Digital  Health  on  the  GroundIntegrated  eDiagnostic Approach  -­ IeDA

ECTMIH,  Basel,  Switzerland  Guillaume  DeflauxTerre  des  hommesTuesday,  September  8,  2015

ECTMIH:   Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes3

Poor  Adherence  To  The  IMCI  Protocol

MoH

Lack of  IMCI  training

Lack of  evaluationequipement

Medicinestockouts

IMCI  not  integrated into

the  NHIS

Inadequate IMCI  tools

Lack of  motivation

8%  adherence  rate  to  IMCI  in  2012

Integrated  eDiagnosticApproach

LSHTMResearch

MoHImplementation

TdhCoordination

DimagiICTs

URCQuality  Improv.

Burkina  Faso

75%  adherence  rate  to  IMCI    + National  scale  up  strategy

ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes  4

500’000+  children400+  health  centers11  districts

Connected  mHealth Platform

ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes5

Automated  diagnostic treatment  &  prescription

Statistics  and  charts

Wireless  data  exchange  (2G)

Automated  data  exports  and  email  reports

Making  Data  Available  &  Actionable

ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes6

Leveraging  Data  To  Manage  Performance

ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes7

RECmLearningApplication

HealthWorker Performance

IMCI  Data Learning  Achievements

Preliminary  Findings

ECTMIH:  Digital  Health  on  the  Ground  -­ Guillaume  Deflaux  -­ 8  September  2015  -­ Terre  des  hommes9

30’000+ consultations  per  month200’000+ expected  for  2015

Nurses  are  annoyed when  their  REC  is  out  of  order.LSHTM  Realistic  Study

Setting  up  the  Helpdesk   is  difficult.Tdh ICT  Coordinator

Caretakers  want healthworkers  to  use  the  REC

LSHTM  Realistic  Study

47.2% of  children  are  correctlyevaluated  and  treatedLSHTM  Quantitative  Study

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