1. 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

2. 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

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

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

5. 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.

6. 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.

7. Dashboard Home page

8. 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)

9. 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

10. 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

11. 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

16. The response
Operations
Advocacy
Assesment in follow up

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

18. Thank you for your attention!
Thank you for your attention!