Tag: public health

OpenTok helps us bridge self-paced content and real-time video engagement. If you’re interested in exploring our platform, check out our upcoming course on mHealth: Mobile Phones for Public Health, organized in partnership with the mHealth Alliance. Class starts on Nov. 12!

 

Generally speaking, most online learning is divided into two camps: Self-paced content (Coursera, Moodle, etc.) or real-time video webinars (Adobe Connect, etc.). The problem is that our experience indicated that we needed both self-paced content to accommodate the mid-career professionals that comprise most of our students interested in technology, as well as real-time engagement to provide direct interaction with technologists and practitioners. Rather than compromise, we set out to build our own online learning platform.

When we set out to re-imagine online learning for our needs at TechChange, we realized that in order for our learning approach to work, we needed to create an environment conducive to collaboration and co-creation of learning. Our ability to beam in experts from all over the world for remote interviews is crucial to to making this type of learning possible. We use a video chat service called OpenTok to power these engagements.

OpenTok is a flexible video streaming service that allows us to integrate live video chat into our learning platform without having to worry about the actual video streaming itself. OpenTok provides a robust application programming interface (API) that allows a developer to integrate OpenTok services directly into your website or mobile application. They also offer pre-built solutions that you can simply embed into a website, but the brilliance of the OpenTok model is in their fully-featured API.

We tried other video platforms before finding OpenTok, but none of them offered the flexibility and feature richness that OpenTok offers. Using OpenTok we are able to allow remote presenters to simply log into our website and start publishing their audio-video feeds to our courses in only two clicks. This has greatly increased the ease of use of the platform and made it possible to convene important conversations between experts and course participants from countries around the world, including: Libya, Pakistan, Kazakstan, Kenya, Thailand, Egypt, and many others

Due to the bandwidth and other constraints we face bringing together this global audience (our courses generally include participants from 20+ countries), OpenTok’s robust API has been key to our success. With OpenTok speakers and participants can easily toggle video and audio streams to conserve bandwidth. We also convene participant panels where small groups of course participants can discuss pressing issues and share their personal experiences. We believe this video interaction goes a long way to creating virtual learning communities and adds greatly to course outcomes.

More recently, we used OpenTok to power our live stream of the International Conference of Crisis Mappers 2012. We received an excellent response to this offering and are looking forward to using OpenTok to allow other conferences and events to further engage with the global audiences that hunger for access to these important discussions. We believe it is especially important to provide access and inclusion to these communities that for any number of reasons are unable to be physically present for the increasing number of important discussions happening at ICT4D events and conferences in D.C. and around the world.

Finally, none of this would have been possible without OpenTok’s incredible customer support and technical assistance. I’ve spent countless hours on their IRC channel getting advice and support from members of their tech team. A special thanks goes out to @digitalsai, @meliho, and @jonmumm and others at OpenTok for all of their technical assistance and invaluable support as we’ve developed our OpenTok integration.

If you’re interested in mapping in crisis zones, consider taking our course Tech Tools and Skills for Emergency Management that runs from September 3rd – September 28th. 

Cross-posted from Greg Maly’s blog, Multitracked. He is currently working on a mapping based research project run by the University of Denver in New Delhi, India.

This past May we published a blog piece outlining some of the basic lessons learned from TechWeek at Korbel. One of the main takeaways was that technology solutions, though a potentially powerful set of tools, are only 10% tech and 90% people power.

This includes not only putting people in the drivers seat for the use of these tools over time, but also at the onset of any project when considering the need, or gap, they are intended to fill. A few months later, these lessons have become ever more salient as my team from the University of Denver works on the design of a maternal and child health monitoring system for the community of Jasola – a high risk population that borders the Yamuna river in New Delhi, India, and consequently suffers from high child and maternal mortality rates.

