Meeting Minutes, May 2012
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mHealth Working Group Monthly Meeting Tuesday May 22 9 30 11 30 am Save the Children 2000 L Street NW Suite 500 Washington DC AgendaSave the Children Organizational Strategy for mHealth Jeanne Koepsell Save the Children see Presentation Slides USAID Bureau for Global Health Draft eHealth Strategic Framework Adam Slote USAID WHO Bulletin articles Rebecca Levine Save the Children see Presentation Slides Thanks to Save the Children for hosting the May meeting For questions or comments please contact Kelly Keisling Keisling kelly gmail com or Laura Raney lraney fhi360 org co chairs of the mHealth Working Group The next meeting of the mHealth Working Group will be hosted by K4Health covering eMocha a report back from the Cape Town mHealth Summit the Nairobi eHealth Summit considering mobile when programming for the web the new mHealth Working Group website www mhealthworkinggroup org as well as the newly revised mHealth toolkit www k4health org toolkits mhealth The meeting will be held on Tuesday June 26 10 30 am 1 30 am EDT at 111 Market Street Suite 300 Baltimore Lunch will be served Please RSVP to Laura if you plan to attend lraney fhi360 org To participate remotely 1 Please join my meeting https www2 gotomeeting com join 248423970 Meeting ID 248 423 970 2 Join the conference call 888 651 5908 participant code 680272 Save the Children s Organizational Strategy for mHealth see Presentation Slides Jeanne Koepsell Save the Children Background Save the Children is a leading independent organization for children that works in over 120 countries including the US with 29 member organizations Save works in the areas of Health and Nutrition Livelihoods Education and Emergencies The vision for the Department of Health and Nutrition is Mothers and their children have access to and use high impact evidence based health and nutrition services and adopt healthy behaviors in both development and emergency situations The eight areas of expertise in the Department of Health and Nutrition are Adolescent Sexual and Reproductive Health Behavior Change Communication Child Survival Community Case Management Emergency Health and Nutrition Health System Strengthening Maternal Newborn and Child Health and Nutrition The rationale for developing an mHealth strategy is that Save the Children wanted a strategic approach to 1 Integrate mHealth when applicable into overall health and nutrition programs and 2 Develop evidence on how to take mHealth activities to scale and sustain them in order to improve health outcomes in low resource settings The process used to start the mHealth strategy actually began in 2008 2009 when country offices started using PDAs for surveys It is imperative to get buy in from all involved IT country etc It takes time Attendance at meetings related to mHealth led to thinking about a strategy in late 2009 The background research began in 2010 Background documents included other agencies activities and SC s structure and results framework A series of key informant interviews was conducted with leaders in the Department of Health and Nutrition emergencies and IT along with potential users of mHealth including TA providers and field staff Interviews searched out doubters and differences of opinion i e IT staff wants technology used at a global level vs program staff want what works in country We asked four questions What experience do we have with technology What knowledge of mHealth do we have What do you want How can we get there Research and drafting a document was begun was finalized in 2011 in time for a technology retreat including TA providers country staff and external stakeholders Questions to answer included What do we want our role to be in the long term What added value can we bring and do we want to bring to this How do we want to partner How much do we want to invest in this Components of the strategy included Save the Children s Vision and mission to find scalable solutions introduction strategy priorities and action plan The strategy vision for mHealth is Appropriate mHealth technologies to be efficiently used at scale to the maximum extent feasible to increase the quality and use of key interventions and practices for improving maternal newborn child and adolescent health in the Department of Health and Nutrition s priority countries Strategy Basic principles of mHealthTool to achieve health and nutrition project objectivesCountry offices will employ the most suitable mHealth tools which will differ across countries Will develop new partnerships IT providers phone companies groups of existing NGOs IT partners have different needs Expand Save the Children s research focus operations research Operations research should look at needs for scale up Strategy General categories examined Expanding use of mHealthTechnical expertise and capacity developmentResearch and learningEquipment and infrastructureTools Save set its priorities by winnowing down 50 potential topics Current priorities include mHealth expansion technical expertise capacity development research IT and guidance tools Guidance tools address technical capacity for how or if to use mHealth The guidance tools include training materials M E guidelines and questions to ask in program design Ideally there would be a mHealth staff and an IT staff in each country that could vet opportunities and know who to contact requiring a level of basic knowledge and support at the global and regional level These responsibilities would be a challenge for current staff as the program backstops are busy with standard duties and a dedicated mHealth staff person would be necessary Consultative Draft USAID Bureau for Global Health eHealth Strategic Framework Adam Slote USAID Context Ariel Pablos M ndez the Assistant Administrator for Global Health at USAID came from WHO and Rockefeller where he developed eHealth Strategic Frameworks At USAID he asked for a landscape analysis in order