USAID’s KM and learning approach in action (CLA)

Global Health Knowledge Collaborative Meeting March 24, 2015

Progress towards KM and learning

USAID’s KM approach in action: collaborating, learning, and adapting (CLA) -- Lauren Hinthorne, USAID/PPL

CLA Community Cafe and Gallery Walk

USAID’s commitment to collaborating, learning, and adapting -- Piers Bocock, USAID/LEARN Chief of Party

Discussion outline

Progress towards KM and learning – GHKC and USAID

2010 2011

2012 2014

2015

Collaborating, Learning and Adapting for More Effective Development Programs

Presentation to the Global Health Knowledge Collaborative

24 March 2015

USAID Bureau for Policy, Planning & Learning

USAID Program Cycle

Collaborating, Learning & Adapting

Recalibrating our relationship with partners

Recalibrating our relationship with partners

ADAPT

What CLA looks like at Missions

Questions Lauren Leigh Hinthorne lhinthorne@usaid.gov Strategic Learning Team, PPL/LER learning@usaid.gov Learning Lab CLA Video - http://usaidlearninglab.org/library/collaborating-learning-and-adapting-more-effective-development-programs

Instructions

• Each table will discuss a different topic for 10 minutes

• Participants will rotate to a new table for a second round of discussion

• We will have 3 rounds

• Table “coaches” will help facilitate and capture the discussion and remain at the table

• Online participants – Tara Sullivan will be your coach and facilitate a discussion on each question for 10 minutes

• Draw on the tables and have fun!

CLA Community Cafe

Discussion Questions

• What resonated with you about CLA?

• What pitfalls/dangers do you anticipate?

• What do you need as an implementing partner to achieve CLA?

• What examples of collaborating, learning and adapting have you seen?

CLA Community Cafe

Instructions

• Take a few minutes to walk around and review the flip chart papers from the table discussions

• As you review, place your 5 dots next to the ideas that resonate with you most

• Online participants – Review the captured notes slides and comment via the chat box the 5 ideas that resonate the most with you

Gallery Walk

Discussion

USAID’s commitment to collaborating, learning, and adapting Piers Bocock, USAID/LEARN Chief of Party

Global Health Knowledge Collaborative Meeting March 24, 2015

USAID’s KM approach in action: collaborating, learning, and adapting (CLA)

Collaborating, Learning & Adapting

USAID’s commitment to collaborating, learning, and adapting

• USAID/LEARN is an internal mechanism through USAID/PPL designed to build mission capacity for collaborating, learning, and adapting throughout the USAID program cycle, to improve the effectiveness of its programs.

• USAID/LEARN is a member of the Program Cycle Network, a group of 6 USAID/PPL mechanisms working to strengthen the program cycle

Results Framework/ Theory of Change

What does USAID/LEARN do?

Develop, adapt, and

compile resources

Build adaptive

management capacity

Develop, manage, and curate knowledge-sharing

platforms

Monitor and

evaluate

Thought leadership

Products

• CLA Maturity Matrix • CLA Assessment Tool • CLA Toolkit • CLA Online Training • Learning Lab • Learning Matters Newsletter • Learning in Action Blog • KDID Platform • Thought Leaders and Learning

Services

• Mission-focused CLA Analyses • CLA Plans/Capacity Development • CLA Clinics • Learning Event Support • Knowledge Sharing & Curation • KM Strategy/Services • KDID platform capacity development

LEARN provides support to:

Voices from the field

Key Informant Interviews

Internal wiki

Learning agendas

M&E to learn and

adapt

Conduct AARs

How USAID/LEARN is “walking the talk”

Build in time for

reflection

Foster a collaborative team culture

Next Steps for Collaboration

SID KM Working Group

CLA Working Group for Implementing Partners on Learning Lab

Learning Lab Blog

Questions

Piers Bocock, Chief of Party pbocock@dexisonline.com

Sarah Schmidt, Deputy Chief of Party sschmidt@dexisonline.com

mHero scores: How a new mobile technology platform supports health workers Amanda Puckett HRH and KM Technical Advisor, IntraHealth International March 24, 2015

Presentation Overview

I. Description of mHero

II. Use cases

III. Benefits

IV. RapidPro and iHRIS Interoperability

V. Liberia pilot

VI. Next steps for mHero

What is mHero?

