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Hope Phones slides
Namitete, Malawi
St. Gabriel’s Hospital

250,000
  people



 100
  miles



   2
  doctors
Hope Phones slides
Hope Phones slides
Hope Phones slides
100
phones




$10
 each
Hope Phones slides
Hope Phones slides
Hope Phones slides
Emergency Care


                                              CHW alerts the clinic


                                                                                                              Clinic dispatches
       Injury
                                                                                                                   resources




Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world. 
                                                                                               Technol Health Care. 2010 Jan; 18(2): 137-44.
Emergency Care


                                              CHW alerts the clinic


                                                                                                              Clinic dispatches
       Injury
                                                                                                                   resources




                                     150 patients over 6 months

Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world. 
                                                                                               Technol Health Care. 2010 Jan; 18(2): 137-44.
Patient Tracking



                     Patient misses
                        appointment

                                                                                                      CHW reports
                                                                                                     patient’s status


               CHW receives alert


                                                                        CHW locates and
                                                                     checks in with patient

Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world. 
                                                                                               Technol Health Care. 2010 Jan; 18(2): 137-44.
Patient Tracking

                                                                                      2100 hours saved
                                                                                         $3,500 saved
                     Patient misses
                        appointment

                                                                                                      CHW reports
                                                                                                     patient’s status


               CHW receives alert


                                                                        CHW locates and
                                                                     checks in with patient

Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world. 
                                                                                               Technol Health Care. 2010 Jan; 18(2): 137-44.
Management




Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world. 
                                                                                               Technol Health Care. 2010 Jan; 18(2): 137-44.
Stock Levels
                                Restocking based on need


                                                           STOCK LEVELS

               Reports are
               monitored at
                                                           Clinics upload reports
               central office
                                                            for vital stock levels
Symptom Monitoring




Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world. 
                                                                                               Technol Health Care. 2010 Jan; 18(2): 137-44.
Symptom Monitoring
                                                                                                   2x number
                                                                                               of TB patients




Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world. 
                                                                                               Technol Health Care. 2010 Jan; 18(2): 137-44.
Hope Phones slides
Image courtesy Logan Abassi, UNDP
Hope Phones slides
Hope Phones slides
80,000 SMS
“My name is J___ ____ my brother is working in Unicef
  and I live in ____ I have 2 people that is still alive
         under the building still ! Send Help!”
Hope Phones slides
Hope Phones slides
Hope Phones slides
Hope Phones slides
Graphic by Abraham Flaxman
Hope Phones slides
Hope Phones slides
What do we have?
Image courtesy of Global Cycle Solutions
Mobile money




Images courtesy of http://www.safaricom.co.ke
Mobile + radio




                                                         50% in West Africa




                                                          40% on mobile



Photo credits: Kate Kelly, developingradiopartners.org
Real systems
Hope Phones slides
diverse low end phones
Hope Phones slides
SIM apps
MMS-based diagnostics




Images courtesy of the Fletcher Lab at UC Berkeley, Diagnostics for All, Dr. Ozcan’s lab at   Image from givengain.com
Machine learning




 Image from http://www.cs.jhu.edu/~jason/465/
2,364 people accessing emergency care.
10,795 patients remaining in care across 3
infectious disease treatment and prevention
                 programs.
858 new TB patients identified and
       entered into care.
2,690 health workers reporting stocks
 112x faster and 4x cheaper, serving
          270,800 people.
1,036 health workers doing remote
treatment consults 100x faster, serving
           71,820 people.
356,637 patients
1.78 million people
Hope Phones slides
Hope Phones slides
500,000 cell phones per day




       “Cell Phones #2” by Chris Jordan, Atlanta 2005
Hope Phones slides
300,000
josh@medicmobile.org

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Hope Phones slides

  • 3. St. Gabriel’s Hospital 250,000 people 100 miles 2 doctors
  • 11. Emergency Care CHW alerts the clinic Clinic dispatches Injury resources Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  • 12. Emergency Care CHW alerts the clinic Clinic dispatches Injury resources 150 patients over 6 months Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  • 13. Patient Tracking Patient misses appointment CHW reports patient’s status CHW receives alert CHW locates and checks in with patient Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  • 14. Patient Tracking 2100 hours saved $3,500 saved Patient misses appointment CHW reports patient’s status CHW receives alert CHW locates and checks in with patient Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  • 15. Management Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  • 16. Stock Levels Restocking based on need STOCK LEVELS Reports are monitored at Clinics upload reports central office for vital stock levels
  • 17. Symptom Monitoring Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  • 18. Symptom Monitoring 2x number of TB patients Mahmud N, Rodriguez J, Nesbit J. A text message-based intervention to bridge the healthcare communication gap in the rural developing world.  Technol Health Care. 2010 Jan; 18(2): 137-44.
  • 20. Image courtesy Logan Abassi, UNDP
  • 24. “My name is J___ ____ my brother is working in Unicef and I live in ____ I have 2 people that is still alive under the building still ! Send Help!”
  • 32. What do we have?
  • 33. Image courtesy of Global Cycle Solutions
  • 34. Mobile money Images courtesy of http://www.safaricom.co.ke
  • 35. Mobile + radio 50% in West Africa 40% on mobile Photo credits: Kate Kelly, developingradiopartners.org
  • 38. diverse low end phones
  • 41. MMS-based diagnostics Images courtesy of the Fletcher Lab at UC Berkeley, Diagnostics for All, Dr. Ozcan’s lab at Image from givengain.com
  • 42. Machine learning Image from http://www.cs.jhu.edu/~jason/465/
  • 43. 2,364 people accessing emergency care.
  • 44. 10,795 patients remaining in care across 3 infectious disease treatment and prevention programs.
  • 45. 858 new TB patients identified and entered into care.
  • 46. 2,690 health workers reporting stocks 112x faster and 4x cheaper, serving 270,800 people.
  • 47. 1,036 health workers doing remote treatment consults 100x faster, serving 71,820 people.
  • 52. 500,000 cell phones per day “Cell Phones #2” by Chris Jordan, Atlanta 2005