mHealth | TechChange | The Institute for Technology and Social Change

Last week, the Mobile World Congress 2014 welcomed the most influential mobile carriers across the world that are shaping the future of mobile, especially for populations who are new mobile consumers. Looking back at some of the news coming from the mobile phone industry’s largest annual event, we examine the key takeaways from this year’s MWC that will impact not just emerging markets, but also developing countries.

1. Facebook wants to bring low-cost or free internet access to Asia, Africa, and Latin America. According to the New York Times, “For Facebook, poorer countries in Asia, Africa and Latin America represent the biggest opportunity to reach new customers, though it must figure out how to get people there online at a low cost.”

Facebook’s $19 billion acquisition of WhatsApp is linked to the social media company’s larger Internet.org initiative to partner with tech companies to have more people across the world, especially in developing countries, to be able to access the internet with a smartphone. Facebook has announced that it wants to partner with five more companies across emerging markets in 2014 to continue this Internet.org initiative.

2. Mozilla’s $25 smartphone will make mobile internet access more affordable. The Mozilla Foundation has joined forces with a Chinese chipmaker, Spreadtrum Communications, to introduce a mobile device that will be sold for only $25 later in 2014. By offering this smartphone at a price point significantly lower than other major players in the smartphone market, Mozilla is aiming to cut into the smartphone dominance of Android and Apple iOS, and looking to take smartphone market share in Latin America and Africa.

3. Mobile money is growing rapidly. In a report launched this week at the Mobile World Congress, GSMA announced that mobile money reached 61 million consumers in 2013. According to the report, “At the end of 2013, nine markets, Cameroon, the Democratic Republic of Congo, Gabon, Kenya, Madagascar, Tanzania, Uganda, Zambia and Zimbabwe, already had more mobile money accounts than bank accounts, compared to just four markets last year.” Mobile money is resulting in more financial inclusion across the developing world. Looking for an intro to mobile money? Check out our free self-paced online course on mobile money here.

4. mHealth innovations for developing nations will continue to be mostly SMS-focused in the short-term. Samsung demonstrated it is moving deeper into the mHealth and wearable technology industries with last week’s launches of the Galaxy S5, which can monitor heart rate, and the Gear Fit. As we’ve seen with our earlier post with Text to Change on using mobiles for social change in developing countries, mHealth still has a long way to go in developing countries with simple SMS campaigns. Until these cheaper smartphones become more accessible to more consumers along with reliable internet connectivity as Facebook and Mozilla at MWC 2014 may promise, mHealth in developing countries will continue to focus more on text messaging.

3G Doctor shared this helpful mHealth Guide to the MWC2014. If anyone was able to attend any of these events, please share with us any insights you learned!

Interested in Mobiles for International Development and mHealth? Join our upcoming mHealth online course, which runs March 31 – April 25, 2014.

Posted by Arjen Swank from Text to Change, guest speaker for TC105: Mobiles for International Development

Since 2008, Text to Change (TTC) has been working to provide and collect real-time and accurate information using mobile devices in relevant and meaningful ways to people in developing countries all over the world. As the mobile phone has reached even the most remote places across the world, we have seen how mobiles can empower citizens of developing nations.

Through our experience in partnering with development bodies, NGOs, private companies, governments and other global organizations, there are several key lessons we’ve learned in using mobile phone technology to achieve social change and work to limit continuous dependence on foreign aid.

Here are some of the key insights TTC has learned for best practices for Mobiles for International Development:

1. Keep it simple

One of our Text to Change’s guiding principles is to maintain simplicity in the services we develop and the technologies we use. Our campaigns can reach everyone who has access to a mobile phone, approximately 80% of the developing world. We provide profiled databases, call centers with research capability, and text message platforms that are interactive, easy to use, scalable, and cost-effective – all supported with measurable results.

2. SMS campaigns can reach more people

When TTC worked with the Tanzanian Ministry of Health, they wanted to provide pregnant women, even in the most isolated areas, with important information regarding their health. The goal was to empower them to take the necessary steps for a healthy pregnancy and safe delivery. However, they weren’t able to reach them. TTC launched a large-scale nationwide mHealth SMS campaign targeting these women. Within three months we had 100,000 unique participants. Now the total amount of participants is almost half a million and as we speak there are 260.000 unique participants.

