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ICTs for Social & Behavioural Change in Health
Syed S. Kazi Programme Head, Policy & Governance
Digital Empowerment Foundation, New Delhi
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October 26th, 2013 Glocal University
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ICTs for Masses
TOOLS PCs Tablet Laptop Ipad Mobile Community
Radio
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PLATFORMS
Internet
Social Media
Software
ICTs Access for Masses
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Challenges in Health Governance & Delivery
• Information & Content dissemination
• Monitoring & Tracking
• Inter personal communication
• Training of frontline workers
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ICTs & Information Dissemination
• Remote dissemination
• Mass dissemination
• Information portability, text messaging and data downloading
• Timely and accurate information
• Flexibility of communication
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Monitoring & Tracking
• Capacity of ICT (mobile) platforms to monitor and track development schemes / programmes
• Managing the life cycle of a project through data capturing and activity monitoring
• Track doctor attendance, presence of project staff, maintaining time table, sending progress updates
• Text & image compatibility
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Training of Front Line Workers & Interpersonal Communication
• Mobile and other devises experimented to serve training needs in front end service delivery
• Relevance in flagship programmes like National Rural Health Mission (NRHM)
• Equipping each worker with a mobile phone / tablet / ipad and adequate training serves vast unmet needs of health information dissemination, tracking of progress of health schemes, and solves key health issues on the spot through interpersonal communication support services.
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ICTs @ Health Services
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Access to relevant information Documents Printing / Photo Printing/ Scanning Filling an online RTI application Online Learning and Practice Centre Digital Public Library
MHSM SMS Toolkit, Uttar Pradesh The project Maternal Health Services on Mobile (SMS Toolkit) – MHSM, aims at providing critical Reproductive and Child Health (RCH) related information services to the pregnant and lactating women apart from their families and health workers through mobile phones, using localized SMSs in Hindi. The project is implemented in the Ghatampur block of Uttar Pradesh Kanpur Dehat (Rural) District of Uttar Pradesh.
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Mobile Kunji, Bihar The basic problem faced by the health workers across the State of Bihar is lack of proper tools through which they could convince the rural families on preventive and curative health behaviours. The project since 2010 provides frontline health workers with innovative job aid called ‘Mobile Kunji’ to function better in health care services delivery. With the aid of Mobile Kunji, workers with adequate training use mobile tools to effectively disperse health messages and increases the demand of health services.
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Chanderi Tele-Health Project DEF & Media Lab Asia has implemented telemedicine facility at Community Health Centre (CHC), Chanderi and Distt. Hospital, Ashok Nagar (MP) under the CIIDP project dated July 01, 2013. The services of Telemedicine Operators placed under the close supervision of Chief Medical Officer CHC, Chanderi and Civil Surgeon Cum Chief Hospital Superintendent, Distt Hospital Ashoknagar.
Healthcare services under the telemedicine facility includes Data collection (EMR) of rural patients using ‘Tele Health Monitor’, Data transfer/Teleconsultation with speciality doctors and Participation in the ‘Health Campus’ as and when organized by the local authorities.
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CommCare Jharkhand CommCare is a job aid tool. This application contains mobile illustrations and audio messages covering need-to-know topics in antenatal care which an ASHA/ Sahiya can use to educated pregnant women in her village, regardless of their level of literacy through mobiles. CommCare leverages multimedia capabilities of common phones to deliver educational information to anyone, regardless of their level of literacy.
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HealthPhone, Maharashtra The project was launched to provide families with their own personal mobile reference library and guide to better health practices. HealthPhone's health and nutrition content includes timing births, safe motherhood and new-born health, breastfeeding, immunization, diarrhoea, and more serious illnesses. The content is pre-loaded on popular low-cost models of mobile phones – no signal is required, nor cost and knowledge to download videos and other media.
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mDiabetes, All India mDiabetes was launched across India in January 2012. The objective of this initiative was to disseminate vital information about Type 2 Diabetes and what life style changes one should make to prevent diabetes through mobile alerts in 12 languages. Mobile phone users are sent these carefully designed alerts which would be useful reminders for adults about healthy living as a way to prevent diabetes.
