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Background di⋅ma⋅gi: [Hindi] adj. related to the mind, smart Founded in 2002 at Harvard and MIT Media Lab Successful track record of developing diverse &
innovative technology solutions for healthcare Core-Collaborate model: Core team of Dimagi experts
collaborates with >40 institutional and individual partners
Experience with US and Global healthcare delivery best practices spanning over 20 countries
Leadership in healthcare Open-Source development Highly qualified team with physicians, scientists,
public health experts, engineers and management consultants
2 CONFIDENTIAL
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Mission
3 CONFIDENTIAL
Dimagi's mission is to integrate innovative technology into global public and private services in order to
improve human health and wellbeing.
We seek collaborations and partners that emphasize local ownership and open access to the systems and
technologies that we support.
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Creating Impact Through Technology
CONFIDENTIAL
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A Community Health Worker in a Ugandan village using
Dimagi’s mobile health application to capture antenatal care data
Dimagi’s projects have been improving the quality of life and of health care around the world
Aware of the resource-poor areas in which it works, Dimagi also develops license-free solutions that it scales with large NGO partners in the local regions
Dimagi is the founding member of multiple open-source consortiums and the lead developers in many open-source projects
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COMMCARE PROGRAM GOALS
CHW: High-quality, community-based careCommCare provides modules that help CHWs perform their
jobs well, and leverages mobile technology to collect data efficiently and accurately
Clinic / Supervisor: Coordinated supervision and managementCommCare generates reports on CHW activities and can
provide alerts and reminders by SMS or email
MoH / HQ: Real-time, data-rich monitoring and evaluation and population health surveillanceCommCare captures a wealth of health surveillance
information that can be aggregated in real-time from a distributed network
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THE VALUE OF USING COMMCARECommunity Health
WorkerClinic /
SupervisorMinistry of Health /
HQ
Data collection Job Aid Checklists Reminders Case management Feedback
Supervisor reports Alerts, reminders and
follow-up triggers Activity reports and
ability to track individual cases
Basic error checking and health stats
Population management Epidemiologic
surveillance Interoperability with
HMIS
Capabilities
Benefits Quality improvement
Protocol adherence Decision support Work management
Supervision and performance management
Communication among health workers / care coordination
Workforce improvement
Data consistency Rapid turnaround
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CURRENT AND PLANNED COMMCARE DEPLOYMENTS
Used in 8 countries and 14 public health organizations
Over 90,000 forms
Lead Organization Country Implementing Organizations Topic Status
BRAC Tanzania UW Routine care Finished
CARE India D-tree Safe motherhood Launching
CIDRZ Zambia CIDRZ, Dimagi Safe motherhood Ongoing
CRS India Dimagi Safe motherhood Launching
CRS Malawi D-tree Many Launching
CRS Tanzania D-tree Orphans and Vulnerable children Finished
Grameen-Intel Bangaldesh Dimagi Safe motherhood Ongoing
IntraHealth India Dimagi Safe motherhood Launching
ITIDO Tanzania UW, Dimagi Routine care, safe motherhood Ongoing
JHPIEGO Tanzania D-tree Safe motherhood Launching
NEEDS India Dimagi Safe motherhood Ongoing
MVP Tanzania D-tree Safe motherhood Finished
PATH Tanzania D-tree TB Finished
Pathfinder Tanzania D-tree HIV support Ongoing
PACT/PIH USA Dimagi HIV Launching
PIH Mexico Self drug dosing Ongoing
UNICEF Tanzania D-tree Safe motherhood Launching
Univ. Michigan. South Africa Self MDR-TB Launching
World Vision Afghanistan Dimagi Safe motherhood Launching
World Vision Mozambique Dimagi Safe motherhood Launching
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SAMPLE HOUSEHOLD VISIT FORM BREAKDOWN Identify household
Basic household survey
Identify deceased persons
Identify pregnant patients
Identify HIV patients
Identify sick patients
Child health
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COMMCAREHQ: CENTRAL SERVER
All household visit forms sent to central server
HQ supports standard reports and custom reportsAvailable via
internet or can be automatically sent out
Possible to connect to existing HMIS systems
Data collection and aggregation
Health Surveillance Workforce
management and improvement
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CHW
CLINIC/SUPERVISOR
CLIENT
CommCareHQSUPERVISOR/DISTRICT/PROVINCE
PROGRAM MANAGERS
SMS- Alerts- Activity reports- Health stats - Coordination
GPRS- Form Submission- Work Management- Activity reports
Data Collection Supervisor Reports Feedback Quality Improvement
PROPOSED USE OF COMMCARE IN CHW PILOT
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PROPOSED IMPLEMENTATION PLAN
Define scope and create MOU with MOH and other stakeholders Create CommCare forms based on paper process and curriculums Plan Integration with existing HMIS and IT systems Identify MOH team lead for CommCare design period
Monitor and
Improve
Deploy
Iterate
Planning / Set-up
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2 “Design and Refine” with CHWs Improve usability Pre-pilot and field test
Run Study with CHWs during 3 to 6-month pilot Meet with select CHWs bi-weekly to gather feedback Provide weekly reports and feedback to all stakeholders Call under-performing CHWs to understand barriers
(Can’t charge phone, no coverage, etc).
Evaluate data for changes needed, deploy updated technology
Enroll next cohort of CHWs