Meeting Minutes, January 2012

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mHealth Working Group Meeting January 24 9 30 11 30 am EDT Held at PSI 1120 19th Street NW Suite 600 Washington DC Agenda Report back from 2011 International Conference on Family Planning mHealth sessions November 29 December 2 Dakar Senegal Trinity Zan FHI 360 see Presentation Slides Report back from the third annual mHealth Summit December 5 7 2011 Washington DC Kirsten Bose K4Health JHU CCP see Presentation Slides mHealth Working Group Activities and Advisory Board Kelly Keisling Co Chair see Presentation Slides 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 mHealth Working Group meeting will be held on March 16 from 9 30 11 30 am at Abt Associates 4550 Montgomery Avenue 800N Bethesda MD 1 Report back from 2011 International Conference on Family Planning ICFP mHealth sessions November 29 December 2 Dakar Senegal Trinity Zan FHI 360 mHealth was a hot topic at the ICFP in Senegal There a dedicated track with good attendance at those presentations The focus was on using mHealth to strengthen health systems with recognition however that mHealth shouldn t be viewed as a silver bullet The discussion covered several points including the fact that mHealth within family planning is still in its infancy Five major take aways from the conference were In terms of scale up perhaps mHealth is expected to go to scale too soon People stressed the importance of compatibility with local systems phased approaches with strong monitoring and evaluation components and the importance of compatibility with local systems There is the need to maintain quality and accuracy of information when mHealth is scaled There was discussion of a minimum package for evaluating mHealth initiatives that scale underway with WHO mHealth Alliance NIH also held workshop on mHealth evaluation With regard to content development guidance is needed for mHealth content message development and testing New tools are available to support content content development and behavior change communications The Mobile Alliance for Maternal Action MAMA is providing free mHealth messages developed by BabyCenter to support mothers through pregnancy and the first year of child development The adaptable messages and questionnaire are available at http www babycenter com The Grameen Foundation is also developing a tool to support content development for SMS Abt Associates is also expected to release soon its mHealth for Behavior Change Communication mBCC Field Guide developed in collaboration with the mHealth Working Group and partners There is a dichotomy between the simple versus the cool or next big thing For example SMS smart phones and African driven innovation may be more relevant than the latest technology Multi channel platforms are also important Sustainability and ownership are major topics Sustainability requires engagement of the government and the donor to ensure maintenance beyond the donor funding Public private partnerships are one promising approach to financial sustainability There is a need for advocacy tools to encourage telecoms to invest in mHealth to transition to sustainability The GSMA has worked on related tools for mobile operators Tools resources needed by the field was another area of concern Practical tools and guides are needed for mHealth implementation 2 Report back from the third annual mHealth Summit December 5 7 2011 Washington DC Kirsten Bose K4Health JHU CCP The summit was structured by themes and super sessions The theme tracks were Business Policy Research Technology mFinance There were lots of corporate spotlights Super Sessions were held on The Value Proposition for mHealth Mobile Health in the Clinical Enterprise The New Wireless Paradigm in the Medical Device Industry and Global Policy and Regulatory Perspectives of mHealth There were diverse and dynamic presentations from Gaming Diagnostic Tools Data Collection Mapping applications Chronic Disease tracking There was also lots of the cool factor including an electric band aid and focus on including a patient s support network in the treatment using mobile phones Observations The sector is still fragmented with lots of parallel development and competing systems Interoperability is still an issue at many levels There is a need for standards concerning data exchange There are Issues surrounding data ownership Partnerships need to be forged at multiple levels Scalability is a common issue and challenge as is sustainability There was talk of business models government leadership The mHealth Alliance presented its relaunch and major role in coordinating mHealth activities The Alliance has taken on a big Scope of Work to lead the interoperability umbrella as well as foster partnerships and knowledge sharing on HUB Thoughts and Perspectives The conference is still dominated by domestic interests and cool factor cutting edge technology The domestic focus is expected to continue given that the Summit is co sponsored by the FNIH Health outcomes and simple solutions with big impact are missing from the conversation Kudos for the Dose of Reality Booth organized by Jhpiego MCHIP and Plan International that covered the practical challenges to mHealth implementation in the field Strong interest was expressed for a separate international track next year Participants recommended that the mHealth Working Group talk to organizers about a role in organizing an international track at the mHealth Summit The Working Group could form a sub committee to work with the mHealth Alliance now to start developing a dedicated track for mHealth in developing countries for next year Discussion centered on the need for dialogue around implementation challenges and issues There are issues around content development interoperability working with partners telecoms or technical providers what type of data collection and M E Five to seven topics in implementation should be prioritized for members to share knowledge Otherwise implementation is lost in the larger mHealth community 3 The mHealth Working Group Reviewing the Past and Evolving for the Future Kelly Keisling Co Chair Mission and Activities The Working Group provides a collaborative space for members to develop a shared perspective on mHealth implementation across a range of technical areas in developing countries We frame mHealth within global health strategies standards and practices We also emphasize practical and flexible guidance for program implementation The mHealth Working Group is a forum for members to share engage partner and provide leadership in mHealth The mHealth Working Group has held 23 open meetings