Keeping the importance of local ownership in mind from the onset of our project, and working with our local counterparts in the region – a Gender Resource Center (GRC) staffed by women who both live and work in the community – we began by holding a series of focus group discussions with the primary stakeholders in the region: young mothers and pregnant women, doctors who run small health clinics, and community health workers. In each meeting a number of grievances arose, from a lack of resources and shortage of doctors relative to the size of the population in the region, to the difficulties of maintaining effective communication between doctors and patients. As an example of the effectiveness community driven conversations, through these focus group sessions we learned that knowing the location of pregnant mothers was one of the greatest obstacles to routine checkups. This we could work with relatively quickly.

A simple fix was the breakdown of the community into the separate Mohallas, or neighborhoods, which are already well known to community members, but haven’t made it into any form of visual representation. A few afternoons of community mapping using handheld Garmin GPS units and an OSM update quickly fixed the problem and moved the conversation forward a few steps, allowing new ideas to unfold – many of which came from the GRC staff themselves.

Like many health projects around the world, this one has a long way to go. The problems are greater than any solution of this scale can begin to truly address. However, small wins like these slowly begin to even the playing field as communities become empowered to address problems one a time, and with sustainable solutions that do not require a large number of additional resources. In this case, we’re happy to report that community members are on board, including some young mothers who have joined the conversation. Updated maps are being connected with a system that will aim to track mothers from conception through to birth. And though our DU team is set to return home in just two weeks time, I can already tell that the community members see the benefit of this project, and are ready to push it forward with or without us for the long haul. Who knows – there might even be a tablet involved. Stay tuned.

 

 

Text to Change’s Chief Technology Officer, Marcus Wagenaar, sat down with me yesterday to discuss new projects on the horizon and innovations in the mHealth field.  Text to Change is an international NGO which uses technology for social change, or as Marcus puts it, “not just a tech company.”  Instead, outreach is where Text to Change works. As the knowledge bearers about mHealth systems and needs, they help design, conceptualize, manage and analyze outreach and projects with their implementing partners to address gaps in healthcare systems and information.

I asked Marcus to talk a bit about some of his favorite projects:

m4rh

Mobiles for Reproductive Health (m4rh), in collaboration with FHI, uses SMS and web based software to send targeted messages about reproductive health.  The user gets their first message and is given 1-3 options for response, such as “if you want more information about condoms, text back 001.” They are then inside a tree of responses win which they can navigate back and forth and discover new information.  The project has been running in Kenya and Tanzania for over a year with pilots in Ghana and Rwanda underway. FHI provides the content and updates, Text to Change runs the IT backend in each country, all from Kampala.

m4rh is one of Marcus’ favorites because it’s “inherently scalable, once it’s set up anyone can access it for free by texting the first keyword to get the main menu” and it’s the “perfect example of Text to -Change because it provides people with information to make informed choices about their lives. In situations where information is lacking or inaccurate around sensitive issues of reproductive health, m4rh allows people to access information that can give them more control over their lives.  They still make their own decisions but at least they have all necessary information to make an informed choice.”

As example of its popularity; in May 2012 more than 40 thousand people have accessed the M4RH information service in Kenya alone. The specific information people access in the system is analyzed. Also, SMS surveys amongst users are carried out to enable deeper analysis of behavioral patterns. By combining this information various things can be deduced. Examples are: which contraceptives are popular in which age groups, what are the differences in male and female use of the system, are the choices people make influenced by the system, etc. These research results or not yet in the public domain but have been shared at various mHealth conferences and we hope to be able to share the results with a wider audience in the near future.

Medical Male Circumcision

The Medical Male Circumcision project, in partnership with Jhpiego in Tanzania and potentially Uganda, is a service hat sends information, similar to m4rh, as well as supporting patient recovery.  Individuals in the beneficiary population get messages regarding where they can receive Medical Male Circumcision and why it’s important, such as “Male circumcision can reduce the risk of female-to-male HIV transmission by 60%”.  After surgery, patients receive messages as soon as the surgery is complete regarding what to expect during their recovery. The Medical Male Circumcision project provides a Virtual Nurse who advises patients: “Make sure that you do not have sex for the first two days,” for example, or later on in the recovery “if your urine is discolored, visit the clinic.” The messages are “specific but lighthearted” with quiz questions every week to engage the patients and to assess how much they know about Medical Male Circumcision. Messages are meant to be encouraging and a “positive way to ensure recovery,” reduce stress, and “decrease health costs overall” by addressing concerns before they become serious health issues.

