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Malnutrition

Malnutrition. Presenter names: Steve Ollis, D-tree International . Brief background on the project. Project supports health workers in provision of facility based treatment of children with severe acute malnutrition

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Malnutrition

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  1. Malnutrition Presenter names: Steve Ollis, D-tree International

  2. Brief background on the project • Project supports health workers in provision of facility based treatment of children with severe acute malnutrition • Decision support tool on phone guides health workers through screening, examining, treating, counseling and tracking children • Combines decision support tools with longitudinal patient record • Goal is to support health workers in adhering to national guidelines so that children receive high quality care and to reduce deaths due to poor treatment

  3. Where we are now • Currently being used in 2 clinics, adding 5 clinics this coming week in one district – will total ~20 users • Partners: UNICEF, MOH Nutrition Unit, Etisalat • Results: improved timeliness of reporting, reduction in critical errors, nurses appreciate how the application supports them and show higher cure rates than other sites • Financing model: Support from UNICEF and Etisalat (in-kind donation) • Integration with MOH: Scale up in in tandem with MOH and district health management team, producing required monthly reports and supporting integration with DHIS

  4. Where we’re headed • Hire additional staff to support field implementation • Identify next priority districts and sites within those • Scale up to additional districts • Develop infrastructure necessary to support scale up (messaging, databases, help desk, etc.) • Development of exception reporting and working with districts to improve their supervision capabilities • Sensitization of other development partners • HMIS integration

  5. How we’re going to get there • Re-engage Etisalat for technical and hardware support • Enlist Edesia for technical assistance • Pursue support from Tanzania Red Cross to engage their CHWs in identification and follow up of children • Pursue funding models involving restaurant donations • Follow up with Tanzania mHealth PPP and Zanzibar MOH to use existing or planned health SMS services • Evaluation – comparing before and after in terms of observation of care and comparison of data captured

  6. Challenges ahead • Capacity of Nutrition Unit to effectively manage • Ability of Districts to effectively use data to manage quality • Logistics tracking to ensure RUTF available • Need to invigorate community program to ensure quality follow up • Willingness of government to consider alternatives to paper data collection/reporting

  7. Advice for mHealth colleagues • Be bold and be sure to talk about the big vision to attract new partners • Reach out to other partners in the eHealth and mHealth space to see how existing projects can be leveraged for more efficient scale up • Allow ample time for field refinement

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