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 24th Agenda

•Review Health Affairs meeting

•Introduce mHealth Alliance

•Review mHealth Initiative conference

•Discuss Mobile Data Collection Guide

•Next meeting- April 6, 2010

Health Affairs www.healthaffairs.org/E-Health in Developing

Countries

E-Health in Developing Countries

Curioso, Universidad Peruana•Privacy, not track names

•South-South, South-North (Text4baby)

E-Health in Developing CountriesJaffe, 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 CountriesHersh, 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 InitiativeInternational Networking Conference

February 3-4, 2010Washington, DC

mHealth International Networking Conference•1st conference organized by mHealth

Initiative (http://www.mobih.org/) •300 participants, including IT companies

& developers •Heavy focus on smart phones, esp. IPhone

and IPad•Heavy focus on the IT side of mHealth

1st Day Highlights

•Sybase – http://www.sybase.comUsing sms for:▫Medication reminders▫Health alerts

•Ramsell Technologies -http://www.ramselltechnologies.com/Tele-adherence systems▫Tailored messages for diabetes patients

2nd 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

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

syndication

2nd 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 Keislingkkeislin@jhuccp.org