Health Systems – Integra LLC

Agriculture, Health, Health, Health Systems, Originally posted on the GBI Portal

Will Nigeria Turn to mHealth to Achieve its Healthcare Goals?

Nigeria may be joining a number of African countries in prioritizing mHealth as a way to improve the country’s troubled healthcare system. At a recent mobile Health workshop in Nigeria that was put together by the African telecommunications company MTN, stakeholders voted for the nation to adopt a mobile healthcare system.

Omobola Johnson, Nigeria's Minister of Technology and Communications

According to some, Nigeria is among the countries leading the way in using mobile health services. Several mobile companies operate there, with MTN serving the largest population percentage followed by Globacom, Zain and Etisalat. The Nigerian Communications Commission estimates that around 105 million of the country’s 155 million people were subscribed to a mobile service provider in August 2011.

Nigeria faces many challenges in expanding its healthcare system, such as a lack of infrastructure, a shortage of trained healthcare professionals, high illiteracy rates and unreliable power sources. The nation’s government has made some efforts to address these challenges in order to meet the Millennium Development Goals. The National Primary Healthcare Development Agency operates under the Health Ministry to promote and support the development of a high quality primary healthcare system.

Photo credit: eHealth Nigeria

But is the Nigerian government prioritizing mHealth as a means to improve healthcare delivery? Omobola Johnson, Nigeria’s recently appointed Technology and Communications Minister, has been pushing toward nationwide mobile coverage as well as the implementation of emergency call centers and phone lines. However, when Johnson revealed the Ministry’s mandate at the end of August, the use of mobile devices for improved healthcare was not mentioned specifically.

Many individuals, private companies, civil society organizations, and aid agencies feel that Nigeria should embrace mHealth as a mechanism for repositioning the country’s healthcare system. Through fuller adoption of mHealth into the healthcare delivery system, many more people could be reached. But the government will need to place mHealth at the top of the agenda and support mHealth initiatives should the emerging field succeed in improving Nigeria’s healthcare.

October 19, 2011/by actualize

Agriculture, Family Planning, Health, Health Systems, Infectious Diseases, Maternal & Child Health, Mobile, Originally posted on the GBI Portal

New app gives Thailand’s healthcare chance to go paperless

A doctor using the Family Folder Collector app on an Android pad, collecting information on a member patient. Photo Credit: bangkokpost.com

Thailand’s public health system has developed a mobile app for Android enabled tablet PC’s to monitor and collect household information on patients. The app, called Family Folder Collector (FFC), was developed by a research team at the National Electronics and Computer Technology Centre (Nectec).

Nectec researcher Watcharakon Noothong said the application comprises three major programs, including a walking map, genogram (a pictorial display of a patient’s health and family relationships) and Java Health Center Information System (JHCIS) synchronization.

FFC is designed to make life easier for public health workers who collect data on patients and for patients who are on time sensitive treatment schedules and cannot travel to health stations at any given moment for treatment.

The app is free. The only cost to utilize the service is paying for the tablet PC’s which is being covered by the province’s public health office.

Here are some of the features and capabilities of the FFC app:

Google maps shows the exact location and number of households in a given area
Genograms can be displayed
Chronic disease frequency can be color coded on a house-to-house basis
The program can collect and store other vital data, such as a patient’s weight, height, blood pressure and pulse rate, and even calculate a patient’s body mass index (BMI) automatically.
The program provides forms for treatment results, initial symptoms, health recommendations, and health behaviors
Doctors can schedule future appointments with patients
In the near future, the program will also be able to send an SMS to alert patients to get treatment at the health station.

All the collected data is updated and stored on the Android device then synchronized to the JHCIS database server. Public health workers were trained on how to properly input data into the tablet PC’s before pilot testing started. Of a total of 25 districts in the province of Ubon Ratchathani, eight are running the pilot trial of the FFC program, which, in its first phase, covers 123 health stations.

