1. Computer science applications to improve health delivery in low-income countries. Neal Lesh

6. Global Health

7. Simple Story $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $ Infant mortality: 5 per 1,000 births Maternal mortality: 8 per 100K births Life expectancy: 78 years Infant mortality: 95 per 1,000 births Maternal mortality: 500-1000 per 100K Life expectancy: 45 years 300-540 57 69

8. Simple Story $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $

9. Simple Story $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$$$$ $$$$$$$$$$$$$ $$$$ Infant mortality: 95 per 1,000 births Maternal mortality: 500-1000 per 100,000 b Life expectancy: 45 years

10. Simple Story “ We are the first generation that can end poverty. ” - Eveline Herfkens, UN Millennium Campaign

17. Electronic Medical Record (EMR) Patient Monitoring Reports Clinicians & Patients Managers EMR Staff Paper forms Program Monitoring Reports Funder & government reports $ Re-allocate resources

18. Patient Monitoring

19. Missed-Visit List

20. ICT task: satisfy reporting requests

25. Rural Dispensary in Tanzania

26. Standardized Care (IMCI)

27. Standardized Care (IMCI)

28. Standardized Care (IMCI)

29. Tanzania: underfive mortality was 13% lower in the two IMCI districts Source: Schellenberg J et al Full IMCI in HF End of study 13% difference 95% CI: -7%, 30% Significant impact on stunting

31. Why Automate IMCI?

33. Field Work Results to be published in CHI’08

34. How Automate IMCI?

36. Viral Training

38. Adherence Results Investigation Current practice adherence e-IMCI adherence p-value Vomiting 66.7% (n=24) 85.7% (n=28) - Chest indrawing 75% (n=20) 94.4% (n=18) - Blood in stool 71.4% (n=7) 100% (n=3) - Measles in the last 3 months 55.6% (n=9) 95.2% (n=21) < 0.05 Tender ear 0% (n=1) 100% (n=5) - All 61% (n=299) 84.7% (n=359) < 0.01

39. Triaging patients on treatment for AIDS (Study ongoing in South Africa)

40. e-CTC for HIV screening Counselors ask a series of questions leading to a patient assessment.

41. CommCare Start House Hold Visit Plan Day Explore Data Exit

42. House Hold Visit (Task Queue) 0 0 0:04:56 Register Birth Investigate Diarrhea of Sick Child Review malaria bed nets Topic of month: nutrition during pregnancy END VISIT

43. Day Planning MKWERA : TB Referral (2 wks) MKEA: Severe diarrhea (3 days) CHUMA: late HH visit (3 months) KAIGILE: routine HH visit MGANDA: routine HH visit EXIT