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Innovative Technology Development 4 Bobby Jefferson, Anita Dartar Garten, Abby Clay ICT4 Development Conference Sep 2010
Futures Group Our Mission Futures Group develops and delivers innovative, locally relevant, evidence-based solutions to improve the health and well-being of people worldwide. Futures Group Program Areas Population, Maternal and Child Health HIV and AIDS, Infectious Diseases Gender Our Reach  25 Office Locations  450  Staff World Wide Futures Group Technical Services Health Informatics Strategic Information Modeling ,Forecasting, Economic Analysis Policy and Advocacy Our Clients USAID  CDC DFID Global Fund   WHO Gates Foundation Packard Foundation European Union  GTZ
Consortium Nigeria, Kenya, Uganda, Tanzania, Rwanda, Zambia, South Africa, Haiti     Guyana, Ethiopia244 ART Health facilities 112 Satellites 535 PMTCT sites Rural, remote, faith based mission hospitals “serving poorest of poor”  No power, intermittent power, No IT staff,  No internet, Sparse mobile coverage Nurses, Clinicians, Adherence Counselors, need  health data, M&E program data in knowledge repository  Lack of referrals or linkage to existing technology systems  Cost effectiveness and sustainability  -- no funds for proprietary licenses, or yearly maintenance fees
Futures Group eHealthmHealth approach creative common approach               Use of freely available, reusable, tools, “coded in country” Offline Solutions, Disconnected model Reusable software and technology across countries and programs Programmers and IT staff in country Low costs, Inexpensive $250-$350 Netbooks  Solar mobile phones, SMS
IQCare – Go from Paper to  mobile health tablet for EMR
Physician conducts consultation with data already in IQCare
Lab scientist retrieves ordered tests from IQCare, conducts tests and enters results into database
Interoperability DonorsOGAC, CDC, HRSA, USAIDMOH National Reports (Kenya , Uganda, Nigeria, Rwanda-IQChart) District Indicators,  DHIS v2.0 software,  Next Gen  Indicators (NGI),  HIV/QUAL, HEALQUAL Intel,  Netbooks, low cost,  low power  Inveneo Laboratory  Partners OpenELIS Bika Labs TherapyEdge EMR SystemIQCare (Facility Level) HL7 Pharmacy , Supply Chain Management Sciences Health, ARV dispensing tool (ADT) SCMS, Crown Agents,  IQTools Other EMR (OpenMRS,Baobab Careware, SMARTCare,iSante, CTC2) Clinical/Medical Partners School of Medicine, Faith Based Orgs Mennonite Christian Charities In-country ICOBI, CHAK, IMA Health Indicators  Immunization, Well Baby,WHO -3ILPMS  Integrated HIV, TB, PMTCT Community Mobile health  solutionsDimagi, D-Tree, MIT Media Labs,  mHealth Alliance,  Financial Mgmt Partners Pastel Software, Tableau Dashboard CMMB
Futures Field Team PMTCT Monthly Report No computers at all PMTCT sites No funds to purchase  SmartPhones, iPhones Limited internet bandwidth
IQSMS - Timely, Quality Reporting by Health Workers
IQSMS User Level ,[object Object]
Report Duplication Check
Report formatting
Data validationPaper Report	SMS
IQSMS Reporting IQSMS software, Immediately Messages Health Care Worker if  PMTCT Report fails Data Quality checks and alerts SI staff Only after passing All Data Quality rules,  IQSMS software adds PMTCT report to aggregate database  PMTCT Report Immediate Data Quality Alert        Pass or Fail
IQSMS Benefits  ,[object Object],IQSMS project takes advantage of mobile phones already owned by health worker. By using a familiar device, training requirements are similar to paper based training ,[object Object]
Fuel and Transport cost savings in staff travel and reliable data submissionHealth Care Workers no longer required physically to transport paper reports or fax PMTCT reports to central project offices.   ,[object Object]
Health facilities interested to know  how their statistics compare with others in their districts,[object Object]

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Ict4 d sep 23

  • 1. Innovative Technology Development 4 Bobby Jefferson, Anita Dartar Garten, Abby Clay ICT4 Development Conference Sep 2010
  • 2. Futures Group Our Mission Futures Group develops and delivers innovative, locally relevant, evidence-based solutions to improve the health and well-being of people worldwide. Futures Group Program Areas Population, Maternal and Child Health HIV and AIDS, Infectious Diseases Gender Our Reach 25 Office Locations 450 Staff World Wide Futures Group Technical Services Health Informatics Strategic Information Modeling ,Forecasting, Economic Analysis Policy and Advocacy Our Clients USAID CDC DFID Global Fund WHO Gates Foundation Packard Foundation European Union GTZ
  • 3. Consortium Nigeria, Kenya, Uganda, Tanzania, Rwanda, Zambia, South Africa, Haiti Guyana, Ethiopia244 ART Health facilities 112 Satellites 535 PMTCT sites Rural, remote, faith based mission hospitals “serving poorest of poor” No power, intermittent power, No IT staff, No internet, Sparse mobile coverage Nurses, Clinicians, Adherence Counselors, need health data, M&E program data in knowledge repository Lack of referrals or linkage to existing technology systems Cost effectiveness and sustainability -- no funds for proprietary licenses, or yearly maintenance fees
  • 4.