TTC programs create opportunities for people to improve their lives and have reached millions of people across 17 countries in Africa and South America. We help organizations to connect with their, often hard to reach, target groups and create meaningful dialogues.

3. Personalized interaction matters

Because this maternal health campaign was interactive, we were able to determine in what phase of their pregnancy these women were. This way, we could provide them with the right personalized message at the right time. For instance mothers are reminded that they need to visit the clinic for their third ANC visit, when and what medicine to take, or receive information on hygiene and nutrition in a specific week after the delivery. The information can be updated based on inputs from the users or clinic staff, but users can also opt-out or re-opt-in when they (no longer) want to receive the messages.

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Want to learn more about Text to Change and how they’ve implemented SMS programs successfully throughout developing countries? Enroll now in mHealth: Mobiles for Public Health and the next round of Mobiles for International Development an online course that will discuss how mobile phones are being used to improve the health of new mothers, share farming best practices, and teach within and outside the classroom across the world.

Last week, 2006 Nobel Peace Prize winner, Muhammad Yunus, stopped by our booth for a quick interview on mHealth at the 2013 mHealth Summit. As the founder of the Grameen Movement, he shared his thoughts with us on the relationship between mHealth and “social business”, private enterprise focused on solving human problems.

Check out why Muhummad Yunus sees mobile phones as the “Aladdin’s Lamp for health care” here.

What if your old phone could help improve the health of populations in developing nations? Did you know that 500,000 cell phones are discarded in the United States every day?

TechChange is donating phones to empower global health practitioners in developing countries via Medic Mobile’s Hope Phones mobile donation program. The program’s goal is to responsibly reduce hazardous waste from mobile electronics while simultaneously promoting public health in developing countries.

When Nick Martin and Medic Mobile’s president, Josh Nesbit, last met during PopTech 2013, they instantly connected over their common interest in mHealth. Although the number of mobile phones and mobile subscriptions are increasing worldwide, there is still a significant need to empower global community health workers with these tools to promote better health for more people. According to the Medic Mobile, “If we can recycle just 1% of disposed phones each year, we can outfit 1 million health workers, improving the lives of 50 million people.”

There is also a need to learn the latest best practices and innovations in mHealth. Learn how you can donate your phone here and join us in our upcoming mHealth online course with the mHealth Alliance! This course regularly attracts an exciting global community of doctors, public health practitioners, mobile service providers, health research specialists, and others to learn how mobile technology can address HIV, tuberculosis, maternal health, vaccinations, and improve healthcare delivery. Hope to see you in the course!

We’re excited to be mentioned in the New York Times in an article on mobile technology for social good!

The article, titled “Ubiquitous Across Globe, Cellphones Have Become Tool for Doing Good”, discusses how mobile phones are becoming more useful beyond entertainment in developing countries and emerging markets. Increasingly, organizations are using SMS text messages to provide goods and services including water, energy, financial services, healthcare, and education.

Here’s an excerpt from the article:

The number of [mobile public-private partnerships] seems likely to increase. “The development community is eager to learn more about how to use mobiles effectively,” said Nick Martin, a founder of TechChange, a social enterprise based in Washington that educates development practitioners via online courses.

Mr. Martin said his most popular course has been Mobiles for Development. In the last three years, TechChange has taught the course eight times to nearly 400 participants from over 60 countries.

MHealth, or mobiles used for health services, is the most “evolved” of the mobile sectors, Mr. Martin said. Large-scale campaigns in mHealth have focused primarily on maternal health and vaccination campaigns.

Check out the entire article in the New York Times here.

Mobile phones are more than just communications devices; they are also powerful tools to improve health care. Since 2012, TechChange and the mHealth Alliance have offered a four-week online certificate course in mHealth: Mobile Phones for Public Health.

Our mHealth course has brought together an incredible group of roughly 100 doctors, community health workers, academic researchers, IT administrators, and government officials from over 35 countries to share knowledge. Each time we do the course, we’ve been amazed at how mHealth has advanced global health.

Here are the three key mobile innovations changing the delivery of health care services that we’ll cover in our next course, which starts on November 18th.

1. Text Messages for Pregnant Mothers

Nearly 800 women die of childbirth or pregnancy-related complications every day, and 2.9 million newborn deaths occur every year. At the same time, at least 1 billion women in low- and middle-income countries own mobile phones, providing a promising opportunity to use mobile phones to improve maternal and child health. On Mother’s Day 2011, former U.S. Secretary of State Hillary Clinton launched the Mobile Alliance for Maternal Action (MAMA), a public-private partnership between USAID, Johnson & Johnson, the mHealth Alliance, the United Nations Foundation, and BabyCenter.

