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D-Tree International

D-Tree International. Who we are, what we do. D-Tree background. Vision - A world in which every person has access to high quality healthcare Mission – To develop and support electronic clinical protocols that that enable health workers worldwide to deliver high quality care

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D-Tree International

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  1. D-Tree International Who we are, what we do

  2. D-Tree background • Vision - A world in which every person has access to high quality healthcare • Mission – To develop and support electronic clinical protocols that that enable health workers worldwide to deliver high quality care • Founded in 2004: Currently have 5 staff in US, 14 in Tanzania, 1 in Malawi and 1 in India

  3. D-tree background… • Health workers in clinics and community health workers are the front line of the health system, yet face high turnover and often have little training • Challenges also exist in collecting and reporting data • We build mobile applications to reinforce the training provided and to assist our partners in monitoring and managing the work that is done in remote locations

  4. Our process

  5. Continuum of Care Neonatal Infant Care Child Dev. + Nutrition Adolescent Life Skills + Health Antenatal Labor + Delivery Post Natal Parenting Skills Family Planning • develop / refine defined quality standards • develop phone based delivery of standards to improve use • monitoring tools of standards use for supervision • patient data for quality improvement and links among providers • data links to HMIS/DHIS for supervisors + managers D-tree Activites

  6. Applications • Community • Maternal and Child Health (Ante-natal, Post-natal, Neo-natal) • TB screening • Home based care • Orphans and Vulnerable Children • Family Planning • Facility • IMCI • Maternal and Child Health (Ante-natal, Post-natal, Neo-natal) • Active Management of Third stage of labor • Immediate Newborn Assessment

  7. Representative Clients

  8. Software in the field

  9. Pathfinder • Developed mobile application to assist CHWs in the home visits for PLHA and Chronically ill patients • Guide management of patient schedule visits • Provide referral reminders for follow-ups all referred patients • Deployed and in use by over 140 CHWs in the field. Plan to have over 300 CHWs users end of Sep 2011

  10. Pathfinder…Focus group discussion

  11. JHPIEGO • Developed facility and community protocols for antenatal, neonatal and postnatal care in accordance with Tanzania MOH guidelines • Developed prototype applications ready for field refinement

  12. JHPIEGO… Counseling messages Check for danger signs Treatment based on lab results

  13. UNICEF • Developed protocols to support outpatient treatment of severe acute malnutrition in Zanzibar • Developed application to support screening, registration, treatment and prescribing to be done at the health facility • Field refinement and pilot to be completed by June 2011

  14. UNICEF…

  15. PATH • Designed and Refinement of mobile app for District TB/HIV Coordinators (DTHCs) in Tanzania • Designed and Refinement of mobile application for Community Volunteers to do TB screening in the community

  16. PATH - Summary of data submissions • Number of users (CHWs & DTHCs): 14 • Total forms processed by 25 Oct: 1284

  17. CARE-India • Developed protocols for Individual Birth Planning and ANC, Active Management of 3rd Stage of Labor, Immediate Newborn Assessment and Postpartum follow-up for mother and child • Establishing server for integration of all patient data in OpenMRS • Application development and field refinement ongoing and due for completion by January 2011

  18. Patient Screening at Care and Treatment Centers Goal: Improve the efficiency and quality of HIV patients screening and increase the client capacity in ICAP HIV Care and Treatment Centers (CTCs) Adapt Integrate and Evaluate Advocate

  19. What’s coming next • Linkage of community and facility based information and tools • Incorporation of media (pictures, videos, voice) into protocols • More in depth clinical protocols • Improved supervisory reporting • Reporting from OpenMRS

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