  • 5. Futures Group eHealthmHealth approach creative common approach Use of freely available, reusable, tools, “coded in country” Offline Solutions, Disconnected model Reusable software and technology across countries and programs Programmers and IT staff in country Low costs, Inexpensive $250-$350 Netbooks Solar mobile phones, SMS
  • 6. IQCare – Go from Paper to mobile health tablet for EMR
  • 7.
  • 8. Physician conducts consultation with data already in IQCare
  • 9. Lab scientist retrieves ordered tests from IQCare, conducts tests and enters results into database
  • 10. Interoperability DonorsOGAC, CDC, HRSA, USAIDMOH National Reports (Kenya , Uganda, Nigeria, Rwanda-IQChart) District Indicators, DHIS v2.0 software, Next Gen Indicators (NGI), HIV/QUAL, HEALQUAL Intel, Netbooks, low cost, low power Inveneo Laboratory Partners OpenELIS Bika Labs TherapyEdge EMR SystemIQCare (Facility Level) HL7 Pharmacy , Supply Chain Management Sciences Health, ARV dispensing tool (ADT) SCMS, Crown Agents, IQTools Other EMR (OpenMRS,Baobab Careware, SMARTCare,iSante, CTC2) Clinical/Medical Partners School of Medicine, Faith Based Orgs Mennonite Christian Charities In-country ICOBI, CHAK, IMA Health Indicators Immunization, Well Baby,WHO -3ILPMS Integrated HIV, TB, PMTCT Community Mobile health solutionsDimagi, D-Tree, MIT Media Labs, mHealth Alliance, Financial Mgmt Partners Pastel Software, Tableau Dashboard CMMB
  • 11. Futures Field Team PMTCT Monthly Report No computers at all PMTCT sites No funds to purchase SmartPhones, iPhones Limited internet bandwidth
  • 12.
  • 13. IQSMS - Timely, Quality Reporting by Health Workers
  • 14.
  • 18. IQSMS Reporting IQSMS software, Immediately Messages Health Care Worker if PMTCT Report fails Data Quality checks and alerts SI staff Only after passing All Data Quality rules, IQSMS software adds PMTCT report to aggregate database PMTCT Report Immediate Data Quality Alert Pass or Fail
  • 19.
  • 20.
  • 21.
