Meeting Minutes, June 2012

No Thumbnail Available
Journal Title
Journal ISSN
Volume Title
mHealth Working Group Monthly Meeting Tuesday June 26 2012 10 30 1 30 pm EDT JHU CCP K4Health 111 Market Street Suite 300 Baltimore MD AgendaeMocha Dr Robert Bollinger Director Johns Hopkins Center for Clinical Global Health Education CCGHE Associate Director Johns Hopkins Center for Global Health Report back from the eHealth Africa Conference 2012 Nairobi Dr Egbe Osifo Dawodu Founding partner Anadach Group see Presentation Slides Report back from the Cape Town mHealth Summit Piers Bocock Director K4Health Pamela Riley Abt Associates and James Bon Tempo Jhpiego see Presentation Slides Considering mobile when programming for the web Larry Lee K4Health see considering mobile when programming webPresentation Slides LunchPresentation on the new mHealth Working Group website and newly revised mHealth toolkit Laura Raney FHI 360 K4Health Thanks to the Knowledge for Health Project at the Johns Hopkins Bloomberg School of Public Health Center Communication Programs JHU CCP for hosting the June meeting The presentations that accompany these notes as well as those from previous mHealth Working Group meetings are available on the new mHealth Working Group website at www mhealthworkinggroup org 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 with the NetHope Global Healthcare Working Group with details to follow The ensuing September meeting will be hosted by FHI 360 on September 26th eMocha Dr Robert Bollinger Director Johns Hopkins Center for Clinical Global Health Education CCGHE Associate Director Johns Hopkins Center for Global Health eMocha is a free open source application developed by CCGHE to assist health programs in developing countries to improve provider communication and education as well as patient care eMocha stands for electronic mobile open source platform comprehensive health application It works by coordinating wireless devices with local server based clinical training and patient care support services It had its start in Uganda in 2007 with the aim of leveraging ICT to providers in rural areas reaching out beyond the major cities to provide point of care training eMOCHA is designed to synergize the power of wireless mobile collection of patient data the capacity of the new Android supported devices to display high quality interactive touch screen forms as well as video and audio files with the power of server based applications to analyze and GPS map large amounts of data from the community and to create new training content in a variety of formats eMocha is two way education meant to change patient outcomes It is designed to efficiently coordinate and accomplish five key steps for any clinical training program To use clinical data collected from the point of care to identify which health care workers in the community need to be trained To analyze the clinical data to identify the most critical knowledge or skill they need To create and efficiently deliver high quality training content to target these specific training needs To evaluate the impact of this training based on data collected directly from the field to ensure that provider knowledge and skills improve and result in better health for their patients To empower the providers in their communities at the point of care with the tools to monitor and improve their own clinical care practice Source http emocha org blog p 1 eMocha is being used in countries worldwide For more information see http main ccghe net content emocha Report from the eHealth Africa Conference 2012 Nairobi Dr Egbe Osifo Dawodu Founding partner Anadach Group The first mHealth Africa summit debuted in Ghana in December 2010 The most recent eHealth African Conference was held April 18 19 in Nairobi Kenya It was the locus point for people across Africa to share experiences from Africa with a critical mass of decision makers for profit plus NGOs and policy makers The two day conference attracted over 200 people 75 from 12 African countries with the balance from the US UK Germany United Arab Emirates the Netherlands and Pakistan The conference was titled Integrating M health Into E health Strategy Implementation The objectives of the conference were To explore the use of technologies to improve health services and delivery particularly in underserved populations Encourage cross sector dialogue between participants on the innovations and future of ICT with applications in health Focus on the current use and application of e Health solutions to address healthcare challenges and the innovative opportunities that lie ahead Promote knowledge exchange between countries that have developed national e Health strategies and with others who are in the process of or thinking about developing such strategies Spur new collaborations and ideas on e Health use and application on the continent Organizers of the conference were the Kenyan Ministry of Medical Services the Telehealth Society of Kenya and the Anadach Group a global healthcare strategic consulting firm focused on bringing innovative advice and services to clients and partners interested in transforming healthcare systems in emerging markets and developing economies Day one of the conference focused on exploring the use and application of e health tools to address the health challenges in Africa Day 2 focused on health information systems e learning and a hands on training session on data collection One interesting note is that there was a strong demand for people to present but there were not enough timeslots Next time there will be parallel sessions Initial evaluation results from the conference showed that the most common primary reasons for attending conference were content 44 networking 30 and personal growth 17 98 indicated that conference fulfilled reasons for attending 90 would attend follow up conference Most valuable aspects were educative focus on policy framework and presentations Other topics suggested included challenges standardization and role of regulators Report from the Mobile Health Summit in Cape Town Piers Bocock Director K4Health Pamela Riley Abt Associates and James Bon Tempo Jhpiego with open group comments The 2012 Mobile Health Summit was held May 29th June 1st sponsored by the GSM and mHealth Alliance It was the second Mobile Health Summit held in Cape Town and the next is expected to be held in Istanbul Further information is available at http www mobilehealthsummit com Scale up and sustainability were central themes of the Summit Examples of scale included Young Africa Live and SwitchBoard However further examples of scale up are needed Scale up discussions emphasized a leap from pilot to nation scale without considering mid tier funding to reach districts This skipped consideration of non IT support that is needed in scale up There was some skepticism in presentations as to whether technology is the right investment The South African Ministry of Health commented on the uncertain value from having invested a