MAMA message templates can be downloaded for free, which means any organization can take advantage of this content to prepare pregnant mothers for childbirth. In our online course, we’ll learn how to customize these messages for different contexts and help participants determine what technical platforms are best for delivering these messages. SMS technical platforms we plan to feature include FrontlineSMS, Telerivit, Voto Mobile, EngageSpark, and Textit.

2. Support for Community Health Workers

A recent report by Dalberg found that Sub-Saharan Africa will need to train more than 1 million additional community health workers to keep up with health care demands. Medic Mobile and Last Mile Health are two organizations working to provide training to community health care workers in countries like Liberia and Malawi. They have teamed up to create a mobile network for a district in Liberia and to design a mobile application that will dramatically improve community health care worker training and management. This mobile app will also improve community health care worker communication with clinicians based in health facilities. The mobile platform will also include automatic data collection and a reporting system that will create stronger, more efficient systems to manage patient records and monitor data quality.

Learn about how these organizations are using mobile technology to provide training for community health care workers and what other technologies and strategies organizations can use to provide similar support to marginalized populations. As part of the mHealth course, we’ll feature workshops with some of the leading software platforms for data collection and patient management, including CommCare and Magpi.

3. Moving Beyond the Pilot Phase

In recent years, a great deal of mHealth projects have entered the pilot phase, but few have gone on to reach scale. Among those that have scaled are Ureport, an SMS-based civic engagement platform based in Kenya, and Project Mwana in Zambia, which works to increase the testing and treatment of infants born with HIV. These projects show that with adequate preparation and when designing with scale in mind, it is possible to move beyond the pilot stage and increase the reach of mHealth programs.

However, sometimes barriers to scale can come from funders’ reluctance to support scaling programs rather than funding new and innovative ones. In our online mHealth course, we will look at strategies to get beyond scale, including human-centered design, working with funders, and learning from past mistakes.

We hope you decide to join us and meet all kinds of professionals from around the world working in the field of mHealth. Don’t miss out on what will be a great course!

Join this global mHealth learning community by signing up for the course today.

According to the mHealth Alliance, in developing countries, the average doctor to patient ratio is 1 doctor for every 250,000 patients. Yet those same countries account for nearly 80% of the over 5 billion mobile subscriptions worldwide.

For people everywhere, access to a mobile phone can mean better access to health information, which leads to more informed choices and improved well-being. A great example of how mobile phones are making a difference in promoting health is with the Mobile Alliance for Maternal Action partnership that “has developed free, adaptable messages informed by experts in maternal, newborn and child health” that are being used and downloaded by 161 organizations in 54 nations around the world.

To learn more about how mobile phones are affecting developing nations in the realms of public health and beyond, check out our upcoming courses on Mobiles for International Development and mHealth. Also see our guest blog post from the mPulse blog on how we’re teaming up again with mHealth Alliance to mobilize mobile health with online learning.

Estimates from the mHealth Alliance, the UN Department of Economic and Social Affairs, and Jana Mobile Inc. show that by 2014, the number of mobile subscriptions worldwide will exceed the global population. Between 2000 and 2014, subscriptions are estimated to increase from 750 million to over 7 billion (approximately a 933% increase).

What do these statistics mean for the world, especially in developing countries? What implications does mobile subscription expansion have for public health, banking, education, and agriculture? Why do mobiles matter for international development? What emerging mobile technology is having the greatest impact?

Learn more about the global impact of mobile technology with our TC105: Mobiles for International Development course, which runs September 8 – October 3, 2014.

Last month, 130 doctors, nurses, development workers, techies, government officials, and academics from 35 countries joined us on an exciting four-week journey through the latest developments in mHealth.

Imagine how difficult (and expensive) it would have been to assemble this group into one classroom in person!

Thanks to the amazing team at the mHealth Alliance and an all star-roster of incredible experts, we managed to build upon the great success of our inaugural effort and deliver a powerful second installment of the online certificate course TC309: Mobile Phones for Public Health.

