Fondation Pierre Fabre

A community health worker decision support tool and information system in Mozambique

Main beneficiary country:

About the sponsor

Malaria Consortium

Established in 2003, Malaria Consortium is one of the world’s leading non-profit organisations specialising in prevention, control and treatment of malaria and other communicable diseases among vulnerable populations. Our mission is to improve lives in Africa and Asia through sustainable, evidence-based programmes that combat targeted diseases and promote child and maternal health.
We will accomplish this together with partners and all levels of government, by: designing and implementing cutting edge research, surveillance, monitoring and evaluation; selectively scaling up and delivering sustainable evidence-based health programmes; providing technical assistance and consulting services that shape and strengthen national and international health policies, strategies and systems and build local capacity; seeking to ensure that our experience, thought leadership, practical findings and research results are effectively communicated and contribute to the coordinated improvement of access to and quality of healthcare. Our areas of expertise include disease prevention, diagnosis and treatment; disease control and elimination; health systems strengthening; research, monitoring and evaluation leading to best practice; behaviour change communication as well as national and international advocacy, and policy development.

With 95 percent of our staff working in malaria endemic areas, we currently have programmes and projects in 12 countries across Africa and Southeast Asia.

Our values are:

  • To promote a seizing of our programmes by communities and the development of skills
  • To develop practical and sustainable solutions
  • To help the most vulnerable populations
  • To have a real impact and reduce the burden of malaria.

Sector: Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Country of origin: United Kingdom

Contact the sponsor

The organisation has:

Full-Time Equivalents
Service providers

Initiative overview

Healthcare themes targeted

  • Mother and child health
  • Nutrition
  • Malaria/paludism
  • Infectious diseases
  • Sexual and reproductive health
  • Vaccination

Stage of development:

  • Routine project/operational

Area where initiative is utilised

  • Provincial/regional (in one region of a single country)

Initiative start date

  • 02/01/2016


Financing method

  • Government agency (i.e AFD, USAID, etc.)

Economic model(s)

  • Subsidies

About the initiative

The upSCALE platform has been developed to improve quality and coverage of health services at community level by addressing three key community health worker (CHW) programme challenges: poor adherence to clinical guidelines, lack of access to community health information, and insufficient supply of commodities.

upSCALE fournit un outil audiovisuel d’aide à la décision aux agents de santé communautaires et travaille à l'intégration avec les systèmes nationaux au Mozambique.

The platform consists of a multi-media mobile application for community health worker (CHW) decision support, which facilitates the automated management and reporting of routine health indicators to a community health information management system for synthesis and visualization at district, provincial, and national levels in Mozambique. The platform is complemented by a tablet based application for CHW supervisors which permits supervisors to see monthly CHW activity and real-time CHW stock levels. The development of the upSCALE platform initially started under Malaria Consortium’s ‘inSCALE’ project (2009 - 2016), which conducted research to understand the existing ecosystem and used human centered design to identify and develop the Android based electronic decision support application to address CHW needs in Mozambique. Having introduced and evaluated the application among CHWs in a randomized controlled trial, Malaria Consortium worked in collaboration with the Ministry of Health and UNICEF, with funding from the UK Aid, to develop and scale the platform. In Mozambique upSCALE is currently operating in two provinces with 655 CHWs users trained and 300,000 patients registered, with national scale planned by 2022.

Field report of the initiative

Fields of application:

Health professional training - Information, education and communication for behaviour change (IEC) - Patient monitoring and medical data

Target audience

  • Healthcare professionals and structures (hospitals, healthcare centres/clinics, health networks)
  • Sick people

Initiative objectives

  • Decreased mortality
  • Decreased morbidity
  • Improved treatment

Key figures

655 Number of beneficiaries since launch

Materials used

  • Smartphone
  • Tablet
  • Computer

Technologies used

  • Mobile telecommunications (without data connection)
  • Internet
  • Geolocation
  • Mobile app (Android, iOS, Windows Phone, HTML5, etc.)

Offline use


Open Source


Open Data


Independent evaluation

auto-evaluated or evaluated by a related organization


Ministry of Health, Mozambique

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.


Organizational: Communities, public authorities, NGOs, associations, foundations, etc.