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Mobile phone use for integrated health servicesin Guinea- Experience of Guinea
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Jacqueline ARIBOT
GMHC2013, Arusha-Tanzanieq15-17 January 2013
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Goal and objectives
Describe the implementation strategy of themobile phone fleet
Describe results and lessons learned
Discuss problems encountered
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The goal of this presentation isto share Guineaexperience on the use of mobile phonetechnology for integrated health services :
A head of rural health center with
phone , Kouroussa (12/10/2011)
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BACKGROUND 1
Country indicators TFR : 5,7
CPR : 9%(6% modernes
methods) MMR : 980/100 000 NV
infant mortality : 91/1000
(39/1000 before 1 month) Coverage :
20 districts (606 healths facilities and
et 1700 CHW villages)
Family planning
Emergency obstetric and newborn care
Quality improvement through Standards-BasedManagement and Recognition
Child Health: Integrated Management ofNewborn and Childhood Illness, communitycase management
Malaria
Community outreach and community-basedservice delivery
Pre-service education (doctors ,midwives)
Infection prevention
MCHIP/Guinea Majors Activities
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BACKGROUND2
Almost total absence of means of communicationbetween facilities of the health system
Low reference rate of pregnant women (4.6%)
Frequent Contraceptives stock out
Emerging technology services such as mobile phonehelped to communicate in various sectors, including
health.
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BACKGROUND3
# Companies: 5 (4 privates)
Two Orange fleets:
WHO/Guinea & MCHIP/Jhpiego
Cost: $2-$4/month/line
Unlimited voice services
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Deployment of a fleet of 264 Mobile phones :
Signing of an agreement to use the phone
Provision of management tools, guidanceand supervision of the staff
Keys staff of the health system
Key project personnel
Health services providers
INTEGRATION STRATEGIES2 : PROCESS
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Data collection & reporting
Request for
technical assistance
Planning &
Management offield activities
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Communication between MCHIP staff and field
PURPOSE OF MOBIL PHONE USE 1
MH Advisor(MCHIP)
Midwife(HealthCentre)
SBMR Advisor(MCHIP)
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Referral of cases (FP, MCH, IMNCI)
Drug/contraceptive stock
management Consulting colleagues
Coordination of health activities
Transmission of epidemiologicalsurveillance data
Communication among field staff
PURPOSE OF MOBIL PHONE USE 2
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KEYS RESULTS 1 : GLOBAL USE OF PHONE
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(Janvier Dcembre 2012)
Use by Region in descending order:Nzrkor, Conakry, Kankan and Faranah
Number of calls done by providers/managers/supervisor of health system
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KEYS RESULTS2 : REFERRAL CASES
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Fever and
malaria are
76% of thereferred
children
(January to December 2012)
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ACHIEVEMENTS
The phones are used not only for data collection andreferral of cases
Fast communication, fewer trips to carry out (andreducing travel costs) between remote and central
facilities/districts/region
Help providers to timely refer and to address somecomplications of pregnancy and childbirth on site
Sending the ambulance where available to transfer thewoman quickly
Used for bench marking from successful SBMR sites
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CHALLENGES / CONSTRAINTS
Loss and recurrent breakdown of phones; Challenge byhealth providers to replace lost phones
Low retention capacity of the battery creates frequentand recurring costs of charging (scarcity of energysources to recharge phones and poor quality)
Limitation of services (text messaging services are not
included yet)
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LESSONS LEARNED
Networking providers and managers of the health system: facilitates the information flow
improves the availability of health services and technicalassistance in remote Geographical Locations
The timeliness and completeness of data collected greatlyimproved
Mandatory replacement of lost phone by the holder reduce
losses
Providing new sturdy phones reduce breakdowns
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PROVIDERS AND HEALTHSSYSTEM MANAGERS TALK ABOUT
PROVIDERS:
Fewer trips for medical evacuations;
Easier reference (the reference center is immediately informed of thecase)
In MH: Support of Pre Eclampsia and Eclampsia management bycommunicating the protocol by telephone;
FP: the management of side effects of contraceptives is oftendiscussed
MANAGERS/SUPERVISORS: Reducing travel from health centers to districts, Reduced call charges to health facilities in our area or district
Improving the system of making referrals from health centers to district hospitals Faster coordination of an ambulance in case of referrals from health centers to the
district/regional hospitals Improved drug/contraceptive stock management
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WAY FORWARD
Use the phone for mentoring
Evaluate the impact of use of telephone forreferences and data collection
Support the Ministry of Health for a sustained appropriation
of mobile phones for health system
Expanding the fleet to new project areas
Improve the communication system at all levels in order toprevent stock-outs
Plan refresher courses for FP providers and make availableJobs aids (management of side effects)
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RECOMMANDATIONS
Improve the management of the phone (mode of use,security) in health facilities for a better accessibility to allproviders
Expand the availability of other services to fleets inhealth facilities (emergency, pharmacy)
Support the Ministry of Health for a sustainedappropriation of mobile phones for health system
Find more robust/sturdy Phones & Accessories
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THANK YOU !
MERCI !ASHANTI !
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