Ubon Ratchathani was chosen as the province since its existing IT infrastructure can accommodate sophisticated ICT’s for healthcare. There are over 1.8 million people in the province, all of whom will be accounted for by health workers using the FFC app.

This do-it-all app is a valuable tool for public health officials and physicians in Thailand. FFC can potentially replace the paper based system of collecting data and monitoring patients in Thailand.

The FFC application can display a genogram, monitor chronic diseases with Google Maps, and locate the house coordinates using a GPS system. Photo Credit: bangkokpost.com

The potential benefits of using this service are bountiful. Patient data will be gathered much easier and will be much harder to lose over time. Doctors can schedule appointments and prescribe treatments without physically seeing patients. Also, analysis of patient data will be faster, more efficient and more accurate.

Thailand may experience a revolution in healthcare if this service lives up to its potential. Currently, each health station has one tablet PC equipped with the program. The FFC application is expected to run throughout the province covering all 346 health stations by 2012.

Furthermore, according to Sinchai Tawwuttanakidgul, director of ICT Centre, Office of the Permanent Secretary, Ministry of Public Health, today there are some 45 provinces that are ready to switch from their paper-based system to the FFC mobile application. It sounds like Thailand is ready to experience that revolution soon.

August 11, 2011/by actualize

Agriculture, Health, Health, Health Systems, Mobile, Originally posted on the GBI Portal

MediBabble: A free tool no health professional should be without

Dr. Brad Cohn (left) and Dr. Alex Blau (right) Photo Credit: ucsf.edu

An Apple app was released earlier this summer that translates medical history questions from English into other languages. The app, called MediBabble, was designed by doctors Alex Blau and Brad Cohn, a duo of physicians from San Francisco.

The idea for the app sprouted from a 2 a.m. conversation while the two were still in medical school. The conversation stemmed from frustrations over not being able to understand patients that did not speak English, and not having an immediate translating tool to help them out.

“Ninety percent of diagnoses come from the patient’s self-reported medical history, so the ability to communicate is critical,” Blau said. “Time is not an asset doctors or patients have. You need that information when you need it.”

MediBabble is currently being distributed for free on Apple’s iTunes, and has more than 8,000 downloads to date. The app has been lauded by several mHealth entities and has even won a few awards for its benefits to the medical world.

MediBabble was designed for Apple products with touch-screen software, such as the iPhone or iPad. The app allows health care providers to play medical history questions and instructions out loud, so far in five languages, to patients that don’t understand English. Currently, the available languages are Spanish, Mandarin, Cantonese, Russian and Haitian Creole.

The questions range from basic examination questions such as “Can you tell me your name?” to more specific inquiries like, “Do you get recurring lung infections?” The app has more than 2,500 exam questions in its arsenal to translate.

Photo Credit: itunes.apple.com

MediBabble’s interface is structured on a symptom-based approach already commonly used by medical practitioners worldwide. It starts by gathering information about the current complaint and then proceeds into social, family and medication histories; and a review of systems; all for over sixty common chief complaints across eleven organ systems.

According to Blau and Cohn, no medical translation app existed prior to theirs. Therefore, this is the first of its kind seen anywhere. A key feature is that the internet is not needed for full functionality. Once downloaded, the app can be utilized anywhere, at anytime as long as the mobile device has power.

This tool is currently paying dividends for health professionals in the developed world. However, MediBabble can easily be utilized by health processionals that encounter language barriers working on the ground in developing countries. The fifth language, Haitian Creole, was implemented for the earthquakes that struck Haiti in 2010. Therefore, it had already transcended the domestic boundaries.

After taking a look at its features, one realizes that the app is already acclimated for use in the developing world:

Once downloaded, it does not require an internet connection to deliver its service
it provides detailed examination instructions to the user
it has a self-guided tutorial that can teach someone like a community health worker or volunteer how to use it on the fly
it compensates for the deaf and/or noisy environments by having a mode that enables a full screen display in large letters

Utilizing MediBabble, health professionals from the developed world who go on aid missions around the world will worry less about language barriers. This may decrease the time it takes to examine a patient which means more patients can be examined and treated in the long run. The tool can change the way health workers interact with and treat citizens of the developing world. Therefore, aid agencies and NGO’s that deploy health professionals cannot overlook this tool.