Three observations/trends emerged during the course:

Mobile data collection most discussed! Mobile data collection, management and analysis gained significant attention in the course forums. We were thrilled to be joined by Yaw Onokwa, one of the founders of Open Data Kit and Jeremy of CommCare who provided students with live demos of their respective software packages and shared a number of insights and best practices for developing surveys, acquiring and managing users, scaling data projects and more. The always-engaging Alain Labrique (Johns Hopkins University) joined us for a fantastic session on the continuum of care that touched on his exciting work in Bangladesh and the importance of investing in the evidence base.
The importance of human centered design (HCD): Human-centered design also featured prominently throughout the four weeks. Isaac Holman (co-founder of Medic Mobile) led participants through an exercise in drawing/mapping a health ecosystem based on HCD principles. Design experts Erica Kochi (UNICEF Innovation) and Robert Fabricant (Frog Design) shared a wealth of insights from their experiences in successfully launching and sustaining mHealth projects in a number of countries. For many of these world-class practitioners, this was the first time they had ever presented in an online course like this.
Fewer pilots + design for scale: After the New York Times featured an article last spring entitled The Benefits of Mobile Health on Hold there was certainly a lot of room for debate and critical discussion about “pilotitis”. Patty Mechael noted that one trend she has observed in last year is fewer organizations are starting pilots more are focused on designing for scale from the onset of a project. And finally, Gustav Praekelt shared the amazing work his foundation has undertaken to team up with leading private sector entities in South Africa to achieve scale (1 million+) in fighting HIV and preparing mothers for childbirth.

Three highlights from the course:

Techies + Healthies: We featured a TEDx Talk by Josh Nesbit titled, “Techies + Healthies”, which prompted an insightful discussion about the need to promote more engagement between practitioners from both fields. We also asked participants to reflect on their own orientation on the healthie – techie spectrum.
Zombies, Zombies, Zombies: What would a TechChange course be without a Zombie Apocalypse. This time, participants had to respond to an impending zombie invasion and practice gathering vital health and preparedness data using tools like Magpi, FrontlineSMS, CommCare formhub, OpenDataKit and more.
What a Map! We asked participants to describe the health systems in their own countries and then crowdsourced an interactive Google Map of everyone’s responses. I personally learned a tremendous amount about the challenges and opportunities that exist in other countries through this visualization and am excited to do more of these kinds of activities in future courses.

While there are always improvements to make and things we’ll work to do differently next time, overall, the course was a huge success. But don’t just take my word for it. Of the 30 participants so far who have completed our post-course survey, all 30 said the course fulfilled or surpassed their expectations and 27 out of the 30 said they are likely or very likely to recommend the course to a friend or colleague.

Here’s a selection of what our participants had to say:

“The blend of high notch experts with various diverse experiences in the mHealth and social spaces, the expert coordination, moderation and tech support by Nick and colleagues, brought practicality and vividness to the course. Are you a healthie or a techie? It does not matter. If you want to do mHealth right, then come to this course.” – Francis, World Vision International
“I felt truly engaged by this course, and was somewhat surprised by that as other online courses I have taken for credit have felt very distanced and flat in terms of educational energy. If you want to know what the leading experts in mhealth are saying about the state of the field, take this course. The best part? Live webinars that felt like inner circle information (how the insiders talk over drinks) coupled with direct access to ask your specific questions through text chat. I can’t wait to take a refresher course next year to see what’s new!” – Kirsten, Rice University
“The TechChange online course platform is amazing! They provide you with online learning that is exciting, user-friendly and highly informative. The speakers in the mHealth course are really great and I have learned a lot from the presentations and exercises. For people who are busy and cannot catch up on-time (like me!), you don’t need to worry because TechChange has provided a platform where you can retrieve videos, materials, audio recordings. So, go with TechChange as your top online course provider!” – Mary Rose, ACCESS Health International

The TechChange online platform also underwent all kinds of upgrades thanks to the tireless efforts of our dev team led by Will Chester. See what some of our participants had so to say:

“Here is a learning platform that is designed completely for the convenience of the individual – you can participate in as many sessions as you can and still have opportunity to catch up on those you’ve missed even 4 months after completing the course. You can even rate your performance by the tech points earned and look at what others have earned – which is a great way to motivate or encourage participation.” – Apera Iorwa, mHealth Alliance
“I thought the platform was great–very dynamic and user-friendly. I’ve taken several other online courses and this was the best platform thus far.” – Kiara Reilly, Booz Allen Hamilton

Stay tuned for details about the fall mHealth course and be sure to check out our lineup of upcoming courses: Social Media for Social Change, Intrapreneurship: Innovating from Within, and Tech for Emergency Management and more.

