The Power of the InternetThe Reach of the Phone

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The Common Thread

Voxiva provides hosted solutions for public health, government and NGO customers

Voxiva’s system collects and disseminates information from a combination of the Internet, fixed and mobile devices

Designed for the developing world, Voxiva’s system is being used to:

• Monitor disease outbreaks

• Manage drug supplies

• Enhance public safety

• Measure and evaluate relief and development efforts

CellPhone

HostedApplication

TheInternet

Tele-PhonePayPhonePDA/Smartphone

AVERAGE CD4 COUNTS

0

200

400

600

Nov-04 Dec-04 J an-05 Feb-05 Mar-05 Apr-05

Baseline After 6 months on ARV

The Solution

Designed for the developing world, Voxiva’s system is being used to:

• Monitor disease outbreaks

• Manage drug supplies

• Enhance public safety

• Measure and evaluate relief and development efforts

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The Power of the Internet,…

The core system is hosted by Voxiva and accessed through a simple web browser from any PC with an Internet connection

AVERAGE CD4 COUNTS

0

200

400

600

Nov-04 Dec-04 J an-05 Feb-05 Mar-05 Apr-05

Baseline After 6 months on ARV

The heart of a Voxiva system is its dashboard displaying a summary of indicators and data collected from the field

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… the Reach of the Phone

Data can be input and retrieved using the phone (as well as the Internet)

Interactive Voice Response is used alongside a card containing codes to guide the process

SMS Messaging, PDA’s and Smart Phones with downloadable forms are used for structured data collection

Voxiva also supports individual or broadcast voice and text messages

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Solution and Key Capabilities

Key Features Description

ARV drug alert system

Provides regular information on shortage and stock-outs of critical ARV drugs. Central stock managers can receive urgent stock-related messages at any time, and send broadcast messages to sites at the periphery.

Patient Lab Results

Enables rapid access of patient-specific results of CD4 by caregivers in remote health facilities.

Critical Indicator Tracking

Regularly collect the government’s critical indicators for monitoring and management of HIV/AIDS clinical care and treatment programs.

Management Dashboard

A national “data dashboard” that integrates data across multiple sources (standalone applications, TRACnet, and paper reports) – to provide an integrated national view of the HIV/AIDS programs.

GIS MappingA web-based geographic information system (GIS) interface that displays health facilities offering HIV/AIDS services and ARV drug shortages and/or stock-outs.

Rwanda TRACnet is a dynamic information technology solution designed to collect, store, retrieve, disseminate and facilitate the analysis of critical program, drug, and

patient information related to HIV/AIDS.

Rwanda TRACnet Case Study

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Benefits for client

Practical•Leverages existing infrastructure (e.g., mobile networks, Internet, together with underlying paper record systems).

Real-Time, Actionable Information•Allows decision-makers to rapidly have access to time sensitive information (e.g. drug shortages/stock-outs).

Robust Platform•Provides a scalable, bi-directional communication network to all users, facilitating exchange not only along hierarchical lines but also between peers.

Management Visibility•Enables access to information about critical needs at the facility level (e.g., drug shortages and stock outs).

Program Measurement•Track Key Program Indicators to identify trends and view program impact over time.

Solution and Key CapabilitiesBenefits for Client

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Results

Coverage

Deployed in all 84 health facilities offering ART in Rwanda, accounting for 100% of all ART patients in Rwanda (18,000). Currently, the system has baseline patient data on 5000 individuals. Seven health facilities are using the system to retrieve lab results (CD4 Count).

Trained Personnel

Over 400 users have been trained and are using the system to submit monthly program indicator reports and weekly consumables (drug) reports.

Access

Most users (90%) access the system via the toll-free telephone interface, thereby minimizing infrastructure-linked constraints (unreliable power supply, poor or non-existent internet connection), as well the cost of accessing the internet.

User Adoption

Anecdotal evidence has shown that most health facility personnel own mobile phones, and that those who have a phone, and are accustomed to using text messaging features, demonstrate an ease of use after 15-30 minutes of training.

Solution and Key Capabilities Results

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Lessons Learned

Visibility and Transparency

TRACnet has introduced new information flows between health facilities and central levels, which has increased the level of accountability of various actors. Flexibility and Scalability

The flexible nature of the Voxiva platform (the ability to use an appropriate interface for available technology) creates a scalable solution. Some users can use the internet, and those who don't can use the phone. Thus, the system is well-suited to resource-constrained environments.Existing Infrastructure

The high penetration rates of cellular phone is eases the deployment of this technology. Users who own phones feel comfortable with the system after 10-15 minutes of use.

Solution and Key Capabilities Lessons Learned

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AccessAccess

Voxiva’s Modular Solution Components - Access

SMS Messaging

Interactive Voice Response (IVR)

PC/Web

Stand-alone PC Client

Paper

PDA/Smart Phone

Fax

Customers are given multiple options for accessing Voxiva’s systems

Information can be input and retrieved through:

• Forms accessed via the Internet

• Forms completed via an offline PC client

• Back and Forward SMS messaging

• Forms downloaded onto Smart phones/ PDA’s

• Interactive Voice Response

Reports can be configured online and:

• Sent to a fax

• Printed and mailed

• Downloaded onto a PC for further analysis

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Voxiva’s Modular Solution Components - Portal

PortalPortal

Data Manager

Dashboard Manager

Map Manager

Notification Manager

Collaboration Manager

Administration Manager

Content Publisher

Communication Manager

Customers access the system through a portal and the Internet

A simple Web browser is all that is needed to:

• Administer the system

• Add or delete portal information

• Send out notifications, communications and content

Information in the system can be viewed via:

• A dashboard

• Maps

• Detailed tables of data

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Voxiva’s Modular Solution Components - Applications

ApplicationsApplications

Survey ManagerSupply

Manager

Activity Manager

Staff Manager

Location Manager

Case Manager

Event Manager

Contract Manager

Voxiva’s applications define the content of the information system

Applications can work alone or in combination with each other and are used to track:

• Supplies (e.g. drugs)

• Cases (e.g. patients)

• Activities (e.g. relief projects)

• Events (e.g. disease outbreaks)

• Staff (e.g. field personnel)

• Locations (e.g. clinics)

• Contracts (e.g. budgets)

• Surveys

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Voxiva’s Modular Solution Components

AccessAccess

SMS Messaging

Interactive Voice Response (IVR)

PortalPortal ApplicationApplication

PC/Web

Stand-alone PC Client

Paper

Data Manager

Dashboard Manager

Map Manager

Notification Manager

Collaboration Manager

PDA/Smart Phone

Fax

Administration Manager

Survey Manager

Content Publisher

Supply Manager

Activity Manager

Staff Manager

Location Manager

Case Manager

Event Manager

Communication Manager

Contract Manager

Voxiva’s vertical solutions are based on a unique combination of components and content based templates

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Voxiva’s Reach

Voxiva has operations in Rwanda, Senegal, Peru, Argentina, India, Indonesia and the US. The company is expanding into new countries in Africa, Asia and Latin America.

Voxiva’s customers include:

Ministries of Health in Peru, Argentina, Rwanda, India

State and Local Health Departments in the US

Municipalities in Peru and Argentina

UN Agencies: WHO, WFP…

International NGOs: IRC, PATH…

US Centers for Disease Control

USAID

Gates Foundation

World Bank

The Power of the InternetThe Reach of the Phone