Innovative and Pragmatic eHealth Solutions at Work

InSTEDD’s Work in the Mekong Region

May 20, 2011

Who are we?

• Non-profit based in Silicon Valley, USA

• Works globally

• Innovation Lab in Phnom Penh working in six countries: Burma, Cambodia, China, Lao, Thailand and Vietnam.

• Funded by Google.org and others

Guiding Principles

Vision:We envision a world where communities everywhere design and use

technology to continuously improve their health, safety and development.

Mission:Our mission is to improve global health, safety and sustainable

development through:Building Capacity within communities to foster a local culture of

innovationCreating Collaboration Technologies for social good

Collaborating with End Users through a bottom up design and development processEnsuring Usefulness and Impact through research and evaluation

Guiding Principles

Value:

Social Responsibility: Progress can be made in reducing human suffering, death, and disease on a local and global level. We believe we have a responsibility to use all our skills, knowledge and experience to make a positive impact on global health and safety.

Collaboration: Collaboration is a driving force in overcoming silos and divisions, allowing different communities and sectors to work together effectively to achieve common goals. We shape our programs and technologies to support and enhance local and global collaboration aimed at achieving meaningful social impact.

Agility: We believe the most effective programs and technologies are flexible and iterative and are built on joint participation of the communities they are meant to serve. We work in incremental and adaptive steps, side by side with our stakeholders and beneficiaries, to jointly design programs and technologies that have measurable impact.

InSTEDD Innovation Labs

Sustainable Local Innovation

- ICT for Social Goals- Local Capacity Building- Contracted for ICT Projects and product development

Khmer staff – - Product Management and field support- Engineering- Program Management

GeoChat

Dynamic Resource Mapping

Verboice

Example Collaboration Tools

GeoChat – Mobile collaboration tools

• Realtime Chats• Reports of structured and unstructured data• Alerts

• Works on any phone with low signal• See your team on a map• Interact over email, SMS, twitter, GTalk,

About GeoChat

Message can be sent from SMS,

Email or GeoChat website

Works even without internet

Can work with basic mobile phone

Sender spend only one SMS cost at most

Work from any location with mobile

phone signals

GeoChat-View on the map

Reporting Wheel

Simple and accurate data reporting for community workers

•Simplifies data reporting for those with literacy challenges

•Code base reporting work with SMS or IVR (Interactive Voice Respond)

Reporting Wheel

Dynamic Resource Mapping

• Visualize your inventory/resource of each site on the map

• Real time update information from the fiend via SMS

• Query your inventory/resource via SMS

• Public or Private group view of available resources on map.

• Help designing and building what you need

Dynamic Resource Mapping

Dynamic Resource Mapping

Real time SMS update from the field

Example Ongoing Projects

• GeoChat– Bureau of Epidemiology, MoPH, Thailand

• ILI hospital surveillance system

– Mukdahan Provincial Health Department, Thailand• Notifiable diseases report (wheel and GeoChat)• Outbreak response

– HIV/AIDS appointment reminder system– National gateway setup– Rapid Response Team Disease Surveillance

BOEComputer Analysis of ILI Reports

GeoChat

Thai BOE ILI Hospital Surveillance: Using GeoChat for SMS Reminders & Alerting

976 Hospital s: Sends BOE Weekly Reports on ILI from

computer/web

SMS Monday Reminder: Send ILI Report

SMS Tuesday 2nd Reminder: Send ILI Report

Weekly Reports

PHD

GREEN ALERT– NO OUTBREAK (hospital)

BLACK ALERT – OUTBREAK (hospital, PHD, MOH)

RED ALERT – POSSIBLE OUTBREAK (hospital, PHD)

MOH

PHD

REMINDERS

ALERTS

GeoChat

Alerts sent out by GeoChat

Overall 2000 messages were send out for inform the ILI situation to the hospitals as well as related people for example the executive and decision makers in the areas.

Disease Reporting Subdistrict-District -Province

From Subdistrict 1

“ili 3 cases”

From Subdistrict 2

“ili 2 cases”

Subdistrict

District

Province

From District 6

“ili 27 cases total”

• Case report• 11 notifiable diseases• 142 users

Dengue out break response in Mukdahan

GeoChat report of Dengue case First case reported by GeoChat in Dec 2009

Appointment Reminder System

NCHADS

About Appointment Reminder System

• Extension to the existing NCHADS OI/ARV Database System

• Aim to reduce the lost of follow up patient

• Alert Home Base Care of up coming patient appointments

• Home Base Care can send the appointment confirmation back to the system

GeoChat Deployment in KH-CDC Cambodia

- Connect Rapid Respond Team leaders of from all

provinces with National Level (Cambodia CDC)

- Alert channel from National level to update

outbreak info from the region and in the country

- New guideline update information

Highlight of GeoChat experience

• Using Phone Operator CSR to contribute to provide free or low cost– Thailand – DTAC– Cambodia – SMART, CamGSM

• Early detection• Early warning

70% of users suggested GeoChat supports better for infectious disease detection

Dynamic Resource Mapping

• Children immunization program in China – Myanmar border

• Tracking malaria medicine stock from Health Facility in Cambodia

• Mapping malaria patient test information and tracking RDT and ART stock from rural village in Laos