  • 22. Futures Group Visual Dashboards for Analysis
  • 23. Futures Group Visual Dashboards for Analysis
  • 24. Futures Group Southern Sudan Rwanda Intra Health International ICAP Columbia University 44 sites Intra Health International 17 sites Elizabeth Glaser EGPAF 16 sites Family Health Inter FHI 45 sites Catholic Relief Services 13 sites Kenya Catholic Relief Services Pathfinder International Gertrude Children Hospital Nigeria Uganda Mennonite Christian Charities Catholic Relief Services Catholic Relief Services John Snow International Rakai Health Services Vaccine Research “After successful assessment, the IQ Care system developed and supported by the Futures Group and Catholic Relief Services came up top in terms of overall features (technical and non technical) and also in terms of largest number of installations “ WHO sponsored EMR Assessment Report , Kenya May 2009
  • 25. Futures Group Thank You Bobby Jefferson bjefferson @ futuresgroup Lanette Burrows lburrows @ futuresgroup Futures SI Advisor in-country www.futuresgroup.com www.iqstrategy.net

Editor's Notes

  1. Bobby JeffersonSenior Health Informatics AdvisorICT4 Development SummitWEBINAR 5th March
  2. Sector(s) you work in -Futures works in the global health, policy and health information technology domainTypes of solutions – We offer technical services, consulting services, in modeling and projections, health IT, policy and advocacy, health system strengtheningWhere are you working (countries)Current projects in 30 counties, 25 office locations, under CRS led AIDSRelief program we are in Tanzania, Uganda, Nigeria, Kenya, Rwanda, Guyana, Zambia, Haiti, South Africa, additionally the IQCare, IQChart health IT software is piloted Southern Sudan, Congo, MalawiMain sources of funding USAID, DFID, Global Fund, Gates, EU DFID Establishment of an Office for Financial Management in the Ministry of Health and Social Welfare, LiberiaDFID Health Sector Reform Early Start Project, Malaria Insecticide-Treated Bed Nets, NigeriaCurrent sizeFutures Group has experienced incredible growth since its inception. Current revenue stands at approximately $75 million per year. Futures Group has worked in more than 100 countries for more than 600 clients.Prospects for growth..
  3. Describe the main types of challenges that your ICT solution is addressingWe provide ICT solutions to rural, remote regional areas, lacking in constant power or only intermittent power , lack of computers, internet, skilled IT staff, Program managers, decisions makers, need information from health, patient, financial and program data Several existing technology systems in field, not interoperable, cannot exchange or transfer information, cannot create linkages with other programs, Communication, sharing, reports, data from field to HQS and HQS to field
  4. Describe the ICT tools and architecture used to provide main solution(s).Outline why you selected that this configurationIQCare for Electronic Health Records solutionSite Capacity Assessment Tool , Visual Dashboard for data mining, decision makingSMS for PMTCT, mobile phones iCreative commons approach to software developmentAttribution-Noncommercial-Share Alike 3.0 United States Freely available, can be reused, remixed or adapt the work, must be attributable must use same creative common license for any modified/adapted version (and no commercial use)Futures IT team can offer to types of hands-on course to mentor, build capacity in field Three day (3) intensive - Virus remediation courseThree (3) days intensive security administration in wireless networking, securing, encrypting databases, protecting health informationWe develop using freely available, downloadable, redistributable software solution, Creative Commons approachMultilanguage capable systems (French , Spanish)Forms and Reports constantly changed . We have dynamic form designer to build your own forms, changes to forms, new forms without IT programmer expertise
  5. Give example of a successful deploymentDescribe what went well (provide any supporting evidence), describe positive unintended consequences/innovationsAnnunciation Hospital in Nigeria, efirst hospital, eClinic, success storyIQCare can be used for PMTCT, Well Baby Care, Diabetes, Health indicators
  6. There are 535 PMTCT Sites, required to reporting PMTCT information on monthly basisFutures team in Tz is responsible for data collection, aggregation, reporting and data quality
  7. Describe the ICT tools and architecture used to provide main solution(s).Outline why you selected that this configuration, SMS for PMTCT,
  8. How would CRS benefit from your solution? Tell us how and why CRS should get involved.. What are the key benefits for an organization like CRSWhere would you advise we start working with you? What country, what scale, what investment level?Who else is working with you that we could associate with?
  9. Give example of a successful deploymentDescribe what went well (provide any supporting evidence), describe positive unintended consequences/innovationsSite Capacity Assessment Tool (SCA)
  10. Give example of a successful deploymentDescribe what went well (provide any supporting evidence), describe positive unintended consequences/innovationsSite Capacity Assessment Tool (SCA)
  11. How you deployWhere are you operational?Target beneficiaries…… Scale of operationsDeployment partnersCost of deployment..Large footprint, # of sites, clinics,# of patients managed listed below
  12. Thank YouContactBobby JeffersonLanette BurrowsFutures SI Advisor in-countrywww.futuregroup.comwww.iqstrategy.netTechnology demonstration March 11th ICT4D MarketPlace Event