With high expectations for mobile health initiatives, and a proliferation of pilot projects (see this map from Uganda), it can be easy to forget that the mHealth field is still young. Like any emergent industry, mHealth is currently experiencing growing pains, a few of which were highlighted by Tina Rosenberg in her recent New York Times article, “The Benefits of Mobile Health, On Hold”.

In the article, Rosenberg raises a number of important points. She cites, for example, the misalignment between expectations and current realities in mHealth:

“Roughly a decade after the start of mHealth, as the mobile health field has come to be known, these expectations are far from being met.  The delivery system is there.  But we don’t yet know what to deliver.”

She also highlights the pilot fatigue that has stricken mobile-saturated countries such as Uganda and South Africa, as both public and private sector actors rush to become first-movers in the mHealth space. In some cases this has led to lack of coordination and limited impact.

But there is a silver lining. New research is underway in the mHealth space, and leading actors in are learning from past mistakes to design more effective platforms. Projects such as UNICEF’s Project Mwana have successfully introduced simplicity to a complex health system. And stakeholders are beginning to wake up to the fact that technology is only one part (and often the easiest part) of the equation.

This issue was addressed by Patricia Mechael, executive director of the mHealth Alliance, in the NY Times article: “We can get excited about the shiny new object, but the real impact comes from thinking about the cultural and professional context in which it’s being implemented.” How are mHealth platforms adapting to new realities, and reacting to emergent challenges?

This will be a key point of discussion in our upcoming Mobile Phones for Public Health online certificate course, in which Mechael will speak as a guest expert. The course, which begins next week and runs from June 3 to June 28, already has participants signed up from over 25 countries.

Through case studies, guest expert interviews, multimedia tutorials, interactive exercises and live demonstrations of mHealth tools, the course will showcase how mobile technologies are revolutionizing global health systems – and how various challenges can be overcome. While current mHealth projects may not yet be meeting lofty expectations, they are certainly moving in the right direction.

For even more information about the course, visit the course page or take a look at the syllabus. To make sure you get a seat, fill out an application here and enroll today!

Our mHealth: Mobile Phones for Public Health Online Certificate course will run for its second time from June 3rd – 28th and we couldn’t be more excited about it. Along with The mHealth Alliance, we have had six months to reflect on course feedback and refine curriculum to make sure we are offering the most comprehensive and enjoyable online instruction possible.

mHealth101 Twitterchat (1)

Twitter Chat Contest:

Want to win a free seat? Then join us for a Twitter chat using #mHealth101 on Thursday, May 17th at 2 pm EDT to be entered in a random drawing! @Techchange and@mHealthAlliance will be co-hosting the event and will be discussing course curriculum, mHealth trends, and case studies. More details to come but tweet at @TechChange or @mHealthAlliance if you have questions and we look forward to having you join us!

What is the Course Structure?

Students will have the opportunity to engage directly with leading applications developers, and learn from practitioners who have had significant experience in implementing mobile phone based communication systems around the globe.

The entire course is delivered online. The total time commitment is a minimum of 2-5 hours a week. The course is designed to be highly interactive and social, but we also work hard to ensure that the majority of the content can be experienced in a self-paced manner. It will feature one or two real-time interactions each week, such as live discussions, live expert interviews, and live simulations. In order to accommodate busy schedules of mission staff from around the world, we’ve set up a learning environment where participants have plenty of options to explore content that is most relevant to them through live content and interactions, readings, and videos.

Facilitators will produce weekly audio podcast recaps for participants to catch up on key conversations and topics. Participants can also access all course content six months after course completion so the material can be revisited later.

Schedule:

●   Week 1: Introduction to Mobile Health

●   Week 2: Strengthening Health Systems

●   Week 3: Moving Towards Citizen-Centered Health

●   Week 4: Large Scale Demonstration Projects

 

For even more information about the course, visit the course page or take a look at the syllabus. To make sure you get a seat, fill out an application here and get enrolled.

