Mobile Health Call Center Advertising Project

[karolyn]

Hey all, 

You may also view my project at the google docs site dedicate to MobiMocc project adverts (huh)

https://docs.google.com/document/d/11WfMB_y77p9nvyXHyudWcwGRAH0oxPBCXg5VPjJAeS8/edit 

Look forward to your precious reviews and comments 

Carol

[Ignatia/Inge de Waard]

hi Carol your google doc is not publicly shared. I have requested access.
Inge

Carol

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[Sylvia Moessinger]

Hallo Karolyn,

ditto - I request access as well. I forgot to share my document with all those who has the link. It is a little bit tricky as I imagined when I provide the link that would do the trick, but you have to tick an additional box to let others access the document. Looking forward to read your health project.

Sylvia

[karolyn]

great trick taken!

[karolyn]

I am wondering if people are accessing my project on google- its accessible to all those with links or i need to check public too? Info any problems and I am grateful for those who have-  You may also just type this link:

http://carolynmotivation.blogspot.com/search?updated-min=2012-01-01T00:00:00-08:00&updated-max=2013-01-01T00:00:00-08:00&max-results=2 

[Sylvia Moessinger]

Hallo Karolyn,

you do not need to check public only from private to all people with that link can view. It sounds like you found it, it's hidden and you have to click on private first and then in the next window you see the three options. As I tried your initial link and it seems to work now, without requesting an invitation.

Your link to your blog also works :-)

Sylvia

[Sylvia Moessinger]

Hallo Karolyn,

your project is great and I am sure you will have success and it will support health care workers doing their work and patients will profit from it. Great. Do I understand that right that only health care worker can contact this help line? I am not sure about the title, but I might translate it wrong from English into German and miss therefore the meaning. 'Mobile Health Care Center Advertising' do you mean with advertising that you want to advise/counsel the health care worker, because that's what I thought is the project about. The health care worker can call you via the toll free line in case they need support with their work. Well, besides my little misinterpretation of the working title I can just compliment you on the project and wish you good luck that all the imagined problems do not occur.

Regards Sylvia

On Friday, September 21, 2012 8:06:28 PM UTC+2, karolyn wrote:

[Ignatia/Inge de Waard]

Hi Karolyn,

Thank you for sharing you project, is surely has potential to benefit the health of people across Uganda and even beyond. The idea of setting up a continued medical education (CME) system is essential for quickly evolving health issues like HIV/AIDS and its related infectious diseases. If you are already using a mobile connection to get health care workers (HCW) involved in getting the latest updates in this medical area, you might want to consider embedding it in a mobile driven continued medical education. Based upon text/sms messages, as you mention, you could set up a CME that also generates  credentials for those HCW that follow the CME. Like that you can build up a training expertise that allows HCW to strengthen their professional status as well. This might add to word-of-mouth of the project, which can result in a solution in case the media are not jumping in as much as you like.

For instance, you could set up updates on the latest research, and send these to the mobile phones as information to add to the knowledge de HCW have. And then –after let’s say 3 or 6 months – you could send out a mobile assessment to those HCW enrolled in the CME. Those who pass that assessment get a certificate, with let’s say 4 certificates, they get a credential of IDI to say they are strong HCW in the area of HIV/AIDS related health. Both information and assessment can be delivered via sms or via wap-enabled or intermediate mobile internet phones. You could also add the information that the HCW gather from their friends to a patient medical record through sms, like frontline medic offers (check out Michael Sean Gallaghers information in the mobiles for development section). At my institute we are also working with frontline medic, it is easy to set up and runs smoothly.

Good luck!

Inge

[Carolyn Nandozi]

Thank you Inge, for your response, Iam a bit behind now with internet- but yet to fix.
I have forwarded your interesting comments to my fellows for more exploration. We may consult you then furthermore on what you are doing at your institute.

otherwise thanks for the goodwork- as I keep my fingers crossed!

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[Carolyn Nandozi]

Hello Sylvia,
I apologise to be late- soon fixing my internet. The MHCC actually supports the health care worker and the community at large. You find that IDI is the major HIV/AIDs referal centre in the country and cannot deal with the larger communities directly. Our major focus is to help the HCW on treatment among other challenges they have with the patient community. Sometimes the patient is HIV positive with malaria, and TB and they are not sure how to administer the drug or a drug has failed (they call and we connect them to experts). Sometimes they get a patient who needs counselling beyond the HWC counselling knowldge skills- our counsellers will come in  to help and advise accordingly or even get connected straight to the patient.  The HWC themselves being frustrated in a field of health which has so many confrontations including trumors and tears from seeing patients also need some counselling and push to move on which comes now to your more needed understanding. Yes we also counsel the HCW.
You may find the country ratio of HCW to a patient is 1: 50/100 or less easier to reach a bigger base as our middle men than us being having the direct contact at 1:1500000 patient whereby we would not reach every one.