since August of 2009 covering a range of health topics types of mHealth planning and evaluation methods for mHealth at the project organizational and national level Meetings have hosted over 700 participants Hundreds of pages of meeting materials for mHealth guidance have been disseminated to the Working Group s listserv reaching over 600 members from over 150 organizations in 35 countries The listserv also disseminates news and member queries and responses Evolving mHealth and Functions Meanwhile the mHealth field has evolved rapidly since 2009 Perhaps the most remarkable trend in mHealth is its rapid adoption Though mHealth s expansion is encouraging it has accelerated a range of challenges Fragmentation scalability sustainability interoperability limited evidence and knowledge privacy policy evaluation and cross sector collaboration remain significant challenges to the mHealth field Nor has the availability of enabling information and services kept pace with these growing challenges Consequently decision makers at all levels often lack sufficient guidance for managing mHealth To help members meet these challenges the mHealth Working Group is expanding its key functions Convening The mHealth Working Group will continue its two year effort of hosting open meetings with presentations by and for members The meetings provide a forum to discuss accomplishments and lessons learned Knowledge Sharing Meetings and activities will promote sharing among members of experiences lessons learned and resources Promising Practices The Working Group will help develop the best available approaches for mHealth projects and practices It will promote tools and resources that enable adoption of promising practices and local adaptation Collaboration The Working Group will facilitate joint activities and partnerships among members particularly across sectors Capacity Building The Working Group will work to enhance skills and organizational capacities in mHealth at all levels Advocacy The Working Group will work with members to engage decision makers and mobilize planning and resources for mHealth Member Leadership Members are encouraged to participate in Working Group activities and lead efforts in mHealth mHealth Working Group Advisory Board The mHealth Working Group is forming an advisory board to oversee these functions and ensure the group s responsiveness to its mission and members The advisory board will include 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 Initially the Working Group co chairs invited representatives of organizations that have been active in the Working Group over the last two years They will develop a process for regularly involving new board members with input on the process from the entire Working Group Suggestions or comments about the activities and board are welcome by the co chairs Kelly Keisling keisling kelly gmail com and Laura Raney LRaney fhi360 org Questions and Discussion Participants suggested mapping and organizing the wide range of information that has been captured in the Working Group s 22 open meetings They also suggested holding occasional meetings that are longer and more intensive on pre agreed topics Participants said there is a demand for face to face meetings on mHealth A venue and discussion space are needed to mentor each other We could tag on to the conference or have a separate space to network and talk with colleagues to share our challenges and lessons learned The mHealth Working Group the auxiliary session at Dakar and the reality booth at the mHealth Summit have been places to start Several ideas emerged to expand knowledge sharing Issues discussed in meetings could be continued on the Internet We have tools for online discussion forums Another idea was to expand on the mHealth Working Group meetings by hosting larger quarterly meetings on a set of topics agreed on in advance like a mini summit There was also the suggestion to go beyond mHealth to include eHealth There is a concern though that the mHealth and implementation lessons get lost within the IT centric discussions Inveneo s Fail Faire was mentioned in terms of how to make information accessible see http www k4health org node 631837 Also mentioned was the Engineers without Borders Failure report available at http www admittingfailure com About the mHealth Working Group The mHealth Working Group is a collaborative forum for sharing knowledge and developing promising practices on mobile technology for health Founded in 2009 with global health organizations the Working Group frames mHealth within global health strategies and standards 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 The Working Group holds regular meetings in Washington DC to discuss promising approaches challenges and lessons learned Meeting notes are available on the mHealth Toolkit at http www k4health org toolkits mhealth mhealth working group 0 Over 600 representatives of more than 150 organizations in 35 countries participate in the mHealth Working Group You are welcome to receive future announcements by joining the mHealth listserv at http knowledge gateway org mhealth January 24 2012 mHealth Working Group Meeting Participants Name Organization 1 Pam Riley Abt Associates 2 Gael O Sullivan Abt Associates 3 Arti Patel Varanasi Advancing Synergy 4 Chau Lai American Red Cross 5 Egbe Osifo Dawodu Anadach Group 6 Aleya Horn Kennedy ARHP 7 Ann Hendrix Jenkins CORE Group 8 Julia Nagel CSIS 9 Olga Robinson Deloitte 10 Brooks Hosfield Deloitte 11 Afzal Aftab Eminence 12 Nancy Yinger Engender Health Respond 13 Laura Raney FHI360 14 Mike Pezone FHI360 15 Cornelia Lee FHI360 16 Kelly L Engle FHI360 17 Trinity Zan FHI360 18 Orlando Hernandez FHI360 19 Zahra Hirji Fio Corporation 20 Soori Kani G B Solutions 21 Rick Doerr GBI USAID 22 Sharon Arscott Mills ICFI 23 David Cantor ICFI 24 Dykki Settle Intrahealth Capacity Plus 25 James BonTempo Jhpiego 26 Heather Rosen JHSPH MCHIP 27 Kirsten Bose JHU CCP 28 Heidi Good Boncana JHU CCP 29 Elsie Mwaniki JHU CCP 30 Angela Nash Mercado JHU CCP K4Health 31 Amanda Makulec JSI 32 Ashley Barash JSI 33 Joy Kamunyori JSI 34 Nathalie Albrow JSI MCHIP 35 Judy Gold Marie Stopes 36 Kelly Keisling mHealth Working Group 37 Michael Bouchard Mobile Accord 38 Julie McBride PSI 39 Margot Mahannah PSI 40 Jasmine Hutchinson PSI 41 Trevor Lewis Results for Development 42 Donna Medeiros RTI 43 Ann Marie Dinarzo SCMS Manoff 44 Rebecca Braun UC Berkeley SPH 45 Adam Slote USAID 46 Lisa Maniscalco USAID 47 Trisha Phippard Western University 48 Joanna Hoffman Women Deliver 49 Jennifer Schlecht WR Commission 50 Rebecca Hamel
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