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E-Mamta – Mother & Child Tracking System (MCTS), Gujarat The project ‘E-Mamta’- Mother & Child Tracking System (MCTS) is uniquely designed and executed in government health facility across Gujarat to accommodate for gaps in ensuring comprehensive maternal and child health services in rural as well urban areas. Since 2010, the application is being implemented in all 26 districts of Gujarat. Value added features under E-Mamta included SMS service, Online Immunization record, weight chart for pregnant woman.
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Pharma Secure -Verify My Medicine service
Established in 2010, empowers consumers with the ability to verify the authenticity of their prescription medicines using an everyday mobile device, enabled through various channels like SMS,the connection to a Call Centre and the internet.This means that any patient can authenticate a lifesaving medicine through a SMS or via a call which minimizes the risk of patients to consume counterfeit, spurious, falsely labeled or even fake medicines every day all over India. About 300 million packages have already been secured by the Pharma Secure system in over 20 states of the country within the past 3 years.
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Health Help Center – ICT Healthcare Helpline and EMS
Health Help Center (HHC) is an Information Communication Technology (ICT) enabled health care service established in 2011 which delivers services round the clock (24/7) and presents an initiative under the Department of Medical Services, Ministry of Health in Bhutan. The services delivered include Emergency Response Services and Healthcare Helpline Services.The services are delivered through the toll free number 112 which is accessible from mobile phones, fixed land lines and PCOs.
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Tripura Vision Centre Project • Conceived by the Department of Health and Family Welfare,
Government of Tripura, the Tripura Vision Centre project is a breakthrough in delivering eye-care services to the previously un-reached rural citizens of the state. Through a decentralized approach, the project aims at improving access to quality, primary and preventive eye care for patients through tele-ophthalmology.
• A total of 40 Vision Centres have been be deployed in three phases to render the service across Tripura. In Phase I, the pilot Vision Centre was set up in Melaghar block in April 2007 where more than 4,800 patients have been screened till date. Based on the progress made at Melaghar, the project network was expanded to 10 blocks in West Tripura district. The second phase also comprised of digitalization of patient medical records in the Vision Centres and setting up of an independent wireless network with a bandwidth of 256 Kbps. The third phase is still continuing and deployment is happening in another 29 locations.
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Mother and Child Tracking System (MCTS), Ministry of H&FW, India
A name, address and telephone based Mother and Child Tracking System (MCTS) is a new initiative of the Ministry of Health and Family Welfare since 2010, and is seen as an effective example of leveraging Information Technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age. The system employs mobile-based SMS technology to communicate with grass roots level health care services providers, health and family welfare policy makers, health managers and health administrators at different tiers of the health care delivery system.
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ICTs @ Health SBC Impact
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Decision making
Timely remedy & changes
Entitlement gains
Stable community
Governance &
democracy
Economic / Social Capital
Gains
Informed & Aware
ICTs @ Health SBC Model
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Social
Inclusive Business
ICTs @ Health SBC: The Emerging Scope
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• + 80 million
• 70%
• + 5 million
• + 3 milion
Health workers
PHCs & others
Mobiles Rural India
ICTs for Health SBC: Few Perspectives
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Development Perspective
Research Perspective
Government Perspective
Industry Perspective
ICTs for Health SBC: Scope for E&H & GLOCAL UNIV.
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Interventions & Partnerships
Research
Advocacy
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ICTs as effective tools for Health SBC: Hurdles
Lack of ICT culture • Digital Exclusion: whether social /
commercial motive • Digital illiteracy
• ICTs like mobile not a utility devise • Local language content gap
• Interoperability crisis • More of text, less of audio-visual
content • Process complexity than simplicity
• Shorter project duration • Lack of community ownership
precedence and model • Cost overriding factor
What needs to be looked into?
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Policy environment (networks, devises,
services, innovations)
Improving access (geography, population segments)
Content & Services Social capital
Economic capacities
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ICTs as tools for Health SBC: Key
considerations
What behavioural
change required
Need to benefit from the process
and not just technology
Good governance to help make wise choice
Need to create 'WE' from 'I'
Conducive social environment key
to individual behavioural
change
ICTs as tools for Health SBC: Key Considerations
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