 

We’re excited to partner with the mHealth Alliance yet again to offer our Mobile Phones for Public Health for open enrollment. And we think it matters: When it comes to IC4D (or M4D) projects, even the best technology is often not as helpful as the latest best practices. Patty Mechael, the Executive Director of the mHealth Alliance, was recently quoted in an NYT article about lessons learned from the past ten years of “mobile phones for public health” concluded:

“The tech is only as good as the people it is connecting or system it’s connected to,” Mechael said. ”We can get excited about the shiny new object, but the real impact comes from thinking about the cultural and professional context in which it’s being implemented.”

That same article cast a skeptical eye on the impact of many mHealth programs to date, but singled out Project Mwana as being successful on a large scale in Zambia and Malawi for testing babies of H.I.V.-positive women. When asked to describe what makes Mwana work, Erica Kochi, the co-leader of tech innovation for UNICEF (and confirmed speaker in our upcoming course) described: “Incredible simplicity….It’s not trying to replace the health information system.  For its users, it makes things easier rather than adding more

Nick Martin interviewing Merrick Schaefer

mHealth Interview with Merrick Schaefer on Project Mwana

complexity to an already difficult, challenging health system.”

But mHealth solutions aren’t as simple as scaling successful programs irrespective of context. It requires creating an ongoing dialogue between public health professionals, the medical community, technologists, and government funders.

To that end, we’ve attempted to not just build a successful-project showcase, but a conversation that includes the following speakers and organizations:

  • Robert Fabricant, Frog Design
  • Gustav Praekelt, Praekelt Foundation
  • Alain Labrique, JHU University
  • Sarah Emerson, Center for Disease Control Tanzania
  • Erika Cochi, UNICEF Innovation
  • Yaw Anokwa, Nafundi
  • Martin Were, Regenstrief Institute; Hamish Fraser, Partners in Health
  • Armstrong Takang, Federal Ministry of Health
  • Kirsten Gagnaire, MAMA Global
  • Lesley-Anne Long, mPowering Frontline Workers; Sandhya Rao, USAID

Class starts June 3rd. Visit the mHealth course page to apply and reserve your spot today. Seats are filling up quickly. We hope that you’ll join the conversation!

This guest post is by Sara Buzadzhi a past participant in TC309 Mobile Phones for Public Health. Can’t wait for June 3? Sign up for TC105 Mobiles for International Development launching on March 4th, which will feature a week on public health.

While the use of various mHealth applications and text-messaging services are
surging in both high and low-income countries, Russia has been somewhat behind
the curve in adopting these solutions to address health issues. The Russian NGO I
work for, the Health and Development Foundation, has been striving to change that,
introducing the country’s first national mHealth programs.

This January, HDF launched a new nationwide program for clients considering and
undergoing infertility treatment. This initiative, IVF/ART School uses an innovative
-combination of traditional and mHealth approaches. The target audience, women
and their families, will be reached through a multi-tiered approach including offline
seminars with reproductive health specialists at clinics; social networks, a program
site, and regular, interactive webinars online; and text messages to participants’
mobile phones. This comprehensive approach will enable us to maintain a strong
connection with our target audience, each component informing and reinforcing
program messages, and provide them with multiple chances for interaction with
peers and experts.

Why IVF?

The demographic situation in Russia has been a point of concern for the government
and the general population since birth rates began to decline in the last decade of
the 20th century. Population increases in the last several years have injected some
optimism into the discussion, but state and public organizations are still eager to
do what they can to promote population growth (including monetary incentives for
pregnant women and mothers).

Against this background, the need for easy access to assisted reproductive
technology treatment for couples dealing with infertility issues is clear. In fact, the
Russian government recently announced that infertility treatment would be covered
under the free state insurance starting in 2013.

But while financial support is important, it is also vital that women and couples
seeking treatment, or considering seeking treatment, are well informed as to their
options, and are receiving the emotional support that can greatly influence the
success of infertility treatment. That is where the IVF/ART School can play a key
role; program participants will receive expert, unbiased information and support
from several sources, including their peer group, increasing the likelihood that they
will maintain treatment until reaching a successful outcome.