Perhaps it won’t be long until MediBabble is used in the developing world. Blau and Cohn said the next five languages being introduced are German, French, Urdu, Hindi and Arabic. Four of those five tongues are predominantly spoken in certain developing countries.

Furthermore, Blau and Cohn intend to keep their app free. So far they have been able to do it with funding contributions from Apple, Google and Twitter. As long as the app is free, the tool will cost health professionals nothing, making it even more appealing for use in resource poor areas.

August 4, 2011/by actualize

Agriculture, Health, Health Systems, Infectious Diseases, Mobile, Originally posted on the GBI Portal

Army of mothers set to fight malaria in Mali

It was recently announced that an initiative called Mobiles Against Malaria will be launched in Bamako, Mali. The initiative will be executed using mothers who are community health workers in an effort to use mobile phones to prevent, diagnose and treat malaria in a more effective way than it has been.

The project is being funded by Akvo, a foundation created in 2008 that uses open source web and mobile software to attract funders to a spread of projects being done in the developing world.

CHW's at work. Photo Credit: Akvo

Mobile phones will be used by the mothers who were recruited as community health workers(CHW) to record data from neighborhoods on malaria. The CHW’s will visit each household in a particular neighborhood ready to ask pre-formulated questions.

The answers to the questions will be gathered on the mobile phones. For example, some of the questions asked may be ‘how many people live in the house’ and ‘how many people are ill’ and ‘what is the number of newborns’.

After gathering all of the necessary answers, the data will be sent via SMS to a central database located at a local hospital. It is hoped that NGO’s and local organizations will take advantage of the databases to analyze the trends and assist households in need of help. Officials hope the SMS data collection system will shed light on estimating how many insecticide-treated nets are needed in the poor areas in Bamako.

These community health workers will travel to malaria impacted areas around the capital city of Bamako to administer a revamped program. An older version was implemented using CHW’s who tested 2,796 children for malaria with a finger prick test after visiting nearly 100,000 households. That framework will be enriched by the introduction of the SMS-based frontline data collection.

The use of mothers as the CHW’s is a hallmark feature of this program. That along with using the SMS based frontline data collection sets this malaria detection program apart from other ones going on in Africa. Using mothers presents several advantages:

mothers are trusted in the community
they easily gain trust from other women from whom data is being collected
they can persuade women to visit hospitals using that established trust
they often have insider knowledge to the neighborhoods they work in
they ensure use of treated mosquito nets
they support treatment adherence

Along with attaining malaria specific data such as households using insecticide treated bednets, officials hope the program will create easier access to information on the burden. They also hope the cell phone-based application will improve patient management via a cell phone risk assessment and triaging tree, strengthen patient history documentation in the field, enable clinical communication (text, image, audio) between community health workers and clinics, and provide access to previously unrecorded health information.

The program aims to use mothers and cell phones to decrease costs of malaria detection and treatment while improving the access to treatment and treatment adherence. The program will train and utilize 50 CHW’s and 2 hospitals over the span of a year. It hopes that using mobile phones will build off of prior success.

August 2, 2011/by actualize

Agriculture, Health, Health, Health Systems, Mobile, Originally posted on the GBI Portal

How is coordination possible in mHealth? Experts gather and discuss

The mHealth Working Group, a collaborative forum created in 2009 by K4Health, held a meeting yesterday that focused on the “Coordination of mHealth projects within and between organizations in the field.” The meeting brought together many experts from the field of mHealth in a meeting that was ripe with rich discussion and promising potential going forward in the field.

Representatives at the meeting came from a number of organizations including USAID, K4Health, John Snow Inc. (JSI), mHealth Alliance, and the UN foundation, just to name a few. Therefore, the meeting focused on mHealth implementation in the developing world rather than here at home where mHealth is much more sophisticated.

