Mobile Nutrition, the landscape
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Mobile Nutrition, the landscape
Seminar Mobile technology for nutrition Centre for Development Innovation, 28 May 2014
Mirjam Schaap
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mNutrition
Using mobile technology in planning, managing and providing nutrition services
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12 mNutrition + ICT applications
mHealth innovations as health system strengthening tools: 12 common applications and a visual framework, Labrique et.al., August 2013
Client education and behavior change communication (BCC)
Sensors and point-of-care diagnostics
Registries and vital events tracking
Data collection and reporting
Electronic health records
Electronic decision support
Provider-to-provider communication
Provider work planning and scheduling
Provider training and education
Human resource management
Supply chain management
Financial transactions and incentives
mHealth mHealth apps used as health systems strengthening innovations
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12 mNutrition + ICT applications mNutrition
Client education and behaviour change communication (BCC)
Sensors and point-of-care diagnostics
Registries and vital events tracking
Data collection and reporting
Electronic health records
Electronic decision support
Provider-to-provider communication
Provider work planning and scheduling
Provider training and education
Human resource management
Supply chain management
Financial transactions and incentives
- mNutrition projects comprise of packages of 2 or more apps; - employ 1 or more mobile (phone) functions (SMS, IVR, wifi)
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Mobile Integrated Resources for Aurat-women (MIRA) channel - Help connect to health services - Iconic messaging + audio support
Connect4Change Ghana - IVR – reach illiterate audience - with text to change (TTC) Share nutrition info through SMS - Save the Children, Unicef, TTC
Client education and behavior change communication (BCC)
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Mobile data collection - Examples
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UNICEF Malawi Nutrition surveillance: collect and transmit child nutrition information via SMS - Rapid SMS - Feature phone
UNHCR Standardised Expanded Nutrition Surveys (Sens) - Open Data Kit - Android
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Manage collection across regions; Faster to fill + compile; Data more accurate:
● collect+digitize at source ● no more data entry ● data cleaning limited ● pre coded ranges, skip logic
user friendly / motivating; easy monitoring of collection team easy visualisation
Mobile data collection tablets : Advantages
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Electronic decision support: eNUT
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Supporting diagnosis + treatment of childhood malnutrition - App takes nurse through guidelines - Acces + enter patient data - 20% more accurate in diagnosis
http://www.d-tree.org/
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Supply chain management
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SMS for life - Mobile phones - Internet - Mapping technologies monitoring stock levels
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mHealth Compendium, volume 3, USAID, 2013
Financial transactions and incentives: Interactive Alerts
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Improving vaccine coverage through small incentives
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Sean Blaschke (Unicef Uganda)
Uganda: pilotitis mHealth Mortorium Datastorage = DHIS2
District health
info. system 2
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Using Mobile Phones for Nutrition Surveillance: A Review of Evidence. Barnett, I. and Gallegos, J. IDS, 2013
Mobile phones for nutrition surveillance
- lack of hard evidence on the impact - mobile phones may make nutrition surveillance timelier - mobile phones may improve data quality - lack of comprehensive cost-effectiveness evaluations - need more focus on analysis, visualisation + reporting data - no evidence on the empowering effect - technical, financial and ethical challenges - sustainability and scale-up:
- government support + functioning healthcare system + strategic partnership private sector
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Key factors for mNutrition success
Country ownership + leadership Partnerships Coordination Standards / interoperability Financial sustainability + scale mNutrition strategies should
● fit into existing health + nutrition system functions ● Complement goals of nutrition service provision
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Resources
mHealth Compendium, volume 3, USAID, 2013
mHealth innovations as health system strengthening tools: 12 common applications and a visual framework, Labrique
et.al., August 2013
Using Mobile Phones for Nutrition Surveillance: A Review of Evidence. Barnett, I. and Gallegos, J. IDS, 2013
Sustainable Financing for Mobile Health (mHealth): Options and opportunities for mHealth financial models in low and
middle-income countries, mHealth Aliiance, Vital Wave Consulting, 2013
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[email protected] www.delicious.com/mirjamschaap www.delicious.com/mirjamschaap/mnutrition www.delicious.com/mirjamschaap/mobile www.twitter.com/mirjamschaap nl.linkedin.com/in/mirjamschaap/
www.wageningenUR.nl/cdi www.facebook.com/CDIwageningenUR www.twitter.com/CDIwageningenUR
Mirjam Schaap