We’re excited to announce that we’ve teamed up with Mobile Alliance for Maternal Action (MAMA) to support capacity building and learning for their global community of users and implementers.

Last Thursday, TechChange was proud to participate in the TechGirls program by inviting two young women from the Middle East to shadow our team during a work day. While we’ve always been committed to tech capacity building in the Middle East, it had been almost two years since we conducted a series of trainings in the West Bank, and we couldn’t pass up a chance to invite future colleagues into our home and share our enthusiasm. According to the State Department, the TechGirls program:

“[P]rovides girls from the Middle East and North Africa with the knowledge and resources to pursue higher education and careers in technology. This program builds on the U.S. global commitment to advance the rights of women and girls around the world.”

Nagham joined us from Nablus, Palestine. She is 16 and started using the computer at the age of 5; and she would like to study IT or Science. Nagham expects to improve her programming and game design skills. Sondos is from Zarqa, Jordan. She is 16 years old and has taken classes in robotics, Visual Basic, Oracle, Invention, Photoshop and HTML and SQL programming. Sondos is especially interested in pursuing technological interests that will aid the field of medicine.

With that in mind, we set up a variety of hands-on workstations that included:

Hands-On Coding and Electronics: Combining Art, Problem-solving, and Circuitry

Screenshot of our office temperature as measured by Arduino sensor.

Python-powered office temperature website

Since both TechGirls were interested in both programming and hardware, we started off with our in-house code ninja, Michael Holachek. Michael is 18, an avid robotics enthusiast, and will be attending MIT in the Fall to study Electrical Engineering. Michael started off with a short discussion about the connection between art and electronics (including a TED talk on painting circuits), introduced some basic programming in C and Python, and then demoed a few cool circuits on the Arduino and Raspberry Pi. They then worked together to make a TechChange mood lamp that played the TechChange theme song and display the office temperature on a website. At the end of the session, Sondos and Nagham came up with several ideas for applying these new skills to new problems, including attaching a room thermometer to an Arduino board to trigger an alert if the room became too hot for a baby.

Making Graphic Elements: Generating and Animating TechGirls Avatars

With their new Arduino boards built, both Nagham and Sondos sat down with Pablo Leon and Rachel Roth to try illustrating themselves and then animating their avatars in After Effects. Rachel provided a sketch of our guests and then we loaded them on our custom tablets for illustration. Trying their hands with our stylus, they learned about creating layers, sorting into folders, using filters, etc.

New avatars illustrated by TechGirls!

After they finished creating avatars, Alon Askarov demonstrated how to use the Puppet tool to teach them how create short animations. Given that we were limited by time and that TechChange animations take time (see our blog post on this), these were kept to minimal facial expressions, but we still had fun doing it!

Animated Sondos

Designing a Four-Week Course: A Tour of mHealth

Since Sondos was interested in public health projects, we tried to show off what we’d been working on for our mHealth and maternal health initiatives. We opened up the most recent course that we had built with the UN Foundation on Mobile Phones for Public Health,but rather than the speakers or content, what seemed to be the most interesting was the 161 participants in the course from all around the world. We agree: It is pretty cool.

Student map from our mHealth class

But on top of the novelty, we also chatted about how we believed connecting these students was a core part of online learning — not just transferring knowledge on technology, but building a community of practice. After all, technology is the easy part when it comes to mHealth.

Building Interactive Learning Experiences in Articulate

But a platform isn’t enough for online learning. Catherine Shen discussed how to structure content for educational purposes. This meant walking through the current courses being designed for State Department, USAID, and the World Bank. Catherine used a current course from OTI Lebanon on advocacy for the TechGirls to see the mechanics of course design at work.

The TechGirls then created a short interactive presentation on their TechChange day, integrating their animated avatar with a survey that the girls used to tell us about their experience. Using a Likert scale, the girls gave their impressions of their shadow day.

The results were clear: Both of our participants strongly agreed that the job shadow day was fun and inspiring, in addition to being informative and interactive.

It was for us as well. Thanks to the TechGirls team for joining us!

Funny group picture of TechChange and TechGirls

Thanks TechGirls!

This post was written with contributions from the entire TechChange team. Thanks specifically to Catherine Shen and Michael Holachek for contributions in the sections above.