The overarching theme for the meeting was examining how to promote coordination amongst organizations that are active in mHealth. This is an important issue because of the lack of large scale mHealth efforts programs in the developing world and the dire lack of monitoring in existing mHealth programs.

The discussion began with the current status and perception of mHealth programs in the developing world. Michael Frost, an official from JSI, stated that mHealth is “exploding with a lot of new interest” but “needs to mature a little bit.” He also echoed claims found in the latest mHealth report, that “projects have a narrow focus, and they don’t have strong evaluation principles.”

Photo Credit: USAID

John Novak from USAID discussed the importance of external collaboration and USAID’s current efforts in structuring their standards for doing so. One of his take home messages here was that all parties involved with implementing mHealth projects, including the country government, ministry of Health, telecoms, NGO’s and medical professionals on the ground need to convene and join hands before implementing a project. One suggested way to accomplish this is creating “coordination groups” at the international and country levels that serve to bring the relevant players to the table.

Discussions about the mHealth Summit that took place early last month in Cape Town also surfaced. One presenter mentioned a case study in Bangladesh that highlighted the fruitful impact of government taking control of the telecom industry to implement mHealth initiatives at no cost to citizens. The presenter expressed that governments need to take more active roles in coordinating programs; it is an effective way to get programs rolled out.

Photo Credit: Hub

The meeting produced more than lectures and discussions. Two mHealth resources were presented that are designed to make the process of collaboration and coordinating easier. Frost from JSI discussed their mHealth center whose primary roles are to create mHealth initiatives and assist existing ones by improving communication and information sharing methods within them. The mHealth alliance introduced a new knowledge resource website called Health Unbound (Hub) that aims to bring different stakeholders together to share, collect and produce information on the intersection of technology and health. Hub is planned to be unveiled to the public in about a month.

The core discussion never strayed away from the importance of coordination amongst organizations involved with mHealth initiatives. Nearly everyone seemed to agree that coordination in vital, and all parties involved in the process of creating mHealth programs must be represented in the planning process.

So the next question to ask is, how do you manage to get everyone to the table given each country has a distinct political and economic climate? How do you mediate between governments that want power, telecoms that want money and NGO’s that have ambitious goals? The answer, I learned, is multifaceted. Nonetheless I will attempt to discuss them over the next few posts with the information provided at the meeting. And even better, the answers will continue to be discussed over the next round of mHealth Working Group meetings.

July 21, 2011/by actualize

Agriculture, Health, Health, Health Systems, Mobile, Originally posted on the GBI Portal

ICT’s in Health: A Crash Course

The world of ICT is expanding into the health sector, and their interactions are garnering more and more attention by the day. Therefore, we must be mindful of the beginnings and demarcations of ICT usage in health. After all, we can’t know where we are going unless we know where we came from.

Current ICT for health news in the developing world is dominated by initiatives using mobile telephony; the bread and butter of mHealth. This is not a total shock since over 85% of the world now has mobile coverage. Moreover, there are over 5 billion people on Earth with a mobile phone, and 3.5 billion of them are in developing countries. As a result, mHealth initiatives are booming in developing countries, especially in Africa and South Asia.

But what about other forms of ICTs that play a role in healthcare? What are they and how do they work? This crash course on the intersection between ICT and Health will explore the different avenues within that intersection and how to distinguish them from one another to prevent confusion.

Avenues of ICT and Health

Avenues are the different types of structured practices that implement ICTs in the health field. An avenue in the intersection of ICT and health will utilize old technologies, new technologies or a convergence of both in a structured and systematic way to achieve positive health outcomes. These are the different avenues:

eHealth: The term eHealth refers to the practice of using and being supported by electronics in healthcare. eHealth is the umbrella concept for many other avenues of ICT and health such as telemedicine and mHealth. The term is interchangeably used with health informatics by some experts. The term characterizes a way of thinking, an attitude, and a commitment for networked, global thinking, to improve health care locally, regionally, and worldwide by using information and communication technology. According to the World Health Organization (WHO), eHealth is the quintessential embodiment of the intersection of ICTs and health. Electronic health record systems, health information systems, mHealth and telemedicine all fall under the jurisdiction of eHealth.

