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Digital Health for Rural Communties:
Potential, Trends and Challenges, ITU,
17 September 2010
Dr. Garrett Mehl, Department of
Reproductive Health and Research,
World Health Organization, Geneva
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Infancy
Childhood
Family Planning Services
Care During Pregnancy
Prevention of Unsafe Abortion
Care of Mother and Newborn around Birth
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Care for Newborn
Care During Infancy and Childhood
Monday, 4 October 2010
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(newborn)
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Childhood
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Child Health
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Data Collection
Disease Surveillance
Provider point of care support
Electronic medical records
Health provider tele-guidance
Emergency response
Remote monitoring & diagnostics
Client reminders
Patient tele-counseling/helpline
Treatment compliance
Prevention & Promotion
Conditional Cash Transfers
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Disease Incidence and Prevalence
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All women
With sexually
disease/
100% transmitted
reproductive tract infection
Screening
50% Symptomatic
35% Seek treatment
30% Go to heath unit
6% Treated correctly
4% Compliant
Information
Incentive
Quality of care
mHealth
solutions
Reminders
3% Treatment effective
1% Partner treated
Education
Adaptation from: C.P. Hudson. Bulletin of the World Health Organization, 2001, 79 (1)
Monday, 4 October 2010
21
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24
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Package of services
•
Registration with unique ID
•
Comprehensive tracing system, esp. to address problems of loss-to-followup.
•
Health reports on specific topics
•
Rapid response time: immediate response with guidance on what to do
•
Rapid diagnostic test reports -- e.g., malaria - based on test results, instant guidance to
health worker on what to do, and tracking of malaria among population.
•
Provider Action Reminder - child's CHW receives a text message requesting follow-up visit
next day.
•
Follow-up alerts -- reminders to CHWs, to patients
•
Linkage to expert systems for diagnostic assistance
•
Linkage to Electronic Medical Records Systems
•
Two way data flow -- CHW to Health system and back.
Monday, 4 October 2010
25
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Monday, 4 October 2010
26
Thanks.
27
For More Information:
Dr. Garrett Mehl, Department of
Reproductive Health and Research,
World Health Organization, Geneva
mehlg@who.int
Monday, 4 October 2010
27