That is something nice. We would appreciate if our colligues in Uganda can
share with us especially of areas of use of SMS as we would want to use MOVE-IT
(monitoring of vital events by use of IT ( Mobile). Surveillance has also not
taken Mhealth and if could share then challenges. Our coverage is 62 per 100
pple.
PEPELA WANJALA
MINISTRY OF HEALTH HEADQUARTERS
HEALTH INFORMATION SYSTEM
AFYA HOUSE, HIS LG 37
P.O BOX 30016, NAIROBI, KENYA
TEL: +254 (020) 2717077 EXT 45097
CELL: +254 (0) 722375633 or 0202033363
EMAIL: wanjal...@yahoo.com
h...@health.go.ke
"HealthInformation Management - Making a World of Difference”
________________________________
From: Knut Staring <knu...@gmail.com>
To: "dhis2-users@lists.launchpad.net" <dhis2-users@lists.launchpad.net>
Sent: Wednesday, February 22, 2012 1:45 PM
Subject: [Dhis2-users] Fwd: A Ugandan mHealth Moratorium Is a Good Thing and 2
more
Sent from my mobile
---------- Forwarded message ----------
From: "ICTWorks" <wa...@inveneo.org>
Date: Feb 22, 2012 5:04 PM
Subject: A Ugandan mHealth Moratorium Is a Good Thing and 2 more
To: <knu...@gmail.com>
A Ugandan mHealth Moratorium Is a Good Thing and 2 more
________________________________
A Ugandan mHealth Moratorium Is a Good Thing
Posted: 22 Feb 2012 01:00 AM PST
I am David McCann and when I first arrived in Uganda, I used to describe it as
"the perfect storm" for aid in general, and M4D in particular. The country
overall has the necessary cellular coverage for a successful M4D project.
Kampala is comfortable, with mild weather, good infrastructure (Umeme
Electricity Co. notwithstanding), and more than its share of
international-style restaurants for all those expatriate aid workers. And in
contrast, the impoverished Northern regions of the country have the necessary
need for immediate and long-term intervention from development organizations,
from the small NGO to Big Aid.
The government, at first blush, seems to enjoy the arrangement
Discussions of corruption within any large organization or government could
fill volumes, but to put it succinctly, big money flows through Uganda, funds
many of its public programs, and is certainly strained through the appropriate
parliamentarians (and yes, a few high-paid NGO consultants) before arriving
where it's needed.
The result is almost a gold-rush frenzy to get one's own brand of smart phone
and wheel-reinventing Android app out to a handful of Village Health Team
workers and change the world. In theory, this sounds like a win for the
Ugandan people...
In practice, there are other details to consider
You've managed to track drug stock-outs in a sub-county in Moroto using solar
chargers and 50 Samsung Galaxies. That's great, can we share data with a
similar project I did using BlackBerries in Gulu? Probably not. You've rolled
your own drug-stock-tracking application. And yet when members of Big Aid met
with the Ministry of Health, to account for the overlapping features of their
mHealth applications and whether API integration is possible, one actually
responded along the lines of "well, it's backed by a relational database, so in
theory, yes."
While true, this misses the intent of the question by a wide margin. It's
worse in the education sector, where the Ministry of Education and Sports has
unfortunately contracted a private US company to write a proprietary,
never-completed application for tracking district-level attendance. A year ago
I was told it did have an API, "using SOAP." A year later the company has yet
to elaborate on that single sentence worth of documentation.
Uganda MoH mHealth Stop Work Order
Ministry of Health is pushing coordination
In contrast, the Resource Center at the Ministry of Health has in their employ
a talented young IT professional, whose task has been to migrate literally
dozens of historical databases (in MS-Access, shudder) over to their running
instance of DHIS2. When I have the pleasure of speaking with him, he gets
excited about software using Django, FOSS in general, and API layers for
sharing data. He's part of an elite few Ugandan IT professionals who are
changing their country for the better.
DHIS2 is fulfilling the medical recording needs of not only Uganda, but many
other countries in the region including neighboring Rwanda. It is free, open
source, and continues to have features added to it by an active community. Its
adoption by (and related referendum from) the Ministry of Health in Uganda
signals perhaps not a changing of the guard, but at least the entrance of a few
people in key positions who pay attention.
These champions are forcing the Big Aid organizations to do M4D in a more
coherent way. They've cut the tracking of health-based indicators that serve
only as metrics of aid success, and they get excited (and sometimes even angry)
when they see the messages people send in to an anonymous hotline about drug
stock-outs or health provider absenteeism. (For those in Uganda, the hotline
is a free SMS short code, 8200, and you can report on any problems in your
local health facility).
If you want to do M4D in Uganda, you have to be willing to collaborate.
If you still think the best way to succeed is by handing out an iPad to every
village health worker in the parish you're working in, great. Just make sure
first that no one else is handing out Androids there too. And when your pilot
crashes and burns because it can't scale country-wide, your data should at
least be able to feed into a system that tracks the entire small-scale NGO
graveyard of projects, because the sum total of the data actually is useful,
even if the project itself ultimately wasn't. If you're Big Aid, it means
you're going to have to start re-thinking the budget of that
$hundreds-of-thousands grant, because it probably shouldn't have your own
branded software platform as a line item.
Obviously, I see this as a good thing. It's a powerful indication that at
least at the Ministry of Health, Uganda is ready to take ownership for its
development. And really, isn't that sort of the whole point?
.
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Posted: 21 Feb 2012 05:31 AM PST
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