Text4baby Russia

t4babyHDF’s first national mHealth program was Text4baby Russia, a nationwide maternal
and child health text messaging program that will celebrate its one-year anniversary
this February. Through this program, new and expectant mothers receive
information on caring for their health and the health of their children through free
text messages to their mobile phones. Subscribers receive 1-2 texts per week on topics like nutrition, safety, substance abuse prevention, legal rights, breastfeeding, and more.

Text4baby Russia (SMSmame in Russian) is based on the successful U.S. program
text4baby, but was significantly adapted by HDF and its government and medical
community partners to ensure that the messages meet the specific cultural and
socio-economic needs of its Russian target audience. HDF is currently piloting a
webinar series to address text message topics in greater depth, and plans to launch
the series in early 2013.

We would be happy to hear from any organizations/individuals working in similar
areas, as we have found international collaboration and knowledge sharing (in
forums like the TechChange course we attended, Mobile Phones for Public Health)
to be very helpful in developing and disseminating our work. Follow HDF and their projects on Twitter: @HealthDevtFound @Text4babyRussia @IVFSchoolRussia

This is a guest post by TechChange alumna Julia Nagel.

If you’re interested in learning with TechChange, check out our next course on Mobile Phones for Public Health. Class starts June 3. Apply now

In December 2012, I traveled with the Center for Strategic and International Studies (CSIS) to Zambia and Malawi to shoot videos on women’s health. Armed with three cameras – a Panasonic HMC, a Canon Rebel T3i, and a Canon 5d Mark II – we sought to capture the voices of African women on issues that affect their lives and the lives of countless women in their country: maternal mortality, cervical cancer, and family planning. Why three cameras you might ask? My fellow videographer and I both agreed that while the Panasonic HMC is a highly versatile camera, its look does not compare to that of a nice DSLR.

With the DSLR cameras, colors are more saturated, images are more vivid, and you get a nice crisp focus on your subject (if you’re able to manage how sensitive that camera’s focus ring is) that nicely blurs the background. The DSLR does have two major downfalls though. One, it does not operate well in low light (a major problem during Malawi’s rainy season). Two, there’s no good way to capture audio. Thus, the
Panasonic was used for every shoot alongside the DSLRs.

 

In this video, Joyce Banda – the first female President of Malawi – talks about the importance of women’s health and empowerment, particularly in Africa and in her country. The interview was both inspiring to shoot and to edit. The two cameras we used in this video are the Panasonic HMC for the wide shot, and the Cannon 5d Mark II for the tight shot. The video was edited in Final Cut Pro and the cameras were matched in Final Cut using an incredibly helpful program called Plural Eyes. To read
more about the interview, please visit: www.SmartGlobalHealth.org/JoyceBanda. Also, stay tuned to www.SmartGlobalHealth.org for the additional videos that will be released from our trip, due out in February.

 

The end of the year is now upon us. We just wanted to thank you from the bottom of our hearts and the top of our DC nerd attic for making 2012 our best one yet. Specifically, thanks to your course feedback, content contributions, happy hour attendance, and tuition dollars, we’ve trained over 1,400 participants in 70 countries in how to better use technology for social change.

New Online Courses:
We have expanded on our original set of courses (Emergency Management, Digital Organizing, and Mobiles for International Development) into exciting new spaces. A few courses we’d like to highlight:

  • (TC309) Mobile Phones and Public Health: Our largest open enrollment course so far, we were joined by over 100 students in 25 countries. Developed in partnership with the UN Foundation’s mHealth Alliance, we also piloted our new in-course tool simulator for D-Tree!
  • USAID Courses on Mobile Money: Through a custom course for 80 USAID mission staff in 7 countries, we’re helping build development capacity in mobile phones. Next up? Turning this course into a self-paced interactive module to scale the program.
  • TOL Journalist Training for “Reporting on Education” in E. Europe: Developed in partnership with Transitions Online (TOL), BBC, and The Guardian, we shared our platform with TOL to train 20 journalists over a 2-week period. This was our first course ever with non-TechChange content and external facilitators!
  • (TC201) Ushahidi: Frameworks for Effective Platform Management: Expanding on our “Emergency Management” course, we developed this course in partnership with Ushahidi to be a scalable complement to the Universities 4 Ushahidi program (U4U).
  • (TC108) Technology, Innovation, and Social Entrepreneurship: Developed in partnership with the Amani Institute, we wanted to not just teach content, but develop more social entrepreneurs to keep pushing the field forward.