I hope this answers some of the questions. Thank you so much for your interest!
cheers

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[Sylvia Moessinger]

Hallo Carol,

yes you answersed a lot of questions, thanks for taking the time. I really hope that your project works out, reading this numbers and imagine all the fates behind makes me sad. This people really need all the help they can get.

Sylvia

[Ignatia/Inge de Waard]

Hi Carolyn,
Feel free to connect my institute if your team agrees. I can put you in contact with Lut Lynen who is the head of clinical department. They work on hiv/aids related topics.
Best wishes,
Inge

Op 25 sep. 2012 13:19 schreef "Carolyn Nandozi" <nsca...@gmail.com> het volgende:

[Carolyn Nandozi]

That would be great Inge, kindly connect us and we begin exploring new ways immediately. I have just one year of Fellowship at this great Institute as a GHC and I want to make the most of it...

[etorresrussell]

Hi Karolyn

Enjoyed your project and the essential need to get the Health Workers accessing the call centre.

A couple of thoughts:

You focus on the HW as the key performance indicator...meaning increase the number of HW accessing the call centre being the key (I could have misinterpreted)

I see another key indicator...by the HW accessing the call centre...how does that benefit the community/patient?  I have a personal belief that it is very important to link in your case the HW to the patient.  So, making the HW understand that by them accessing the call centre they improve the care of the patient through a, b and c.

The other thought was when you mentioned at times the HW although they have done the training they are still in need of support at the frontline when caring for a patient.  Check David Metcalfe's presentation, he showcased an example of a pack of cards that US army use on the field in an mLearning environment.These provide prompts, guide them on how to do xyz.  But what was really cool these cards were also connected on AR so the step by step procedure became 3D (this may be an issue with connectivity, but the cards could be worthwhile.

We have something in some areas in our health department where the HW or clinicians may have a card clipped to their ID,or lanyard with step by step instructions on certain health processes or procedures.

Regards

ET (Elizabeth)

[Carolyn Nandozi]

hey Elizabeth,

Great insights and thanks for checking out the project.

Right on  to link HW to patient but its a challenge to have call centre in every clinic for this perspective- though it would be great. They are stills ways to explore this.

Patients benefit, in terms of treatment, counselling . Sometimes people have similar problems- For the first time the HW may not know the solution, and calls the centre for guidelines on how perhaps to offer a dose for a combination of TB and malaria. Next time the HW wont call again in a similar circumstance recalling from memory. 

Sometimes HIV treatment involves switching to Line 2 medicine which is difficult and meetings are held for this before deciding to switch. When the HW communicates any drug resistance the history of the patient will be revised, among others.

Therefore, the patient will be able to benefit from proper drug administration with such wide consultations than other patient who have HW  without such benefits and take drastic decisions which might be catastrophic to the patient yet would have been prevented for example Line 1 medicine may not be working due to poor nutrition and the patient is switched to Line 2 yet this would have been thoroughly revised well.

Oh and we do keep records of each case in the database, there are upcoming new cases which would be very interesting for the world of science not yet explored.

And thanks for the video would be sure to explore it- I would like to see how we use those tags in this environment...

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[Angie Popova]

Hello Karolyn

I like your project because it is simple and straighforward, while in the same time addressing crucial needs. 

I understand that in complex or stressful situations health worker, and specially newbies, will hugely profit from the possibility to immediately call and get advice. But imagine how more stressful it could get if the health worker is at a place with no reception or flat battery. Cards such as those that David Metcalfe has mentioned in his presentation seem like a great tool to quickly check and refresh one's knowledge. I was thinking that the emotional aspect of working with patients could probably be addressed during the training of the health workers. If possible, include short video clips or even just audio recordings of fellow health workers on the field sharing their experiences or talking about specific situations they have encountered, or simply talking about how they deal with the emotional aspect of their work, might also be of help for trainees to get "immersed" in the realities of their job prior to actually be on the field. 

Good luck!

[Carolyn Nandozi]

Thank you Angie, will sure work on the video, it would be a good M&E for the project.

And its a good expalantion for some people here as you put it, the call centre would be good for the amatuer doctors/ HW in the field or student doctors on their internship.

About the battery, we are trying to come into partnership with a solar company to overcome the power shortage- which is also experienced, yes sometimes they run out of battery.

 regards,

[etorresrussell]

Hi Carolyn,

Look up Inveneo and Wayan Vota, met him earlier this year, doing amazing things in places like Rwanda. Re: ICT connectivity.

Keep in touch.

ET

Sent from my iPad