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Round 2 (2012)


Mobilizing Innovation for Global Health

Round 2 (2012)

The following 2012 catalytic grant winners were announced in September at an Every Woman, Every Child event during the UN General Assembly in New York.


Changamka (Kenya)

Changamka Microhealth Ltd. provides card-based saving and health payment services in Kenya. Changamka seeks to empower women of child-bearing age, ensuring that they have the information and financial resources needed to obtain high quality care for themselves and their babies. In 2013, 1,595 women were enrolled in the service and Changamka measured the effect of an e-voucher, SMS reminders, and transport subsidies on in-facility delivery. The results have been largely positive. Changamka found that of the enrolled women expected to deliver by December 2013, 85% of women receiving the full voucher delivered in-facility, 75% of women receiving the copay voucher delivered in-facility and 50% of women in the voucher control group delivered in-facility. The SMS health messaging and appointment reminders were sent to 62% of enrollees. Of these women, 65% of those expected to deliver by December 2013 delivered in-facility. Several studies have shown that arranging and paying for transportation can be a key barrier to in facility delivery. Changamka’s research illustrated this point with 75% of women who received the unconditional transport subsidy delivering in-facility, compared to in-facility delivery for 56% of women who did not receive the transport subsidy. These findings with the initial user group of 1,595 have enabled Changamka to plan for scale-up to 10,000 women in year 2 of the catalytic grant.

Lead Contact: Samuel Agutu, Changamka  
URL: http://changamka.co.ke/
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Clinton Health Access Initiative (CHAI) (Malawi)

In Malawi, CHAI’s mobile technology has been recognized by the Ministry of Health as an effective mechanism for quickly tracing patients who miss appointments, communicating CD4 and Early Infant Diagnostic (EID) results, and identifying patients with other urgent and pressing medical conditions. CHAI is working to support the Ministry of Health by establishing a public-private partnership with local telecommunications providers to create long-term, low-cost solutions at the national scale to make this intervention and related mHealth interventions more affordable for the government. As a result of this work, CHAI expects that all mother-infant pairs who enrolled in a PMTCT program and who miss an appointment will receive follow up within two weeks of their missed visit, and all mothers and their babies will return to clinics for health care within a month. CHAI is currently working with over 150 health workers in 5 rural health centers and 5 semi-urban health centers and tracking nearly 100 patients in the system. 


Lead contact: Jonathan Mtaula, CHAI Malawi
URL: http://www.clintonhealthaccess.org/
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International Institute for Communication and Development (IICD) (Mali, Senegal)

In Mali and Senegal, IICD seeks to use a mobile application to help semi-literate Community Health Workers (CHWs) improve patient case management by conducting prevention, diagnosis and treatment in a more efficient and cost-effective way. The Ma Sante program is being scaled up in Mali and replicated in Senegal. In Mali, IICD currently works with 150 CHWs and in 2013 provided ICT-skills training to 75 new CHWs and 25 clinic based health workers so that they can use the application. In Mali, the local implementing partner Muso Ladamunen reported that it was clear that through use of the mobile application, CHWs were able to collect and share data real-time, particularly in relation to outbreaks of communicable diseases. Furthermore, the CHWs were very proud to be able to prove that low-educated women were able to master the use of information communication technologies (ICTs) to improve the health of their community. In Senegal, IICD will build on the lessons from Mali and has leveraged the talent of local student-programmers from the University of Gaston Berger to localize the application, with rollout planned for 2014. 

Lead contact: Hilde Eugelink, IICD
URL: http://www.iicd.org/ 
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Malaria No More (Tanzania)

Malaria No More (MNM) and Tanzania House of Talent have created mZinduka!, the first ever malaria mobile community – a community of Tanzanians who “opt in” to a mobile service that provides life-saving malaria education information via SMS, voice messages, and interactive voice response (IVR). To increase appeal and ultimate exposure of the content, MNM has recruited some of Tanzania’s biggest household names to record educational messages, as well as support campaign promotion and events. This strategy not only improves the viral nature of the messages, but also reinforces the notion of malaria control as a norm and priority amongst influencers- from politicians to musicians. mZinduka! was formally launched on December 4, 2013 by the Vice President of Tanzania. The campaign launch garnered favorable press coverage across print, news and web media platforms. The most significant success metric of the first year of implementation is the number of Tanzanians who subscribed to the malaria community. With an original target of 100,000 for 2013, the campaign outperformed considerably- over 650,000 people subscribed to the community within one week of the campaign launch. This was largely driven by the success of the malaria anthem and the free ring tone and ring-back tone download opt-in. This success built upon a core and integral partnership with private sector leader Vodacom, which brought additional financial resources to the campaign, offered a dynamic platform to drive the campaign, and provided outreach to its customers to build the community user base.

