One billion people will never receive care from a trained health professional. In areas with high poverty rates in Africa and Asia, the nearest doctor or nurse can be hours, or even days, away. Too often, the health facilities that are reachable are unaffordable, understaffed, and under-resourced. Gaps in health systems are bridged by approximately 1.3 million community health workers (CHWs) worldwide, who provide basic health care to local residents and link them to the healthcare system. Unfortunately, most of these CHWs are disconnected from the formal health system and largely unsupported after a few days of pre-service training. Despite the rapid development of technology and communication infrastructure in these same parts of the world, including nearly-ubiquitous cell phone coverage, available technology is not fully utilized for CHWs and health systems. As a result, systems sacrifice costly time and efficiency, and many people lack access to quality care. Medic Mobile envisions a world where community health workers are supported as they provide care for their neighbors. Medic Mobile believes that quality care can be provided through integrated, community-based health systems, and teams of health workers can deliver decentralized, coordinated services. CHWs use their technology tools to support safe pregnancies, to ensure complete vaccinations for children, and to coordinate with their management and clinical care teams.
The Standard toolkit is one of Medic Mobile’s tools designed to reach the hardest populations, in the most remote and disconnected areas, at no cost to the organization. Medic Mobile subsidizes the cost of Standard package, in order to reach their scale and equity goals. They believe in the promise of universal health care, and in the promise that technology is a key to achieving that vision.
Medic Mobile’s Standard package is designed to use mHealth to improve antenatal care, postnatal care, and immunizations coordination in last-mile settings. It brings together their extensive experience in designing and implementing care coordination workflows, with partners all over the world, into a low-cost, open-source and hosted platform. The Standard package contains tools, resources, and support designed for community-based care and can be implemented by even the smallest organizations and clinics in challenging settings as an out-of-the-box solution. They have taken their learnings from implementing mobile health projects with more than 60 partners in Asia and Africa, incorporated the latest version of Medic Mobile’s application, and added support and resources for successful implementations. The application supports people-centered workflows with case management and care coordination for patients over time. It works well with occasional connectivity, contains powerful analytics, can be supported with basic or smartphones, and can be used in multiple languages, including English, Hindi, Swahili, French, and Bahasa Indonesia. Currently, the Standard package includes: Cloud-hosted and pre-configured version of the Medic Mobile application. Simple-to-use SMS or Android forms to send data from basic phones and smartphones to the Medic Mobile application Medic Mobile’s SMS messaging gateway application to sync data submitted via SMS to the Medic Mobile application (if applicable) Step-by-step implementation and training guides available in English and [local language] as required Reference cards for end users in English and [local language] as required Program monitoring guidelines and dashboard Free monthly impact and activity reports Speedy, remote support from the Medic Mobile team Invitation to an online community of practitioners to ask questions, share learnings, and form connections.
With this tool, community health workers (CHWs) can send SMS from basic phones or smartphones to:
- Register people in their communities and create profiles for longitudinal care
- Register every pregnancy in their communities, with or without Last Menstrual Period (LMP)
- Receive automated reminders about antenatal care visits and report deliveries
- Register postpartum women for postnatal care and receive reminders about postnatal care visits
- Register children under two for immunizations, receive immunization visit reminders, and report on vaccines and doses received
- Report danger signs to clinical teams
- Coordinate with clinics to ensure delivery in facilities with skilled birth attendants
Facility-based staff, including CHW Supervisors, Nurses and Nurse Managers, can access and use the Medic Mobile application on a computer, laptop, netbook, Android phone, or tablet to:
- See when new people are registered
- See submitted reports for patients and monitor activity
- See profiles and history for the patients managed by CHWs
- View priority tasks for overdue antenatal care visits, postnatal care visits, or immunization visits
- Perform actions, such as adding visits or reporting on deliveries
- Message with individual community health workers or groups to coordinate care
Key features include:
- People-centered workflows: Case management and care coordination for women over time and across places.
- Works offline: Use the application without an Internet connection and synchronize when connectivity is available (ideally at least once a week).
- Powerful in-app analytics: Monitor key activity and impact metrics in real-time such as number of active pregnancies and births this month.
- Multiple devices: Basic phones or Android smartphones for mobile data collection, and tablets, laptops or desktop computers to run the web application
- Multiple languages: Interact with the system in English, French, Spanish, Swahili, Bahasa Indonesia or Hindi.