Online-Enabled Public Events:
One of our initiatives this year has been to assist our partners in reaching a larger online audience and to start thinking of all public events as online-first. Events include:

  • International Conference of Crisis Mappers at the World Bank: We worked together with Crisis Mappers to produce the first livestreaming of ICCM, which led to an additional 950 unique viewers from all over the world!
  • Connecting Grassroots to Government at the Wilson Center: Building on our work for empowering Volunteer Technical Communities (VTCs), we took live questions from the online audience during this event. This was one of multiple events at the Wilson Center, which is leading the way in online-enabled events.
  • Expert Interviews at the mHealth Summit: Since the webcast was already provided, we focused on capturing expert knowledge from the attendees and partners for the mHealth Alliance. Most fun part? Getting pictures of attendees holding their cell phones to show their personal connection with the device.

Site Upgrades and Added Features:
In addition to a few other handy features, we’ve made a few big technical upgrades to our site in the hopes of improving user experience.

  • Launched a new, responsive TechChange.org! We much of 2011 promoting mobile-first design, so it was a relief to build a fully responsive site in 2012. Try re-sizing it in your browser!
  • Animating our content voiceovers. We’ve always been big fans of RSA Animate and iheed who produce educational video content, so we tried giving it a go ourselves. What do you think? We’re hoping to do plenty more in 2013.
  • Video-for-everyone course design. We switched from Ustream to OpenTok in 2012 to try to not just talk at our classes, but have discussions with you. It’s been a bumpy ride, but we’re working at optimizing for every browser and bandwidth.

Field Training and Workshops:
Tech training cannot be done by Internet alone. Here’s a few cases where we rolled up our sleeves and got to teaching the old fashioned way.

Finally, a particular highlight of the past year was the nice story run about us in The Economist. Read the article: Geeks for Good.

We hope to see you online, in person, or in class next year!

Warm regards,

The TechChange Team

[UPDATE: Thank you so much to all the wonderful speakers who stopped by! We’ve posted many of the interviews in our media library!]

TechChange and mHealth Alliance are camped out at the mHealth Alliance booth in the Pavilion interviewing mHealth enthusiasts, professionals, and first-time conference goers about mobile phones for public health.

Come join – we want to hear your voice! If you’d like to set up a specific time, tweet @techchange and we’ll save you a slot. We will be closing shop at 4:00pm today, but we still want to hear from you!

We will also select key interviews for inclusion in our course: TC309 – Mobile Phones for Public Health.

In preparation for our upcoming course on Mobile Phones for Public Health, we wanted to share our most recent attempt to blend compelling narration with informative animation. In this short clip, Laura Walker Hudson of FrontlineSMS shares insights on why SMS offers new opportunities in every conceivable area of social change work.

How’d we do? What do you think? Would love to hear your comments below.

The Winners: Susanna J Smith and My Nigeria Hospitals

We are excited to announce that My Nigeria Hospitals (@mynig_hospitals) and Susanna J Smith (@SusannaJSmith) are our winners for one free seat apiece in the upcoming course on Mobile Phones for Public Health (starts November 12!).

@ trainning just be fully interactive, to yield a positive result on participants
@mynig_hospitals
My Nigeria Hospitals
Phones&health are personal. #mHealth offers new possibilities for patient engagement & empowerment &ways to reach hard-to-reach pops. #tc309
@SusannaJSmith
Susanna.J.Smith

 

Background on mHealth Twitter Chat

On October 12 at 1:00pm, TechChange hosted an mHealth Twitter Chat with the mHealth Alliance in preparation for our upcoming online certificate course on Mobile Phones for Public Health. In addition to soliciting feedback on our proposed syllabus and speakers, we were looking to award two free seats to individuals participating in the chat that would not otherwise have had access to the course.

