1. Harnessing m-Health and digital solutions for effective and sustainable social marketing
12th October 2017
Presenter: Emilie Chambert

2. Delivering high impact together
Serve over 5 million people
Empowers Community Health Workers to deliver life-saving products and services to the doorsteps of the poor
Direct operations in Kenya and Uganda
Assisted networks in Zambia and Myanmar
Partner to government
Proved to reduce infant mortality by 27%
Grew operations and by 70% in Uganda in 2016
Low cost: Less than $2 per person served per year

3. An integrated platform delivering high impact Community Health
SUPERVISION
Diagnose, Treat & Educate
SmartHealth™ App
Performance Based Incentives
Maintaining Performance
Supply Chain and Logistics
SUPERVISION
Explain LG model

4. Focus on the leading causes of child deaths where the solutions are simple and affordable.
Healthy Pregnancy
Prenatal ANC checks
Danger signs referral
SMS reminders
Nutrition
Delivery in facility
Newborn
Survival
Postnatal checks
Kangaroo care
Preventing infection
Child Health
Malaria
Diarrhea
Pneumonia
Worms
Immunization
Family Planning
Sayana Press
Contraceptive Pill
Condoms
Emergency Contraceptives
Referrals for long term methods
Nutrition
Pregnancy supplements
Breastfeeding
6-24 month nutrients
Explain LG model

5. A number of consumer behaviors are still inadequate
The challenges
A number of consumer behaviors are still inadequate
Consumers wants tailored information
Traditional marketing techniques is not as effective
A few behaviors, DHS 2016 Uganda
% children (6-23 months) met min. acceptable diet 14.0%
% u5 children slept under ITN last night 62.0%
% children with all basic immunizations 55.2%
% infants (<6m) exclusive breastfeeding 65.5%
End of “global marketing”, social media, marketing more and more driven by data

6. Living Goods invested in SmartPhones for CHWs
Disease surveillance
Geo tracking of disease incidences and analysis
Health promotion
Videos
Referral
Referrals tracking and follow ups
Treatment
Digital diagnosing
Biosensors
Disease prevention
Mobile learning
Versatile tool
1 device to trigger greater impact and behaviour change
Products, supply chain, logistics
POS, stock management, warehouse management etc.
Data informed policy/ decision making, real-time performance tracking)
Leadership/ governance
Supervision & performance management
Health workforce
Research and information
Data collection and analysis
Mobile payments, incentives
Financing

7. The Smart Health Tools, key success factor for scale
Consistent performance in the field (diagnosis support)
2.Improve overall performance management both at Supervision and VHT level
3.Improve patient compliance & healthy behaviors
4.Provide key data points for MOH
Smart Health Diagnosis App
Detail the benefits of using technology at all levels: patient, CHW/VHT, Supervisors
Registration , treatment, supervisor app, dashboard
Real Time Performance Dashboard

8. Household registration CHWs register Household members
Collect key data on the family that will enable to tailor the approach
Ensures that CHWs # 1, 10, 100, 1000 use exact same
MOH-approved protocols.

9. 1. Diagnosis and prescription support
Results

10. 2. Smart tasks list and visit reminders
CHWs have tasks lists every day of important activities such as newborn visits and post - referral follow up as well as reminder information on key health information

11. 2. CHWs can assess their own performance
Targets display progress towards monthly goals

12. 3. Improves patient compliance and health behaviours
SMS Welcome Message with CHW name and phone
Drives Prompt Treatment
CHWs encourage their clients to call or text at the first sign of disease illness symptoms
SMS messages to pregnant women tied to expected due date
Healthy behavior reminders on nutrition and ANC visits.
SMS reminders to complete treatments
Text messages to care givers to ensure treatment compliance.

13. 3. Improves patient compliance and health behaviours
Home care advices for every treatment or referral
Liz

14. Is this driving behavior change and impact?

15. 27% of users learned new nutrition practices through the services
Source: survey conducted by GSMA in Feb 2017 among more than 500 interviews

16. 80% of the users have changed at least some of their nutrition practices
Source: survey conducted by GSMA in Feb 2017 among more than 500 interviews

17. A cost effective intervention
A randomized control trial revealed Living Goods is achieving a 27% reduction in under 5 mortality
Decreased the cost for Living Goods Uganda VHTs to deliver high- quality healthcare to $1.72 per person per year. 17

18. Thank you