Telemedicine: Technically, telemedicine has been around for decades, ever since doctors on one end of the phone have consulted patients on the other end of the phone. It pertains to providing remote clinical care through forms of telecommunication and information technologies. What distinguishes telemedicine from telehealth, since they are sometimes incorrectly used interchangeably, is that the former delivers clinical care while the latter offers clinical and non-clinical care such as health research and education. Telemedicine services include live patient consultation over phone or video, remote patient monitoring, medical and health information acquisition, and emergency telemedicine.

mHealth: Also called mobile health, mHealth is a form of eHealth that uses mobile devices such as mobile phones and PDA’s for health services. The Global Observatory for eHealth (GOe) defined mHealth as medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices, personal digital assistants (PDAs), and other wireless devices. mHealth capitalizes on mobile telecommunication services such as SMS, general packet radio service (GPRS), third and fourth generation mobile telecommunications (3G and 4G systems), global positioning system (GPS), and Bluetooth technology.

Health Informatics: This is the field that aims to analyze the information needs of consumers, implement ways to disperse information to consumers and health professionals, and integrate consumer preferences into medical information systems. The field uses devices, resources and methods to store, obtain, retrieve, and disseminate information for healthcare purposes. Health informatics mostly uses computers but also takes advantage of clinical guidelines, advanced medical devices, and ICT services.

July 19, 2011/by actualize

Agriculture, Health, Health, Health Systems, Mobile, Originally posted on the GBI Portal

MIT researchers link camera technology to healthcare

MIT researchers recently created a smartphone device designed to detect cataracts. Called Catra, the device uses “off -the-shelf components” as opposed to the highly expensive and highly space consuming technologies normally used to detect cataracts.

Using Catra device on smartphone. Photo Credit: EyeCatra

The research group is part of the MIT media lab that won the MIT Global Challenge competition back in May. Taking advantage of mobility through mobile phones and an inexpensive design, Catra was designed for use in the developing world.

The device, which attaches to the screen of a smartphone, costs about $2, whereas a slit lamp examination conventionally used to examine cataracts cost up to $5,000. And unlike conventional slit lamp examinations, Catra does not need a skilled human operator to administer the test and read the results, Catra does everything for the patient.

Catra utilizes a technique, which allows the user to respond to what they visually experience. It scans the lens of the eye section by section. The user then sees projected patterns and presses a few buttons to map the light attenuation in each section of the eye. This information is collected by the device creating an attenuation map of the entire lens. This allows individuals to monitor the progression of the severity of the cataract on their phones.

Catra vs. Slit Lamp technology. Photo Credit: MIT

This is not the MIT media lab’s first project to improve the health of the eye. They are working on a series of projects involving eye care. They developed and released Netra, an application and smartphone attachment for eye exams via mobile phone, last year.

Cataract is a condition where clouding builds up in the lens of the eye. It is the leading cause of avoidable blindness worldwide. Furthermore, ophthalmologists, doctors that specialize on the eye, are scarce in the developing world with one ophthalmologist per million people in some areas. When cataract leads to vision loss, it prevents people from being productive citizens in their community. It leads to high levels of illiteracy and poverty, and can impair a society’s economic and health sectors.

Using mHealth to tackle cataract is a crucial development. However, smartphones are not ubiquitous in the developing world. And it’s for a reason. Even though the Catra device may be cheap, the phones on which they operate are much more expensive. This needs to be considered when implementing Catra on a wide scale in the field. However, with the potential of this kind of technology, it is likely that MIT media lab will find a way.

July 14, 2011/by actualize

Agriculture, Health, Health Systems, Mobile, Originally posted on the GBI Portal

Recent report highlights challenges in mHealth

Africa’s first mHealth summit was held in June, in Cape Town, South Africa. As a result, the World Health Organization (WHO) produced a report entitled ‘mHealth: New horizons for health through mobile technologies’, which looked at the state of mHealth projects from 112 WHO member countries in 2009.

