• M&E
  • Kenya’s mHealth standards set an implementation cycle

    Rigorous implementation standards are set out in Kenya Standards and Guidelines for mHealth Systems. The extensive content in the Ministry of Health report extends from planning to scaling up. The steps are:

    PlanningLandscape analysisLocal and national health priorities and needsTarget audience analysisProject management

    o   People’s roles, responsibilities, teams, communication and relationships

    o   Systems, from implementation to M&E

    o   Defined policies and procedures for data

    Partnership developmentDesign, including technology, content, workflow impact and usability, a critical requirement for benefits realisationTechnology decisionsCreating message contentTesting message contentPrototype and usability content

    o   Systems launch, including, Beta version process and creating user demand, including incentives and benefits

    M&E, including needs assessments, monitoring systems and outcomes

    o   mHealth system, including the WHO methodology mHealth Evaluation Reporting and Assessment (mERA)

    o   Compliance with the mHealth standards and guidelines

    Scaling up activities, including using the WHO model for mHealth Assessment and Planning for Scale (MAPS) and its six steps of groundwork, partnerships, financial health, technology and architecture, operations and M&E.

    Some implementation components are not emphasised explicitly in the standards and guidelines:

    Business cases, such as the Five Case Model, needed to identify optimal mHealth options for decision takers before mHealth projects begin and setting explicit probable, not potential, socio-economic goals measured by cost benefits or cost effectiveness, and affordability requirements, an essential component of sustainability and setting M&E baselines and performance targetsBenefits realisation models that follow on from project management and set baselines for the health benefits included in the standard’s M&E sectionApplying WHO’s Monitoring and Evaluating Digital Health Interventions A practical guide to conducting research and assessment accessible from eHNA’s ResourcesDistinguishing between mHealth’s economic and financial components, described in Defining a staged-based process for economic and financial evaluations of mHealth programs, also accessible from eHNA’s Resources.

    These added themes contribute to the standard’s goals of “Well thought-out planning … knowledgeable people … M&E.” It shows how demanding successful mHealth can be.