half billion dollars in ICT There is concern about the relevance of the event to organizations focused on health outcomes in developing countries GSM sponsorship emphasized the role and issues of mobile network operators Presentations were focused on institutional buyers such as hospitals rather than patients There is a continuing tension between cutting edge and widely available technology The event s move next year to Barcelona could lessen the focus on African issues However the Cape Town Summit is less corporate than mHealth Summit in Washington DC It is also smaller than the overwhelming Washington DC Summit making it easier to find activities in the Cape Town Summit Other key takeaways or responses to the Cape Town Summit are that mobile solutions must be based on well defined and well understood needs For example adherence may be a problem but remembering may not be the principal barrier and reminders may not be the best solution Collaboration is required between mHealth actors Reuse of content was discussed again but there is a need for a demonstration of how content reuse increases efficiency There is a proliferation of websites though this may not be a problem Exemplary models could also be found in open access journals allowing common standards for content and searching across all sources The diversity of application platforms could impede sharing of data There is a lack of interoperability standards though this was not a key theme at the Summit Common M E frameworks and standard indicators are needed to demonstrate the value of mHealth Ultimately these have measurements should be in context of health outcomes There were examples of countries showing leadership on mHealth strategies The mHealth Working Group may be well positioned to help local ministries make decisions on the approaches to mHealth Key presentations mentioned were K4Health presented on mHealth for Millennium Development Goals The iheed presentation included the MAMA project in Bangladesh and South Africa Vital Wave Consulting provided Accelerator classes Peter Benjamin discussed the mHealth Commons Praekelt discussed their 1 million users on Young Africa Live the South Africa mobile social networking portal focused on HIV AIDS awareness and education with its recent Youth Sex Survey SwitchBoard presented on their scaling and business model for connecting health professionals GSMA discussed their PAN African mHealth Initiative Jhpiego contributed to the Dalberg report on mHealth for training community health workers Considering mobile when programming for the web Larry Lee K4Health Given the ubiquity of mobile phones any organization that seeks to promote access to digital health information in the developing world cannot afford to ignore mobile platforms The fastest growth in mobile phones is concentrated in developing nations where the penetration is estimated at 68 ITU The ITU reported that 10 of Internet traffic is generated by mobile devices and in many developing countries this figure is considerably higher In Zambia for example nearly 47 of all Internet traffic is generated by mobile devices In Nigeria the share is nearly 40 There are challenges and constraints to developing content for mobile devices including small screen size limited bandwidth limited coverage and limited computing power However there are also new capabilities that were not available on desktop computers including GPS camera and mobility Content must be adapted to the constraints imposed by mobile phones There are two dimensions in which this is possible presentation adapt to smaller screen size and content adapt to bandwidth constraints Responsive design is the practice of developing content that adapts or responds to the device that it is being rendered on Mobile first design refers to the practice of designing websites for mobile devices first and then extending those designs to support the capabilities of other devices Prioritizing the mobile experience leads team to focus their designs establishes a baseline experience across devices and simplifies the development process The use of Content Management Systems such as Drupal simplifies the development of web content for mobile devices K4Health uses Drupal to deliver web content that adapts seamlessly to mobile devices see www K4Health org and www Photoshare org The new design on both websites uses responsive design to improve the user experience on mobile devices K4Health also has experience developing native apps for Android devices The ACE mobile app gives family planning providers an easy and effective way to check whether clients are medically eligible to start using certain contraceptive methods Based on the popular and trusted Family Planning A Global Handbook for Providers 2011 edition ACE reflects the latest family planning guidance from the World Health Organization s Medical Eligibility Criteria for Contraceptive Use For questions please contact Larry Lee at llee jhsph edu Presentation on the new mHealth Working Group website and newly revised mHealth toolkit Laura Raney FHI 360 K4Health The mHealth Working Group website at www mhealthworkinggroup org Launched on May 30 2012 the website contains information about the working group related blogs and resources including meeting minutes and the inventory of projects by the mHealth Working Group Advisory Board member organizations Past meeting minutes are still being transferred over from the mHealth Toolkit Over 100 new documents were recently added to the mHealth Toolkit http www k4health org toolkits mhealth In addition the toolkit look has been updated and revised to show a cleaner more modern look 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 800 individuals representing over 200 organizations in 38 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 June 26 2012 mHealth Working Group Meeting Participants Jarret Cassaniti JHU CCP K4Health Charlene Quinn University of Maryland Sanjay Patel Webfirst Margaret Hartley MSH Nidhi Bouri Joy Kamunyori JSI Leona Rosenblum JSI Gabrielle C Hunter JHU CCP Beth Linas JHUSPH Kristina Beall SPRING Project JSI Peggy Koniz Booher SPRING Project JSI Rosie Calderon World Vision Arti Patel Varanasi Advancing Synergy Jennifer Boyle JHU CCP Lanette Burrows Futures Group Sidhartha Deka JHU CCP Peggy Lee JHU CCP Rebecca A Shore K4Health Laura O Donnell K4Health Taroub Faramand Wi Her Rebecca Simon K4Health Guy Chalk K4Health Steve Ollis D Tree Maria Paz Carlos Georgetown Universtiy Leticia Wiafe Ghana Health Services Mandy Sugrue mHealth Alliance Mpundu Mwanza JHU CCP ZISSP Margaret Hartley Miller MSH Simone Parrish JHU CCP Angela Nash Mercado JHU CCP K4Health Laura Raney FHI 360 Kelly Keisling mHealth WG Bob Bollinger Johns Hopkins School of Medicine Egbe Osifo Dawodu AnadachGroup Larry Lee K4Health Piers Bocock K4Health Pam Riley Abt Associates James Bon Tempo Jhpiego Jeanne Koepsell Save the Children Benedicte de Waziers Mojca Cargo GSMA Cory McCullough PSI Trinidad Damianos Odeh
Monthly Meeting Minutes