Photo Credit: mhealthsummit.org

According to the report, currently over 85% of the world’s population is now covered by a commercial wireless signal. Furthermore, 5 billion people own cell phones, and 3.5 billion of them are in middle to low income countries, setting the platform for increase in opportunity for mHealth growth.

The majority of member countries (83%) reported offering at least one type of mHealth service. However, many countries offered four to six programs. The report also cited the four most frequently reported mHealth initiatives as health call centers (59%), emergency toll-free telephone services (55%), managing emergencies and disasters (54%), and mobile telemedicine (49%).

Although mHealth success was lauded by officials, there was no shortage of criticisms and concerns for the future. “Although the level of mHealth activity is growing in countries, evaluation of those activities by Member States is very low (12%). Evaluation will need to be incorporated into the project management life-cycle to ensure better quality results.” said the report.

The lack of evidence prevents policymakers from supporting mHealth infrastructure and as a result funding often goes elsewhere. “In order to be considered among other priorities, mHealth programs require evaluation. This is the foundation from which mHealth (and eHealth) can be measured: solid evidence on which policy-makers, administrators, and other actors can base their decisions,” claimed the report.

mHealth report

Competing health priorities was claimed as the greatest barrier to mHealth adoption by WHO member countries. The report also points out that mHealth services are not yet integrated and are mostly small scale projects targeted for specific communities. Going forward, mHealth will need to “adopt globally accepted standards and interoperable technologies” in order to facilitate effective growth in scaling up mHealth initiatives.

The report says, “Moving towards a more strategic approach to planning, development, and evaluation of mHealth activities will greatly enhance the impact of mHealth. Increased guidance and information are needed to help align mHealth with broader health priorities in countries and integrate mHealth into overall efforts to strengthen health systems.”

In an era where mobile communication is paramount, the services of mHealth may prove to be vital in the development of many low income countries. The report did itself justice by celebrating the successes of mHealth, and then laying down the hurdles to be cleared for sustainable growth. The next mHealth summit is in December in Washington DC.

July 13, 2011/by actualize

Agriculture, Health, Health Systems, HIV/AIDS, Mobile, Originally posted on the GBI Portal

HIV/AIDS: A window of opportunity for South Sudan

Photo Credit: antiimperialism.com

As South Sudan prepares for independence, the celebrations will be tempered by the grim reality that awaits them. The nation is plagued by numerous health burdens due to decades of civil war resulting in a lack of trained health workers and poor infrastructure, and inadequate health and education systems. One such burden is HIV/AIDS. Dr. Wichgoah Piny, the state’s HIV/AIDS commissioner said that about 116,000 people are known to be infected by the virus in South Sudan, 46,000 of which are being treated at hospitals within the region. This number lies in the middle ground when looking at the rest of Africa. East Africa generally has a higher prevalence whereas West Africa exhibits a lower prevalence of the disease. Some estimates say up to 4.7 million in South Sudan are at risk of acquiring the disease.

But those numbers could grow exponentially in the coming years. The World Health Organization (WHO) has described HIV/AIDS prevalence in South Sudan as “a ticking time bomb” and a threat which needs a cooperative and collective effort to fight in the new nation. Dr. Olivia Lomoro, the GoSS Undersecretary in the Ministry of Health who spoke at a South Sudan AIDS conference warned, “HIV/AIDS is a real issue in Southern Sudan despite the efforts we have put to fight it. It remains a threat and a time bomb we are expecting.”

UNAIDS officials in South Sudan

Dr. Mohamed Abdi, the WHO Director in South Sudan said that, “AIDS is a big problem in South Sudan and we need to fight it together.” He said that in more than two years he had worked in the region, very few people were getting treatment.