to develop the USAID eHealth Strategic Framework The document has been drafted and shared with external experts He would now like to hear from us in order to get comments on the draft Starting with definitions eHealth is the use of information and communications technology ICT in support of health systems mHealth is the mobile component particularly the use of mobile phones in support of health systems eHealth applications can be grouped in many different ways Here is one grouping Patient informationHealth provider supportData collectionHealth information systemsTelemedicineMobile payments area of huge potential Global constraints to eHealth are many and include 1 inadequate stakeholder coordination 2 lack of common evaluation framework 3 lack of common standards for interoperability 4 insufficient country level HR and capacity and 5 limited country level plans and regulatory frameworks USAID s key assumptions are 1 that they are already funding lots of eHealth activities 2 these myriad activities have been independently developed and 3 due to these factors USAID has been unable to comprehensibly address global health constraints capture economies of scale or organizational synergies and make explicit the role for eHealth in its program portfolio or the role of mHealth in country portfolios USAID therefore developed conceptual framework similar to Save the Children s In the conceptual framework the building blocks consist of a strong evidence base effective country ownership and interoperable systems Add to that eHealth applications i e patient information health provider support data collection health information systems telemedicine and mobile payments The Intermediate result is high impact eHealth solutions integrated into and supportive of USAID s key health interventions The goal is to improve access to and the affordability quality and sustainability of the key health interventions needed to achieve USAID s core global health priorities The key health interventions are both program specific including ANC PMTCT etc in addition to health systems such as health information supply chain and finance Core global health priorities include family planning reproductive health health systems strengthening saving mothers fostering an AIDS free generation fighting infectious diseases and ending preventable child deaths Guiding principles are 1 integration 2 gender equity 3 innovation to a increase the scale of existing evidence based eHealth solutions and b identify tests and introduce promising mHealth solutions and 4 partnerships to ensure scale and sustainability Tools for eHealth and mHealth can be uploaded to a global repository like HEART registry for links to source code available later this summer Some reviews of tools are Constraints mapping for CCM is useful for identifying the needs to be addressed by technology The CRDM process at PATH is similar to constraints mapping for defining functional requirements Don t overlook the obvious using a cell phone to make a phone call when thinking about innovations There is no study addressing the improved health outcome of calling a midwife at the initiation of labor Institutionalizing in a country for example giving pregnant women access to a cell phone requires effort to scale up and sustain Public private partnerships such as MAMA or in IDEA can address this USAID is interested in business practices for ICT such as procurement process open source solutions and reuse of health information technology The mHealth Working Group can contribute to this conversation WHO Bulletin articles Rebecca Levine Save the Children see Presentation Slides Measuring the Impact of eHealth and Point of care in your pocket A research agenda for the field of mHealth About the mHealth Working Group Founded in 2009 the mHealth Working Group is a collaborative forum for convening knowledge sharing promising practices collaboration capacity building advocacy and member leadership Composed of more than 700 individuals representing over 200 organizations in 35 countries the mHealth Working Group seeks to frame mobile technology within a larger global health strategy By applying public health standards and practices to mHealth we promote approaches that are appropriate evidence based interoperable scalable and sustainable in resource poor settings The mHealth Working Group is facilitated and supported by USAID s K4Health Project Our advisory board includes Abt Associates Catholic Relief Services FHI360 Georgetown University Institute for Reproductive Health Jhpiego John Snow Inc Johns Hopkins Center for Communication Programs Management Sciences for Health Population Services International and Save the Children For more information about the group please see the new mHealth Working Group website at http www mhealthworkinggroup org Please also see the mHealth Toolkit at http www k4health org toolkits mhealth mhealth working group 1 Join the mHealth listserv at http knowledge gateway org mhealth join mHealth Working Group Meeting Participants May 22 2012 Name Organization Pam Riley Abt Associates Jessie Davis Chemonics Bamikale Feyisetan E2A Project Regina Benevides E2A Project Laura Raney FHI360 Mike Pezone FHI360 Lawrence Wasserman Fortech Tisha Wheeler Futures Group Lauren Wu HHS Dykki Settle IntraHealth Capacity Plus Farhan Bandeali JHU Angela Nash Mercado JHU CCP K4Health Kirsten Bose JHU CCP Marasi Mwencha JSI Neha Shah Manoff Group Judy Gold Marie Stopes International Rebecca Levine MCHIP Save the Children Kelly Keisling mHealth Working Group Stacyann Forrester Panagora Group Amy Cannon Save the Children Beth Outterson Save the Children Claudia Morrissey Save the Children Jeanne Koepsell Save the Children Ribka Amsulu Save the Children Shannon Pryor Save the Children Adam Slote USAID Sanjay Patel WebFirst Rosie Calderon World Vision Narmtha Mollazade Rebecca Hamel
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Monthly Meeting Minutes, Monthly Meeting Minutes, eHealth, USAID