Connecting health – systemic mHealth solutions for better pregnancy and birth giving care

Global Innovation Gathering (GIG)
re:publica 2017

Short thesis: 

Eventually, we want the entire experience of pregnancy and birth to become a matter of joy and fulfilment – not pain and death. It is this common vision that we share across our network in Kenya, Germany, Tanzania and Cameroon and that forms the core of our innovations. mHealth solutions are often developed in “silos” in single island fashion, and while being successful, they don’t have the “collective and multiplicative” power to make significant and transformative change to our health systems or create synergies for joy and well-being of the citizens. We believe that only through pooling our collective intelligence, resources of all stakeholders, including policy makers, ICT specialist, medical staff, community health workers, private and public sector coming together, we can make a true positive and significant impact.

Description: 

Backed with this strong vision, we developed solutions that are in line with national priorities, that are building onto experiences and lessons learned, global best practices, that are people centred, owned, led and truly shared not by individuals but by the partnership. In this one hour session we want to show you the power of collaboration through presenting our systemic innovations, including the role of disruptive technologies like drones and 3D printing.

A major question that we would like to address in this session and discuss with the audience is: Why and how come there are so many solutions isolated from one another? How do we tackle this problem that is so important for Healthcare systems across the world? How do we know that these digital health interventions truly have the desired positive health impact and outcomes?

We believe that only through all stakeholders, including policy makers, ICT specialist, health researchers, medical staff, community health workers, private and public sector coming together coming around the patient, we can make a true positive impact. Thus, in this session we propose our own examples of synergies on specific mHealth initiatives coming from the 4 countries mentioned above.

Happy Mothers - Cameroon

We want to see women empowered to take informed decisions about their pregnancy, women that actively seek antenatal and postnatal care services and we want to avoid delays in referral processes. The core of our idea is an ICT based tool that will support community health workers in their work with women and children in the communities, improve communication and referral between communities and health facilities and provide policy makers with information necessary for decision making. An appropriate mHealth system – an integrated solution – is being elaborated with the support of the multi-disciplinary and muilti-national team within the Innovation Factory. The solution will look at the health system in its entirety from the very start and addresses the chain of health services from community all the way to policy makers level.

National Integrated Community mHealth Platform (NICmHP) - Tanzania

Tanzania has numerous successful mHealth solutions targeting community and maternal health care to improve Reproductive, Maternal, Neonatal, Child and Adolescent Health services, life saving commodities tracking (including medical drugs) and community service provider linkage, we want to integrate successful digital community mHealth information systems to enhance seamless and efficient delivery services.  The data will eventually be integrated with Tanzania’s DHIS2 (District Health Information System 2)

In order to do so we plan to establish a National Integrated Community mHealth Platform (NICmHP) that will be the FIRST of its kind to attempt to put different solutions together and build upon them in order to create a uniform mHealth eco-system. This will then be supported by the use of disruptive technologies, in particular, drones and items from 3D printing (like a nasal aspirators used at birth)  for delivery of essential commodities in emergencies. Also, along the Tanzania highways there are a lot of accidents and the victims need to be stabilized at the place of accident before being transported to nearby hospitals. The emergency stabilization will be done with the assistance of drones of which some will carry camera to assist in remote medical instructions and others supplying necessary commodities to be used at accident location. The information gathered will then form a repository to be housed at the National Health Resource Centre of the Government of Tanzania in the President’s Office.  

Reciprocal eHealth solutions for Care Compliance, Competent Capacity and Continuous Communication (HexaC) across the Healthcare systems - Kenya

The lack of communication and cooperation between the patients and healthcare professionals as well as between different actors across the Formal and Informal Healthcare systems has had unfortunate consequences on patients’ compliance to care and overall health literacy in the country. Several eHealth reciprocal solutions have been carefully picked out over the past months in order to mutually tackle these unfortunate consequences. Starting with and building on an extension platform for the popular and widely adopted DHIS2 (District Health Information System 2) with tracker functionality aimed at both patients and institutions and continuing with automated weekly calls informing mothers, these solutions aim to improve the performance of institutions and professionals and at the same time increase patient contact and literacy. We will embrace and promote standards based interoperability frameworks, standards, guidelines and profiles to ensure that quality health information is available and accessed when needed, by those who need it when they need it.

Linked Data: Strengthening Health Information Systems - Germany

Health information systems (HIS) are the backbone for any modern health care system. And the aim is to aggregate “conventional” health information system data with mHealth derived data through the creation of flexible data management systems in order to improve interoperability and data density, quality and accessibility. Most importantly, this initiative aims to provide solutions at an international level so they can be reused across different countries, starting with those that are part of our Innovation Factory group.

Stage 9
Tuesday, May 9, 2017 - 11:15 to 12:15
English
Discussion
Everyone