In total, we had 44 participants exchange over 279 tweets during the one-hour chat. We’ve archived the discussion in our curated Storify of key contributions, questions, and links. If you want to dive deeper, check out the full Tweet Archive or search for hashtag #TC309.

 

Key Contributions by Tweeters

While in no way exhaustive, three key themes emerged through the constraints of 140-character contributions:

  • Engage telecommunications companies throughout the course, not just medical professionals who employ mobile-enabled strategies.
  • Explore sustainable business models for mHealth projects and organizations. Don’t just do a one-off project for the sake of doing it.
  • Understand the link between big data and mHealth. The challenges of mobile-enabled medicine are intertwined with managing information.

Thanks @ Mobile Midwife Initiative to fight staff shortages http://t.co/XFkt1v77 great #mhealth video #tc309
@Cascadia
Sherry Reynolds
@ if I win a ticket, I'll be there!! 🙂 Read the syllabus and speaker bios. Def a great opportunity to learn about mHealth #tc309
@ReemGaga
Reem Ghoneim

Winner Selection Methodology

Choosing winners at random was more complicated than we had initially anticipated. Do you select by number of Tweets or by user? Do you bias towards number of contributions or value of contribution (# of RTs)? etc. In the end, we decided was to select a random user weighted by number of tweets, but we’re open to suggestions about improved methodology for future scholarship competitions.

This piece has been crossposted from Health Unbound. If you’re interested in learning more, please visit our course page on mHealth: Mobile Phones for Public Health.

On November 14th the Mobile Phones for Global Health Online Certificate course officially kicks off and as we head into the final countdown we are offering a special preview of what participants can expect from the four-week course!

With 75 feedback surveys completed (thank you to all those who participated) we identified some of the most well-known thought leaders in the field speaking throughout the course.  Students will have the opportunity to engage directly with leading applications developers, and learn from practitioners who have had significant experience in implementing mobile phone based communication systems around the globe. The agenda will include:

Weekly Course Topics:

  • Week 1: Introduction to Mobile Health
  • Week 2: Strengthening health systems
  • Week 3: Moving towards citizen-centered health
  • Week 4: Technology Standards & Interoperability and Learning from other mServices

Featured Speakers:
Patty Mechael, Executive Director of the mHealth Alliance will provide students with an engaging introduction to the field, discussing the evolution of mobile phones for international health, and how these technologies are being used to today to respond to some of the greatest global health challenges.

Kicking off week 2, Joel Selanikio, co-founder of DataDyne, will present on the development of Episurveyor, and how mobile phones are being used to collect, manage, and sort data.

Also in week two, the class will be joined by Isaac Holeman, Chief Strategist for Medic Mobile, who will engage with students on the range of open source applications in the Medic Mobile toolkit – including the well-known Frontline SMS system that allows computers to send messages to large groups of people at a low cost.

A number of other guest speakers and presenters will also be featured. Stay tuned as we get closer by checking the course landing page.

In addition to these guest speakers, participants will engage with case studies, multimedia tutorials, interactive exercises, and live demonstrations of such tools as interactive voice recognition (IVR),  SMS (text message) communication programs, smartphone applications, and health information systems for data collection and management. Through this combination of hands-on experience, and engagement with practitioners on the ground, the goal is to provide students with an in-depth introduction to the field of mHealth.

Participate in the Live Twitter Chat and YOU Could Win 2 Free Passes!

Leading up the course, the mHealth Alliance and TechChange will provide an opportinity to for individuals to win a free pass to enroll in the course! Together TechChange and the mHealth Alliance will host a live-Twitter chat from @techchange and @mHealthAlliance using #tc309 on Friday, October 26 at 1pm EDT.

During the chat we will engage all participants in a variety of discussion topic and questions related to mHealth. We’re eager to hear from you about questions that you may have on latest innovations and projects in the field. All participants in the twitter chat will be included in a drawing to win a free seat in our upcoming course: mHealth Mobile Phones for Public Health. We will give a away a total of 2 seats. More details to come but tweet at @techchange or @mHealthAlliance if you have questions, and we look forward to having you join us there!