Text to Change monitors how many people they reach with their messages, how often they are reached, and how much it costs to reach a person. Researchers were able to show a statistically significant association between those men who texted in to the toll-free number asking where male circumcision was available and those who actually followed through and got circumcised. This is a good example of providing people with information to help them making informed decisions about their own health.

Data Collection

The data collection project is in the pilot phase with the Center for Disease Control in Tanzania within the mHealth Alliance. The project targets mothers after they have delivered and will speed up data collection about Vertical or Mother-to-Child-Transmission (MTCT) of HIV.  Currently, midwives and nurses fill in registers for mothers and babies to track their data by hand.  The individual patient data is rarely analyzed and often inaccessible to researchers and government representatives so that today there is no reliable number for the transmission rate for MTCT in Tanzania.  This Data Collection tool pilots a new form for tracking MTCT data, where healthcare workers take data from the standard register, write it on a worksheet and then copy it line by line and send it to a central location using SMS.  The data collected will allow the CDC to calculate the transmission rate for the first time in Tanzania and will enable impact evaluation of interventions that aim to lower the number of Mother to Child Transmission of HI, which is part of the Millennium Development Goals.

I also asked Marcus to give a window into exciting innovations in the pipeline:

FormHub              

FormHub is an Open Source initiative by Columbia University.  Text to Change is working with Columbia to develop and use their platform in the field. Text to Change is currently implementing this technology with one of their partners. The partner will conduct a survey in Uganda’s Luwero District, interviewing 1000s of teachers and students in secondary school about physical abuse, sexual abuse, living conditions, and emotional and physical wellbeing of children.  This is the first ever large-scale survey about these sensitive issues performed in Uganda. The partner designs the survey questions, Text to Change enables easy data collection using mobile technology and the formhub platform. Using cheap Android phones, 60 trained Ugandans will carry out the survey using FormHub.

Marcus also wants to use FormHub to automate data gathering in health and medical setting in remote clinics because it’s simple to use for the designer, data collector and data analist and it’s open source.  Many more interesting projects to come!

Vusion

Vusion is a new SMS open source platform development by Text to Change. The backend is based on the Vumi system developed by the Praekelt Foundation.  Marcus sees Vusion as the next big thing in SMS messaging, and here’s why:

  • Vusion is focused on providing a scalable enterprise messaging platform
  • It can connects to multiple telecom companies and aggregators in multiple countries and multiple shortcodes
  • Once Vusion is set up, you won’t need a programmer to design campaigns or access data so it’s easy for non-technical project managers to use without programming skills
  • An API enables access to SMS data from external applications, which enables easy development of for example; advanced real-time data visualizations, website-widgets, twitter integration, etc.
  • Vusion has different access levels and enables organizations to implement and manage multiple SMS programs in parallel from one central platform.

Programmer? You can download Vusion from github and see what the skeleton looks like.

Some of the cost implications of SMS projects are annual dedicated shortcode fees and aggregator costs.  Vusion reduces this by enabling shortcode sharing. Users can use the same shortcode for small projects to share infrastructure and still be in full control over their campagins and projects  This is the approach Text to Change has been pioneering for years but Vusion will make it easier for organizations to be more involved in their own campaigns by having full access to their projects and the associated data.

Vusion was launched with an extensive demo on the 15th of June in Amsterdam. There is no recording of real-live demo but an accompanying presentation is available on slideshare.

Interested in learning about Mobiles for International Development? Check out our upcoming course, mHealth: Mobile Phones for Public Health, starting in November. 

Much of the event data that new technology is making available to practitioners contains geographic information, and to take advantage of this we need a way of thinking about geographic information in a predictive way.  Combining today’s post with last week’s “Corralling the Data instead of the Data Corralling Us” post, we get a data filtering methodology that gives us data that is timely and geographically relevant in the field.  This will set us up for next week’s post, which will explore how to use time and space filters to maximize the value of software like Swiftriver which significantly speeds the process of data collection and management for project leaders and analysts.

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