The consequences of a surge in HIV/AIDS could be catastrophic. The health infrastructure is already poor as it stands. An HIV/AIDS epidemic would paralyze the health sector for years and impair growth in other sectors. This could result in a crisis that no new government would be prepared to handle.

So in a sense, this is a defining moment for the future of health in South Sudan. As the new government establishes itself and its policies, it has the opportunity to be forward looking in the development of its health infrastructure. If HIV/AIDS is afforded a chance to “blow up” as WHO fears, the country will immediately be sunk further into a health crisis.

This presents an opportunistic entry point for the implementation of ICTs into the health sector in South Sudan.

Opportunities

A survey completed in 2006 by WHO revealed that over 910 health facilities existed in South Sudan. At the time, a majority of those facilities were claimed to be in a “deplorable state”. However, Dr. Lomoro recently pledged that Lakes state now has a new hospital which is going to be used as a teaching hospital to help in delivering quality health. She also mentioned investments through the Chinese government will be used to build new health centers and rehabilitate old ones. Incorporating ICTs in the rehabilitation process will pay dividends for the health sector in the future.

South Sudan is being held captive by a number of health issues such as measles, yellow fever and tuberculosis to name a few. Furthermore, South Sudan has up to 80% illiteracy rates in some parts, which make communicating through ICTs invaluable. The most basic forms of ICTs like radio, television and mobile phones can build a communication bridge for the illiterate to keep them connected and informed.

Dr. Lomoro also pointed out that the first target for the Ministry of Health in the Government of South Sudan is the training of health personnel in all the ten states of South Sudan in order to deliver quality health services to the population in a professional standard. One way to go about this would be to include ICT training in that workforce development. Taking this route would build workforce capacity and bolster the development of ICTs in the country.

The population returning from Sudan proper and surrounding African countries are also coming back with health work force skills. So there is a hope that as people return, their skills will be used in improving service delivery.

Several factors exist that support the idea of integrating ICT into the health infrastructure of South Sudan

Present ICT Usage

The market for ICTs is ripe and growing in South Sudan. The initiatives that would make a big impact in fighting HIV/AIDS using ICTs utilize mobile phones and radios as the media for communication. These media platforms are the largest in South Sudan.

Photo Credit: biztechafrica.com

A 2007 survey entitled “Media Access and Use in Southern Sudan,” showed that radio was the main source of information for the population as a whole with 59% of respondents citing the radio as a source of information, the highest out of all forms of media. Additionally, HIV/AIDS awareness radio programs make up 17% of the most popular radio programs. This indicates that HIV/AIDS discussions already have a base in South Sudan media.

Mobile phones on the other hand don’t enjoy such high rates of usage as radio due to 30% coverage rates. However, the mobile phone network has expanded considerably since 2005 and is predicted to keep expanding in the near future. Also noteworthy is that only 14% of South Sudanese get their information from newspapers and 13% from television according to a report. It’s clear that radio and mobile phones are the most widely used avenues of communication in South Sudan.

Plans to expand broadband cables

As recently reported, South Sudan is on the shortlist to receive fiber optic broadband cables. Broadband services make it possible to interconnect affiliated healthcare facilities around the country so that they can utilize and share scarce human and technical equipment resources to deliver quality and affordable healthcare services. These cables can establish a foundation for ICTs not just in health, but for all sectors in South Sudan.

Past Successful HIV/AIDS Programs

South Sudan won’t be the guinea pig for using ICTs for HIV/AIDS either. There have been quite a few successful HIV/AIDS programs in the past that succeeded in similar environments:

Targeting Nomadic Populations – USAID and other external NGO’s worked together in Nepal in 2005 to introduce a radio program on HIV/AIDS awareness by integrating entertainment into its programming

Capitalizing on existing media penetration:

o Radio – Tanzania also introduced the Tunajali HIV/AIDS Care and Treatment Radio Program in 2010 with the help of PEPFAR.

o Mobile – Two mobile phone programs, Text to Change(TTC) and Freedom HIV/AIDS used mobile phones to reach thousands of people to educate them on HIV/AIDS

Photo Credit: freedom HIV/AIDS

South Sudan should approach some of the major NGO’s on the ground to help implement these initiatives that use ICTs. Organizations like USAID, WHO, UNICEF and the UN have spearheaded many initiatives like the ones described above in the developing world. They should at the very least try to do the same in South Sudan. They need to realize the opportunity at hand.

