SMP - Isaac Holeman

SMS, Medical Records, Mapping, & Mobile Diagnostics

Isaac Holeman, Clinical Program Director at FrontlineSMS:Mediccontact: www.isaacholeman.org/smp

Macro Level Drivers

4.4 Million Health Worker Shortage

Rural infrastructure challenges

Rural infrastructure

3.6 billion mobile phone subscribers (54% of global population)

In 2002, mobile subscribers overtook fixed line subscribers

64% of all mobile users are in the developing world

By 2012, 50% of individuals living in remote areas in the world will have mobiles

The fastest growth is projected to occur in Asia, Middle East, and Africa

Market Penetration

Why is the simple phone so prevalent?

Scale through replicability depends on simplicity,

cost, user ownership and empowerment

FrontlineSMS:Medic harnesses prevalent

technology and a prevalent clinical model

FrontlineSMS: a laptop and a cell

phone become a communication hub

Runs on laptops, desktops, or netbooks

Lowest Common Denominator Phones

Adapter connects computer to a phone

GSM modem for faster text messaging

15

15 minute installation, welcome to FrontlineSMS

Manage phone numbers under contacts tab

Send messages to groups or individuals

Recognize keywords for automated response

Our pilot began in June 2008

Start with basics

A nurse and 10 CHWs the first week

Micro-solar phone chargers

Impact in six months:1. Saved $3,000 in motorcycle fuel2. Saved 2,000 staff hours3. Doubled enrollment in Tuberculosis program

A qualitative outcome: empowerment

Local ownership (of tool, project, data)

Builds on local awareness

Platform is free and works on available hardware

Highly replicable and scalable

No need for the internet

Responds to ‘their’ need (bottom up)

Why it works

Current Sites

New Clinical Partners

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Expanding Rapidly in 2009-2010

Extending the FrontlineSMS Platform

OpenMRS integration: Moving from paper records to mobile electronic records

OpenMRS is in the orange, moving towards green

Tracking disease burden &

health services geographically

How a text message becomes a map

The best crisis communication tool is the tool you were using before the crisis

CellLab: Camera phone becomes a diagnostic

tool



A pattern matching algorithm can diagnose

diseases like Tuberculosis and Malaria

Print a pre-paid shipping label at hopephones.org

How do I become a clinical partner?

1. Email [email protected] with a brief description of your patient population, clinical environment, organizational resources

2. We help you brainstorm use cases

3. You decide whether you need someone from our team on site to help you get started

4. We put your clinic on hopephones.org and start gathering phones

What should I remember about FrontlineSMS:Medic?

1. Free & open source software and a team of implementers helping low-resource clinics and hospitals

2. The core platform works with lowest common denominator everything

3. Currently serving 1.2 million patients, working with global partners to reach several million more this year

4. Upcoming innovations include medical records via mobile phone, mapping, and cheap, mobile diagnostics

Isaac Holeman, Clinical Programs Director at FrontlineSMS:Mediccontact: www.isaacholeman.org/smp

Thank You

FrontlineSMS Hardware Family

SMP - Isaac Holeman

Technology

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