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WorkshopFrom Forms to Phones: Making Health

Content for CHWs Mobile

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Workshop Schedule Part 1: A bit of context… (~15 minutes)

Part 2: Group Exercise (~25 minutes)

Part 3: Discussion and Questions (~10 minutes)

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Today’s Goal

Caveats: limited time, lots of people! Modest goal: to get a sense of the process and

considerations involved in translating paper-based forms into digital, phone-based forms

Ambitious goal: get an idea of some of the advanced techniques and tricks that can be employed in a phone-based form

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Ground Rules

Can ask questions at any time if directly relevant; otherwise write your question on a post-it and we’ll address it at the end

Will share materials after the workshop:This presentationA worksheetA “form builder” handout

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DEVELOPING FORMS

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What is Dimagi?

Dimagi makes apps ranging from simple, one-form surveys to complex apps comprised of many linked forms

Work with partners all around the world on translating paper based forms, work flows, and tools into mobile apps

Have developed an iterative process using worksheets to aid in rapid building and testing of Commcare apps

Form

Module

Application Application

Module 1

Form 1 Form 2

Module 2

Form 3

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Form Content- major considerations Data:

What questions to ask? (what data do you need?)

When to ask it?What data is available?

• DOB vs Age• LMP vs EDD

Minimize errors with constraints

Job-Aid:Help with calculationsAid in complex workflowsRemindersEnhance counseling

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General Principles of Form Development Design: Phone-based forms are always linear

(Question 1, then 2, then 3), even when branching, and they can’t “skip back” in an easy way

Language: Make sure your language is simple enough for your CHW to understand it (harder than it sounds)

Length: Avoid very long text (no one reads it) and think about the situation where the form will be used- and plan accordingly!

Multimedia: Think about whether inclusion of media could make your form easier to understand

Question Types: It is best to minimize extensive text-entry as this can be challenging on a phone

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Content: Question Type – Text/Numeric

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Content: Question Type - Date

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Content: Question Type – Multiple (One)

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Content: Question Type - Multiple (>1)

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Content: Question Type - Label

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Make a question required if it is truly required and will always be available; otherwise don’t make it required. You can add yes/no questions prior to questions that sometimes may be available.

Required Questions

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You can constrain acceptable responses at the moment of collection- but be sure to provide a helpful message about why a certain answer is not acceptable!

Validation Conditions

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Skip Logic: Develop display conditions for your questions and messages that guide your CHW through the work flow

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Advanced Tricks

Calculations Sum the answer to multiple questions Calculate a score based on the answers to an assessment Calculate age from date of birth, or EDD from LMP

Use “if” statements Can make calculations dependent upon answers to other questions

Reference a look-up table Weight-for-length

Enable case management Link together forms over time

Incorporate real workflows like referrals

You don’t have to worry about how these are done, just know that they can be done!

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EXERCISE

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Topic of the Day:

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Exercise: Form to Phone! Scenario: A small NGO in Northern India works with CHWs that have

apps on their phones. They use the app as a counseling aid for Maternal/child health, for decision support, and to submit data. It’s Global Handwashing Day so the NGO wants to develop some material about handwashing to add to the app. They need some advice about what to put in the form. mHealth Working Group to the rescue! They want to add a form that: Assesses a client’s practices Assesses a client’s knowledge Provides some counseling/tips on hand washing

Activity: Form groups of ~5 people Grab a form design guide and worksheet Work together, using the worksheet, to discuss how you can structure the

form. Consider the following:• What is the best order for the questions?• What types of questions are appropriate?• What multimedia, if any, would be useful?• Would any calculations or look-up tables be useful?

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Activity Discussion

Anyone have a question that they think would be challenging to translate to a phone?

Any good examples of how you modified a question to make it more useful?

Any ideas for tools like calculations? Any other questions or suggestions?

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Further Exploration…

Additional Videos:CommCare Overview Video: http://youtu.be/ZpfvISKxylE

CommCare Demo Video with multi-lingual support from India: http://youtu.be/30Ftk6STM3U

Recorded Webex of CommCare Presentation given to NetHope: http://bit.ly/tiLaYy

Additional Resources: http://groups.google.com/group/ict4chw

http://www.commcarehq.org

http://www.dimagi.com

https://confluence.dimagi.com/display/commcarepublic/Home

Contact information: Jeremy Wacksman

Senior Program AnalystWashington, DC

jwacksman@dimagi.com

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BACKUP SLIDES

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Mobile Application Development 1- Identify the goals to be achieved by the mobile

applicationData collectionWorkflow supportContent delivery

2- Design the system around the skills, knowledge and challenges of CHWs

EducationPerformance

3- Build and revise the application based on observations and feedback from the field

Usability, Content, Multimedia, Impact

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1- What do you want your application to do?

Data collection?

Counseling?

Training reinforcement?Workflow support?

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Worksheet 1: Application Purpose

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Worksheet 2: Form Definitions# question code question text question type options for

multiple choice question OR

constrainsts for open-ended

questions

display condition audio description-English

audio description-Hindi

image description

1 client_name Name open-ended 2 client_gender Gender multiple choice male, female 3 client_age Age integer 10-100 4 phone_number Phone number phone number 10 digits 5 is_pregnant Is the client

pregnant?multiple choice yes, no client_gender=fem

ale 6 lmp When was her last

menstrual period?date yes, no is_pregnant=yes

7 show_edd EDD: [lmp+274

days]prompt is_pregnant=yes

8 previous_birth Have you given

birth in the last 2 years?

multiple choice yes,no is_pregnant=yes

9 last_birth How many months

ago?integer number must be

between 1 and 24previous_birth=yes

*We generally start with the definition file if using a pre-canned application.

Worksheet 1 is still a good exercise for partner’s to complete:• Indicates partner’s commitment to project• Highlight content priorities. Cut irrelevant parts of a pre-canned app

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Worksheet 3: Application Workflow (KGVK)

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1Iterative Design with CRS in Kaushambi

V1 - Scoring V2 - Checklist & Counseling

V3 – SeparateCounseling

V4 - Edit form V5 – Infant sub-cases

April 2011 May 2011 May 2012 June 2012 September 2012