1. mHEALTH: Critical Pathways to Evaluating the Impact
Patricia Mechael, PhD MHS
mHealth & Telemedicine Advisor
Millennium Villages Project, Earth Institute at Columbia University

2. mHealth@MILLENNIUM VILLAGES PROJECT
Connectivity Upgrades: Ericsson has been working with local mobile service operators in 10 countries in Africa to improve and upgrade connectivity for communication and data transfer (planned for 15 MVP sites).
Improving intra-facility and staff communication: Working with local operators to build a calling network for health facility-based staff and community health workers (SIM cards from MTN and Zain & handsets from Sony Ericsson donated to date).
Establishing rural-based Emergency Medical Services: Assessments and protocols for communication, triage, and transportation. Toll-free emergency numbers are being launched.
mHealth Applications Development building links to OpenMRS and reporting systems: CommCare (support tool for community health workers- pregnancy pilot project in Tanzania); ChildCount workflow and alert system –pilot project in Sauri nutrition monitoring and malaria); mLearning; survey tools
Telemedicine: Pilot Project in Ghana
Connectivity study: Ghana, Kenya, Nigeria, Tanzania

3. MILLENNIUM VILLAGES PROJECT: eHealth Ecosystem

4. Hypotheses to Test
Increasing access to telecommunications infrastructure improves access to health services and information and therefore improves health outcomes.
Increasing access to information through reference materials, patient data, and/or tele-consultation with more specialized personnel for health care workers improves quality of care and therefore health outcomes for patients.
Strategic integration of mobile technologies improves efficiency and lowers cost of health service delivery, management, and administration.

5. Monitoring and Evaluation

8. Thank you!
For more information, please visit: Or contact: Patricia Mechael