Possible ICT Policy

So the framework to set South Sudan off on the right foot is present just as they kick off their sovereignty. However, an HIV/AIDS epidemic is a threat. The markets for intervention exist, proven initiatives exist and they can be adopted using the aforementioned plans to establish new broadband cables. All of the stars have aligned. The tricky part is getting officials to the table and churning out an action plan. This will involve NGO officials talking with South Sudanese Government officials and making this opportunity a priority.

South Sudan has already seen its darkest days. They want to move now from being a hub for relief efforts to a hub for development. The health sector can benefit tremendously from using ICTs to prevent an HIV/AIDS disaster. Once HIV/AIDS is under control, the ICTs can be utilized strategically to tackle other health issues, as they are being done all over Africa and the developing world. If not, it may not be long before South Sudan encounters its darkest days once again.

July 8, 2011/by actualize

Agriculture, Health, Health Systems, Mobile, Originally posted on the GBI Portal

Drug traders paying pharmaceuticals for counterfeit drug detection?

U.S. based social enterprise Sproxil announced the start of its counterfeit drug detection program in India two weeks ago. This comes after the company announced it would receive a $1.8 million financial backing from Acumen Fund to expand its operations to India back in March 2011.

Sproxil is well known for its Mobile Product Authentication (MPA) architecture which fights the distribution of counterfeit drugs in developing nations. The MPA system takes advantage of the mobile phone market which is widely accessible in Africa. MPA uses scratch off cards that come with purchased drugs. These scratch off cards display a unique identifier which is texted to the pharmaceutical supplier to verify the authenticity of the drugs.

Photo Credit: Sproxil

When drugs depart the factory they are manufactured at, the scratch off card with the unique identifier accompanies every package manufactured ensuring authenticity from the source. When the drug is purchased, customers can scratch the card and text the identifier to a number provided by Sproxil from any cell phone and receive verification within seconds on the authenticity of the drugs. Sproxil says the texts are free of charge to the consumer.

Sproxil has affected the lives of many uninformed consumers before going into India. They established the first national mobile-based anti-counterfeit program in Africa and has already sold millions of anti-counterfeit labels which provide services to several global pharmaceutical companies, the company says. Drug suppliers in Africa that have lost potential revenue claimed to have covered for their losses and even experienced growth after using MPA.

Sproxil moves to a market in India that is suffering from counterfeit drug trade. “India has one of the largest pharmaceutical markets in the world, but is plagued by counterfeit (spurious) medicines made elsewhere that tarnish brand India,” said Ashifi Gogo, CEO of Sproxil. Gogo cites the recent success of a pilot program in Nigeria as the basis to expand to India. Sproxil’s Mobile Product Authentication technology has touched the lives of over 80,000 people, helping patients avoid getting ripped off by counterfeiters,” said Gogo.

Photo Crdit: SRxA

The world of counterfeit drug trade is a devastating one. According to the World Health Organization (WHO), up to 30% of drugs sold in developing nations are counterfeit with the counterfeit drug market estimated at $200 billion by the World Customs Organization (WCO). The number of deaths and drug resistance levels continue to rise due to consumption of fake drugs, which is creating a healthcare nightmare.

The MPA system is a cost effective and relatively simple way to track fake drugs for both consumers and (authentic)drug suppliers. To allay the costs of his service, Gogo thinks his system gets drug counterfeiters to pay for MPA services. “Consumers are not paying, government is not paying as well. Pharmaceuticals are paying Sproxil to recoup shares lost to counterfeiters. So in some sense, the counterfeiters are paying for this service.”

In any case, Sproxil seems poised to make a dent in India’s counterfeit drug trade, and it is much needed.