Interagency Working Group for mHealth February 24, 2010

Focus of the Working Group Frame mHealth within global health strategy Apply public health standards and practices Emphasize appropriate, evidence-based, and scalable approaches in resource-poor settings Build capacity of implementing agencies

February 24 th Agenda Review Health Affairs meeting Introduce mHealth Alliance Review mHealth Initiative conference Discuss Mobile Data Collection Guide Next meeting- April 6, 2010

Health Affairs E-Health in Developing Countries

Curioso, Universidad Peruana Privacy, not track names South-South, South-North (Text4baby)

E-Health in Developing Countries Jaffe, Health Level 7: Interoperability = share and reuse data without loss or ambiguity. Maintain meaning for human and computer. Challenges: legacy technology, privacy and security, data w/o context degrades information.

E-Health in Developing Countries Hersh, Oregon Health & Science University Building human capacity in informatics Focus on information, not technology Workflow, organizational and cultural context, Informatics professionalism, certificates

Introduction to the mHealth Alliance

Peggy D'Adamo, USAID mHealth Initiative International Networking Conference February 3-4, 2010 Washington, DC

mHealth International Networking Conference 1 st conference organized by mHealth Initiative ( 300 participants, including IT companies & developers Heavy focus on smart phones, esp. IPhone and IPad Heavy focus on the IT side of mHealth

1 st Day Highlights Sybase – Using sms for: ▫Medication reminders ▫Health alerts Ramsell Technologies - Tele-adherence systems ▫Tailored messages for diabetes patients

2 nd Day Breakout Sessions Using portable devices (flash drive/smart card) as electronic medical records Using mobile/wireless technology to promote behavior change and for prevention Creative use of mobile/wireless technology by health workers

What do providers want? Bedside tools Voice activated tools Wireless tools

What changes behavior in the medical profession? Being more efficient Being more effective Involving providers (especially nurses) in design and implementation Involving patients in design

CDC Health promotion texting pilot program Text for Baby DOTs pilot with Danya/Kenya YouTube Videos Facebook Twitter updates, widgets, content syndication

2 nd Day Highlights Keas ▫Started by Adam Bosworth (Google Health) ▫Online personal care plans

First Technical Subgroup- Mobile Data Collection Guide Popular area of mHealth Provide direct and internal advantages Control over introduction and use of mHealth Especially interviewer-assisted surveys

Potential Advantages Reduced error of data Reduced loss of data Faster data collection Reduced cost

Reduced Error of Data Electronic format, automated checks and controls, faster data editing by supervisor Internal consistency Social desirability bias Quantitative versus qualitative

Reduced Loss of Data Reports lost in transfer or storage Learning curve? Option of paper backup (offset advantages?)

Faster Data Collection Electronic format, transmission speed, skip duplicate data entry, easier data editing Faster at which step, for which user? Additional training time

Reduced Costs High initial costs: equipment, any programming Reduced variable cost: data entry Multiple uses to spread costs

Discuss Mobile Data Collection Error, speed, data error and loss Resource requirements Design considerations Useful information sources Your M&E colleagues

Next Steps Revise and update Mobile Data Collection Guide Provide Guide and sources in online format for review and discussion Plan next mHealth areas for next meeting

Interagency Working Group for mHealth Integration Kelly Keisling