• mHero is a mobile phone platform that uses SMS and IVR to connect health workers ministries of health and communities

• Allows real-time and two-way communication of on-the-ground needs

• Supports many use cases that can respond to health

workers’ needs

• Allows flexible workflows for Ministries to tailor communications, extending their capacity to develop communications and coordination mechanisms to strengthen health systems

Use Cases for mHero

• Validation of health worker information

• Health facility validation • Interactive learning • Training, treatment, guidelines,

and digital job aids

• Laboratory results

• Rapid SMS surveys

Use Cases (continued)

Notification of: • Hazard pay • Human remains • Stockouts of drugs,

commodities, and personal protective equipment

• Referrals

1. Determine workflow for

use case

2. Develop and test use

case (RapidPro)

3. Determine which health

workers to contact (iHRIS)

4. Send message to a set of health

workers

5. Receive health workers’

response via SMS

6. After mHero completes workflow,

document responses

7. Monitor responses and

act accordingly

8. Implement use case with another set of health workers

or close workflow

Illustrative mHero Use Case: Implementation Steps

It’s a slam dunk! mHero Benefits

• Capitalizes on mobile phone proliferation in West Africa

• Easy-to-use platform for administrators

• Contributes to system strengthening beyond the Ebola response, including essential health services such as maternal and child health or malaria

• Makes health workers feel involved, important, and motivated through interactive features

• Support from global consortium of partners

Making it to the Net: Supporting the interoperability of iHRIS and RapidPro

mHero Architecture

+ =

• Builds on existing technologies―iHRIS and RapidPro―to support two-way communication between frontline health workers and ministries of health

• Operates as part of the OpenHIE architecture―a global, open source collaboration initiative to strengthen national health information exchanges

Workflow Development in RapidPro

• Easy-to-use open source platform

• Dynamic and customizable

• Easy to test/adjust

• Easy-to-understand visual workspace and message flow

• SMS responses available in real time

mHero and iHRIS – Initiation

Tip Off: Pilot Experience in Liberia

Initiating mHero in Liberia

• 2012: USAID bilateral program introduces iHRIS

• May 2014: DHIS2 & iHRIS Interoperability Academy

• Sept. 2014: IntraHealth reaches out to Ministry of Health and stakeholders

• Sept. 2014: Immediate scale-up of iHRIS data

entry

• Sept 2014: Negotiation of contracts with local mobile network operators

• Oct. 2014: Formally initiate stakeholder engagement and team-building at all levels of government

• Nov. 2014: mHero Leadership Teams formed

Creating the mHero Liberia Team

• mHero team of 7 MOH staff: − Human resources, personnel, and health

management information systems units − County health services

• Three sub-working groups guiding implementation:

− Planning − Monitoring and evaluation − Communications and coordination

• By December, each sub-working group had developed its own standard operating procedures and governance processes, and was meeting daily.

• Worked with IntraHealth and UNICEF to adapt technology

• Determined use case priorities for Ebola response

• Developed workflow for deployment

• Received permission to conduct pilot test in 4 priority counties

• Presented pilot results to senior ministry leadership (December 2014)

• Continuing to raise awareness of mHero at multiple levels of government

Development and Pilot Testing

• Validation of health worker personnel records

• Facility status

assessment • Awareness-raising

messages for central-level government staff

Initial Use Case Priorities

• Enrollment of nonprofessional health workers into Health Worker

Registry • Communication to encourage health workers to return to work • Biometric enrollment information for all staff • Payroll enrollment information for new staff • Messaging to inform health workers of hazard pay status • Identification of training needs • Supervision support • Messages and quizzes to reinforce recent training and prevention

and control measures

Addition Use Case Priorities

Who responded to the initial validation exercise? • Of 482 messages sent, 60% of health workers were reached • Of those, 57% (n=165) responded to first message • Of those, 72% (n=119) completed all 15 questions • Respondent profile:

− 92% health workers − 5% administrative staff − 3% support staff

What did respondents say? • 95% confirmed correct name • 90% reported submitting bank account information • 97% reported daily attendance at their health facility

Ministry of Health Staff Validation

• Ministry of Health: Created workflows, successfully operated system, sustained commitment beyond the mHero pilot

• Health workers: Expressed interest in sharing their information and interacted with the platform

• Global partners: Used the Liberia experience to improve the mHero technologies

• Tools: Planning, implementation, and monitoring tools developed for the pilot will allow for strong, efficient, and effective mHero implementation in other countries

mHero Liberia: A Success Story

Next Steps

• Implementation: Continue mHero implementation in Liberia, Guinea and Sierra Leone through the USAID Grand Challenge and other donor support

• mHero platform: Improve platform in collaboration with UNICEF and other stakeholders

• Communication: Improve mHero website and create Whiteboard video

• Systems strengthening: Scale mHero in non-Ebola countries to improve health system

mHero Partners