic model into functional requirements of the system iii. Provide this analysis back to the ICTC WG for approval Phase 3: Design i. Recommend existing system or design/implementation partner ii. Support implementation?

ICTC - Celebrating our ten year anniversary in 2014 eHealth Logic Framework EXAMPLE

ICTC - Celebrating our ten year anniversary in 2014 mHealth Pilot Projects Kiwi prints – mobile system to track de-identified data about an individual’s receipt of services (e.g., vaccines, nutritional supplements, TT surgeries), Pilot test in Mozambique, Kenya Project BOM - mHealth comprehensive eye-care initiative, Pilot test in Malawi

ICTC - Celebrating our ten year anniversary in 2014 Kiwi Prints Overview Data transfer Kiwi Server/ Database Image Sources: Maxim-LIS, SecuGen Scanner, Wikimedia Commons, and RTI’s Kiwi App screenshot Confirm fingerprint identity Records of inputs/interventions received by an individual Outputs produced for clients Application Open Source Fingerprint ID Software Kiwi Data Collection Software Tablet or Smartphone Fingerprint Scanner + Hardware + Kiwi

ICTC - Celebrating our ten year anniversary in 2014 Mozambique Pilot TT Surgical Reporting Queen Elizabeth Diamond Jubilee Trust – Start-up workshop Need for real time data for reporting, monitoring, and decision making. National reporting systems need to be respected A simple mHealth solution is needed to report on de-identified data (place and time of surgery, gender, age, type of surgery, details on follow-ups, details on outcomes, # of refusals, # epilating). Kiwi Prints Pilot Incorporate data entry for TT surgeries Possibility of piloting Kiwi prints platform (Nov 2014) for registration and monitoring surgical frequency and surgical/patient outcome. A more comprehensive Mhealth system will require coordination with reporting requirements of MISAU

ICTC - Celebrating our ten year anniversary in 2014 Registering an Individual/ Record Entry 8 Scanning and registration process for an individual with screen prompt for services being provided through the intervention.

ICTC - Celebrating our ten year anniversary in 2014

Trachoma App Overview WiFi / 3G Access provided to -Ministry of health -Country manager (Sight savers) -Official NGO partners -Supervisor of OCO’s -mHealth IT support group District level Captured data are temporarily saved on each mobile device National level Patient data sent to the central server computer in the ministry of health

ICTC - Celebrating our ten year anniversary in 2014 Context of App Preoperative evaluation Operation record Postoperative follow up Additional: - Calendar - Mapping - Inventory

ICTC - Celebrating our ten year anniversary in 2014 Pilot test in Severance hospital (July 2014) Trichiasis diagnosis using mobile App Performed by non-medical college students Making training protocols & manuals Malawi implementation (Current) Application is dissemination in Malawi along with the National inception timeline Including a training curriculum for the OCO’s Launched on October 16 th

ICTC - Celebrating our ten year anniversary in 2014 Advantages and Challenges Advantages Integration with previous back-log into HMIS Verification for operated patients Comprehensive management from preoperative evaluation to post-operative follow up Surgical quality control Counseling and education Monitoring and evaluation Efficient chain support Challenges WiFi/3G connection Cost and sustainable financing Training and technical support Lack of a consensus on regulatory framework for mHealth Partnership

ICTC - Celebrating our ten year anniversary in 2014