Post on 23-May-2020
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Digital Health for Rural Communties: Potential, Trends and Challenges, ITU, 17 September 2010
Dr. Garrett Mehl, Department of Reproductive Health and Research, World Health Organization, Geneva
1Monday, 4 October 2010
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Source: Cynthia Boschi Pinto, WHO
2Monday, 4 October 2010
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Source: Cynthia Boschi Pinto, WHO
3Monday, 4 October 2010
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<&5+(,C"K/.+$($/"^&#,XE"3JJM<<"K+&G+/#_`)N$,G&""""""""""""""""""""""""""""""""""""""5Monday, 4 October 2010
Maternal Health
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ChildhoodInfancy
Maternal health
BirthPregnancyBefore
PregnancyAdolescence
Postnatal (newborn)
Postnatal (mother)
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Family Planning Services
Prevention of Unsafe Abortion
Care During Pregnancy
Care of Mother and Newborn around Birth
Care for Postpartum Mother
Care During Infancy and Childhood
Care for Newborn
7Monday, 4 October 2010
ChildhoodInfancy
Maternal health
BirthPregnancyBefore
PregnancyAdolescence
Postnatal (newborn)
Postnatal (mother)
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Primary Facility
Tertiary Facility
Outreach Worker
Transport
8Monday, 4 October 2010
Data Collection
Disease Surveillance
Provider point of care support
Electronic medical records
Health provider tele-guidance
Emergency response
Remote monitoring & diagnostics
Client reminders
Patient tele-counseling/helpline
Treatment compliance
Prevention & Promotion
Conditional Cash Transfers
0 22.5 45 67.5 90
Sexual and Reproductive Health Child Health Other
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Morbidity, Mortality
Disease Incidence and Prevalence
Accessibility, Availability, Affordability
Efficacy, Effectiveness
Efficiency, Cost-effectiveness
Quality, Coverage, Performance
Sustainability, Scalability
Equity, Health Outcome
11Monday, 4 October 2010
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Client Outreach Worker
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Adaptation from: C.P. Hudson. Bulletin of the World Health Organization, 2001, 79 (1)
100%
50%
35%
30%
6%
4%
3%
1%
All women
With sexually transmitted disease/reproductive tract infection
Symptomatic
Seek treatment
Go to heath unit
Treated correctly
Compliant
Treatment effective
Partner treated
mHealth solutions
Reminders
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Incentive
Information
Screening
21Monday, 4 October 2010
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22Monday, 4 October 2010
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24Monday, 4 October 2010
H,22/1$!'*"!#$%&'J!2%'H-#.4.!2Package of services
• Registration with unique ID
• Comprehensive tracing system, esp. to address problems of loss-to-followup.
• Health reports on specific topics
• Rapid response time: immediate response with guidance on what to do
• Rapid diagnostic test reports -- e.g., malaria - based on test results, instant guidance to health worker on what to do, and tracking of malaria among population.
• Provider Action Reminder - child's CHW receives a text message requesting follow-up visit next day.
• Follow-up alerts -- reminders to CHWs, to patients
• Linkage to expert systems for diagnostic assistance
• Linkage to Electronic Medical Records Systems
• Two way data flow -- CHW to Health system and back.
25Monday, 4 October 2010
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26Monday, 4 October 2010
Thanks.
For More Information:
Dr. Garrett Mehl, Department of Reproductive Health and Research, World Health Organization, Geneva
mehlg@who.int
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27Monday, 4 October 2010