Mother Infant Pair Mobile Application

Malawi

Lyness Kanada

M & E Specialist

March 20, 2013

ICT4D Conference

Accra, Ghana

Mobile Services that Empower Vulnerable Communities

Acknowledgements:

CHIKWAWA DIOCESE

CHIKWAWA DIOCESE

IMPACT Background• USAID/PEPFAR-funded GDA serving 100,000

OVC and PLHIV, July 2010 - June 2014• Designed to complement WALA Program in 9

districts in central and southern regions• Collaboration with Government of Malawi

through MoGCSW, MoH, NAC & OPC/DNHA and US Peace Corps

• Improve wellbeing of OVC and increase access to treatment and care for PLHIV– SO1: Improved wellbeing of 60,000 OVC– SO2: Access to treatment and care for

40,000 PLHIV enhanced

IMPACT Background - IMPACT Consortium Members

• Opportunity International Bank of Malawi

• TNM

• D-Tree International• National Assoc of

People Living with HIV and AIDS in Malawi

• Dedza Catholic Health Commission (CHC)

• Lilongwe CHC• Zomba CHC

• Africare• Chikwawa Diocese• Emmanuel International• PCI• Save the Children• World Vision

WALA partners

Faith based

partners

Private sector

partners

Tech Asst

partners

MIP application• Mother Infant Pair protocol: guidelines on following up

infected women and their exposed infants during antenatal, post-partum and postnatal home visits until child is aged two

• Application guides HSAs through content on each home visit

• Application developed on CommCare platform, running on Nokia 2700c phones

• 21 HSAs trained -46 more to be trained by May 2013

MIP Application Design

Main Menu

RegistrationAntenatal Visit

MIP Application Design Cont’

Postnatal visit

Post-partum visit

Key Successes

• Application has helped HSAs understand CBMNC guidelines better

• Adherence to protocol has improved

• Clients have been more open to HSAs during follow-up visits as compared to before using the phone - application has improved relationship between HSAs and clients

• Continued counseling on drug adherence for both mother and child at each visit to avoid defaulting

• Referrals are being made during home visits

• Capacity built within CRS on mobile applications

Key Issues / Challenges

• Testing all sections of the application - time from pregnancy until child is two

• Using application on MIP households may compromise on confidentiality issues - CBMNC application

• Some MIPs don’t disclose their status to their spouses – becomes difficult for HSAs to conduct home visits

Lessons Learned

• Application can help improve PMTCT as exposed women are fully followed up and each visit done correctly as per protocol

• Need to add component to the application to be used on non MIPs as well

• Relevant DHO staff under MoH are oriented on the application - to take over when IMPACT finishes

• Application uses GPRS data transmission at $0.00003/Kb (compared to $0.03/Kb for a single SMS)

Conclusion

MIP Mobile ApplicationImproving quality of service offered to HIV infected

women and their exposed infants!!

Questions!

Mobile Services that Empower Vulnerable Communities