Lead contact: Mark Allen, Malaria No More
URL: http://www.malarianomore.org/ 
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Praekelt Foundation (South Africa)

In South Africa, the Praekelt Foundation reaches women with high quality, locally-relevant information on pregnancy and infant care. The Praekelt Foundation is also a key member of the MAMA global team. Through strong partnerships with leading MNOs in South Africa, the Praekelt Foundation is able to provide access to life-saving content across multiple technological platforms. The Praekelt Foundation has approximately 8,000 users receiving SMS messages, 28,000 registered users for the Unstructured Supplementary Service Data (USSD) platform, and has had over 100,000 unique visitors to the Mobi site. Through a partnership with Vodafone, a leading MNO, access to the Mobi site has increased significantly by making it a part of the Vodafone Live platform that users can access without accruing data charges. Through user testing, the Praekelt Foundation has found that their range of platforms are appropriate for women across different socio-economic strata (i.e. poorest women with basic phones are more likely to receive SMS whereas women with feature phones can access the Mobi site). Furthermore, the type of information that women access varies based on the platform. For example, a higher percentage of women opt to receive HIV messages through USSD instead of SMS. The Praekelt Foundation believes this is due to the fact that when USSD sessions end the data is not stored (unlike an SMS), so they do not have to worry about a family member or partner coming across HIV-related information on their phone. The Praekelt Foundation will continue to scale up the MAMA health content across these and additional platforms to improve access to information and encourage behavior change for maternal and child health. 


Lead contact: Marcha Neethling, Praekelt Foundation 
URL: http://www.praekeltfoundation.org/  
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Medic Mobile (Nepal)

In Nepal, Medic Mobile has found that a community-based, mobile technology platform for maternal care coordination system may reduce maternal and child mortality, increase institutional delivery, and reduce maternal and neonatal mortality. In partnership with the Ministry of Health and Population in Nepal, Medic Mobile will leverage mobile infrastructure to support Female Community Health Volunteers to enable remote registration for services and reporting for vital events, antenatal counseling reminders, danger sign reporting, and postnatal counseling reminders. Over two years of scale up, Medic Mobile will enroll 9,000 women and track specific health indicators, including the proportion of pregnant women completing the recommended number of Antenatal Care Visits and the proportion of institutional births in presence of a skilled birth attendant. Informed by Medic Mobile’s current implementation in a pool of 4 rural sub-districts of the district of Baglung, Nepal, they will scale-up the service throughout the entire district of Baglung and beyond while determining best practices for continuous improvement, cost-effectiveness, and sustainability.

Lead contact: Josh Nesbit, Medic Mobile
URL: http://medicmobile.org/

Society for Elimination of Rural Poverty (India)

In India, SERP is integrating a mobile component into the community managed Nutrition cum Day Care Centers (NDCCs). The NDCCs provide three healthy meals and access to health information and services to pregnant women and women with newborns to combat the issues of malnutrition and maternal and child mortality. The mobile phone application is currently being used by 4,200 Health Activists (one per NDCC) and reaches 35,486 women and 17,406 children. The mobile component is used to generate a monitoring and evaluation feedback loop between local and state level actors. It also allows Health Activists to track the nutrition and health behavior change activities for individual patients and take appropriate action through automatically generated alerts and reminders (i.e. if a woman has been missing meals, the application will remind the Health Activist to follow up with her). SERP is a government agency and after sharing the data that they have been able to capture using the mobile application, other departments have found it useful for generating their own reports. Based on this interest, the government of Andhra Pradesh is considering revising the software and implementing it across all health and development departments. If the government moves forward with these plans, SERP will have contributed to one of the largest (if not the largest) scale-up of an mHealth solution in India.

Lead contact: Lakshmi Durga Chava, SERP
URL: http://www.serp.ap.gov.in/SHG/index.jsp 
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VillageReach (Malawi)

In Malawi, VillageReach manages Chipatala cha pa Foni (CCPF), a toll-free hotline, to improve case management of maternal and child health and increase uptake of community-accessed and facility-based services in rural areas. CCPF provides callers with direct access to information, advice, and health promotion regarding maternal, neonatal, and child health. VillageReach successfully identified collaborating partners in 2013 that have helped bring awareness and volunteers for CCPF to three new districts in Malawi. After demonstrating effectiveness, VillageReach’s partners at the Ministry of Health in Balaka have assigned four of their staff members to be trained as hotline workers. This is a positive step in terms of government buy-in and eventual ownership of the service. VillageReach has benefitted from a strong partnership with Senior Chief Kwataine, the National Chairperson for the Presidential Initiative on Safe Motherhood in Malawi, when engaging with the government. In 2013, CCPF fielded 15,231 calls and enrolled 7,616 clients in the tips and reminders messaging service. After reviewing call data, VillageReach was pleased to see that 80% of calls did not result in referral to a health facility. This demonstrates that issues can be resolved over the hotline, which saves clients time and money and lessens the burden on public health facilities.

Lead contact: Zachariah Jezman, VillageReach  
URL: http://villagereach.org/ 
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