1. Victoria H. Jennings, Ph.D Meredith Puleio, BA Institute for Reproductive Health, Georgetown University CycleTel™: My Mobile Phone is My Family Planning Method

2. CycleTel™ Concept: Facilitate use of the Standard Days Method ® by alerting women of their fertile days via SMS Behavior Change: Women/couples who are non- method or traditional method users: - Begin using modern FP - Learn fertility awareness - Improve communication with partner about FP

3. Components of CycleTel Proof-of-Concept in Lucknow, India 3 PhasesObjectives Focus Group Discussions 54 participants  Understand phone use patterns  Determine potential interest among target audience  Explore appropriate messaging and preferences for the service Cognitive Interviews 18 participants  Verify comprehension of messages  Adapt and finalize messages Manual Testing 26 women/couples  Enroll women for 2 cycles to assess feasibility, satisfaction and correct method use (using FrontlineSMS software)  Troubleshoot problems and determine how to improve service COMPLETE!

4. Need and Demand Exists  Both men and women are interested  100% wanted to continue the service  All would recommend to friends Timing/Frequency of Messages  60% viewed between 5-10pm  40% viewed between 12-5pm  100% said it was the right # of messages Messages are Easy to Understand and Facilitate Couple Communication  In Hinglish (Hindi spelled with Roman letters)  84% said sending/receiving SMS was very easy  100% knew when pregnancy was likely  95% reported improved relationship with partner People are Willing-to-Pay for the Service  100% of users would pay for the service on top of the normal cost for sending messages  Range: Rs25-50 per month Topline Research Findings “This is an idea that can change your life!” –Male “I am mostly free at that time of day. It maintains privacy.” – Female “We were just sending the day of our menstruation and then received messages. It’s very easy.” -Female “I was showing the message to my husband and we were managing our fertile days accordingly.” -Female

5.  Language  Timing & frequency of messages  Confidentiality (especially for FP/RH messages)  Hotline support  Literacy level and mobile phone skill level Key Considerations for mHealth BCC Applications

6. Manual testing in New Delhi with middle-to-upper income quintile women & couples Target sample size: 60 women, 24 men Test message preferences & additional RH messages Results expected January 2011 Explore partnerships with telecom providers and software developers What’s Next for CycleTel?

7. Text INFO to 1-202-660-8002 to try CycleTel. You’ll be entered into the FrontlineSMS system and will receive a prompt today. Answer the prompts to see if CycleTel will work for you! Questions? Ideas? Email irhinfo@georgetown.eduirhinfo@georgetown.edu CycleTel Screening Simulation