Cold Trace has been developed to ensure that vaccines and other temperature-sensitive medications are stored safely by providing low-cost, remote temperature monitoring.
ColdTrace holds a wireless sensor that sends text message alerts to health workers when the vaccines are being exposed to temperatures outside their safe range. The device also provides crucial data on storage, transport and distribution infrastructures. The ColdTrace sensor has already been successfully piloted in eight facilities in Kenya, India and Mozambique. Hatiti is set to piolet the system next.
While the results have been positive Daniel Thornton, who directs supply chain strategy at the Global Alliance for Vaccines and Immunization (GAVI), reminds us about the importance of proper training. While new technology can catalyse change, effective management is needed, “otherwise the technology doesn’t do anything”. In most of the immunisation systems in the world’s poorest countries, Thornton says, people receive no supply chain training. “It’s usually doctors, nurses or health workers who are running the supply chain, and often they haven’t had training to do that.”
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Commcare is an application to strengthen and monitor community health programs that runs on low cost mobile phones. Community health workers (CHWs) have demonstrated a potential to substantially improve health outcomes in areas of extreme poverty. However, community health programs are difficult to run effectively because CHWs tend to have little training and operate independently.
CommCare is a case management solution for CHWs. Each CHW is equipped with an inexpensive phone running their free and open source software that contains registration forms, checklists, danger sign monitoring, and educational prompts. CommCare helps manage enrollment, support, and tracking of all of the CHW’s clients and activities. CommCare captures data from each home visit and sends the data to our central cloud, CommCareHQ for program improvement, health surveillance, and workflow interventions. CommCare is easily customizable for widely different environments; it can run on inexpensive Java-enabled phones or higher-end Android phones, easily handle multiple languages, and incorporate multimedia elements for low-literate users.
CommCare is currently being piloted in ten countries by 19 public health organizations. Forms for over 90,000 home visits have been submitted thus far. The majority of these projects are tailored to strengthen community-based efforts to improve maternal and child health.
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Commission on Information and Accountability (CoIA)
The accountability framework identifies a core set of indicators for results and resources, proposes an action plan to improve health information systems, and explores opportunities to improve access to information through information technology.
The Commission was led by two co-chairs, President Kikwete of Tanzania and Prime Minister Harper of Canada, and two vice-chairs Dr Chan, WHO Director-General, and Dr Touré, Secretary-General of ITU. Overall, it included thirty Commissioners. Commissioners were chosen from a wide range of stakeholder groups in high-income and developing countries, including governments, international organizations, civil society, the private sector, foundations and academia.
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Community Management Mobile and Health Data System
Together, World Vision Sierra Leone and the Ministry of Health and Sanitation in Sierra Leone are working to increase access to maternal, newborn and child health. In Phase 1, community health workers (CHWs) were trained in the delivery of Timed and Targeted Counseling (ttC), an evidence-based framework developed and tested by World Vision. The MOTECH Suite application allows CHWs to view overdue visits to households, register pregnant women and their children for the program, make emergency referrals to their affiliated health center, and collect household data for transmission to the health facility to support clinical and managerial decision-making. The application, therefore, allows CHWs to expedite three major processes: registration, visits and services, and referral and counter-referral. In addition, there is improved adherence to the ttC visiting schedule by CHWs through SMS prompts for household visiting. CHWs are conducting household visits even in the absence of SMS prompts. The SMS prompts for household visiting, however, ensure that no visit is missed.
Trained CHWs target not only pregnant women and their children, but also the key decision makers within each home. In collaboration with the District Health Management Team, World Vision Sierra Leone has further trained a number of key health staff in the provision of supportive supervision of CHWs. As the initial mHealth project is now mature, with the scale up preparedness review scheduled to take place in the 3rd and 4th quarter of FY14, it was considered necessary to undertake a full monitoring visit of the program at Jong and KKS area development programs (ADPs). It is felt that such a visit should be conducted in order to verify CHWs in the program implementation also identify any opportunities or challenges faced. Thereafter, recommendations can be provided to strengthen the planned scale-up going forward. A total of 442 CHWs are expected to be prepared for scale up in Jong and KKS.
Plans have been made to train additional CHWs in delivery of the timed and targeted health messages, as well as the use of the phones with the MOTECH Suite application, across the whole district and subsequently at national level, totaling 2,500 CHWs.
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CradleCount is a mobile app to help reduce infant and maternal mortality in Nigeria. CradleCount helps pregnant women and healthcare workers to calculate reliable expected delivery dates.
The app informs pregnant women how many days to their deliveries and has alerts that remind them to register and follow up with their antenatal care. It sends regular pregnancy and health tips to expectant mothers too
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cStock is a simple mHealth reporting and resupply system that improves communication between the HSAs and their resupply points. cStock also provides visibility of real time HSA logistics data at district and central levels of the MOH, such as alerts, stock out rates, and current stock status, enabling supply chain managers to respond in a timely way to issues.
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DabaDoc is an online medical appointments management platform with a choice of more than 2,000 healthcare professionals across Morocco, Algeria and Tunisia.
For patients, DabaDoc is a free online service that helps people find and make appointments with healthcare professionals 24/7.
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Datacentrix is a complete ICT systems integrator, providing solutions and services across the full information value chain. Datacentrix focuses on improving business processes and systems, enabling customers to make timeous and meaningful management decisions.
Datacentrix' headuarters are in South Africa. Via an ICT services partner, Datacentrix extends its services to 28 other countries in sub-Saharan Africa.
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Dedicated Logistics System (DLS)
International vaccine coverage rates hover around 80% and 1.5 million children still die from vaccine preventable diseases. While vaccines and other medical commodities are widely available, delivering vaccines and reaching the final 20% of children in many countries is still a significant and complex challenge. Key decision makers do not have data visibility to accurately forecast and respond, transport issues prevent reliable deliveries, and health workers struggle to adequately deliver care given the immense demands placed on them.
Improving reliable access to vaccines under these constraints requires a system-wide approach in order to achieve long-term, sustainable impact. For more than a decade, VillageReach has been engaged with community and governmental partners on the ground in Mozambique to redesign the supply chain model. Together with our partners, VillageReach is;a leading contributor to the international effort to prioritize supply chain system design through proven& innovations like the Dedicated Logistics System, or DLS.
The DLS introduced new efficiencies to Mozambique’s vaccine supply chain resulting in:significant increases in fully vaccinated children dramatic reduction in stock-outs, and reduced government operating costs
The DLS currently serves more than 400 health centers and a population of over 6 million.
The DLS operates as a cost-share model and is government-run and managed. VillageReach currently provides technical assistance to provincial ministry of health authorities to support implementations and operations of the DLS in four provinces.
The key components of the DLS are:A simplified, streamlined distribution process involving re-assignment of tasks, level jumping and optimized delivery routes An open source information management system, OpenLMIS (locally referred to as SELV) provides real time data for more accurate data collection and utilization The introduction of a Field Coordinator role; a specialized worker who delivers vaccines and supplies, repairs equipment, collects and reports data, and provides active and ongoing supportive supervision and training, allowing frontline health workers to focus on patient care.
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Dial-a-doctor has gone live in Zimbabwe. The service will be run by Econet Wireless, one of the biggest telecommunications companies in Zimbabwe. Econet’s Health units are already active in the public health sector in Zimbabwe, helping rural clinic store vaccines using excess energy from their base stations.
The new dial a doctor service will help bring health information access to the country. Users will be able to access medical advice 24 hours a day through their mobile phones for 70 cents a minute.
Officials at the company has also advised that a chat service that enables patients to interact with medical doctors will also be introduced in the near future.
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