Monitoring MDA

with mobile

Typical MDA

Community directed distributors implement census and MDA across the area and report data at the end of the campaign

Chief of Centers do spot checks on CDDs to monitor progress

National coordinator sends drugs based off of the previous year’s regional census

-No transparency

-No accountability

-Not cost-effective

mango platform

Technology partner used for

multiple health projects in

Sub-Saharan Africa

Began in Cameroon with the

National Malaria Control

Program (Novartis, MoH)

Data collection via mobile onto an

online platform

Cameroon MDA

Health District Data

Managers monitor progress

against targets and take

action when necessary

Community Directed

Distributors bring their

registers to Health Facilities

weekly

Chief of Centers verify

data, aggregate, and

send via SMS weekly

Regional and National

NTDs Coordinators

monitor progress

Work behind the scenes

New forms

and registers

Getting

everyone

online

Work with

mobile

operators

Training at all

levels

Impact

951,511

censured

777,631

treatments

Cut down on time

spent on MDA by

1/3

6.7%

treatment

increase

100% data

available at the

regional meeting

$70k saved on drug

waste & monitoring

costs

Scale-up costs

Q: Are the heavy first year costs worth the

investment?

• Supervision costs (100% first year, ~30% second year and after)

• Training (one time cost, ~20% year two for turnover then can be added

to other trainings)

• Register printing (one time cost)

• Technology (continuing yearly fees)

A: Yes! Project will pay for itself in Year 1 and save

the program money in Year 2.

Keys to success

Immediately incentivizing Health Facility Workers. Data uploaders

automatically receive an incentive of airtime once they’ve sent in.

Having a strong technology partner. Greenmash negotiated

shortcodes and rates with mobile operators, helped with platform

setup and led user trainings.

Improving processes first, then adding technology. The team

changed when data had to be reported in before they actually started

the program, easing in the new system.

Creating enthusiasm in country. The team transferred their

excitement about the benefits of the system – starting with the MoH

and going all the way down to the Community Directed Distributors.

Next steps

Continue scale-up in Cameroon; start work in Nigeria and

potentially South Sudan

Research in 2016 with Tulane School of Public Health and

Tropical Medicine and Sightsavers using matched control and

intervention areas during the scale-up in the Western region

Work with Greenmash to build a ‘global’ MDA monitoring

system that any organization, country or disease could use

Thank you!