Creating Value Through ICT4D Partnerships Using iPhones for a Nationwide KAP Survey CRS Sierra Leone Emily Bostick Program Manager - Malaria March 28, 2012 ICT4D Conference Kigali, Rwanda Project Background (1) • Global Fund Malaria – Health Sector – National Knowledge, Attitudes, Practices Survey • Partners – Ministry of Health and Sanitation / National Malaria Control Program / Dept. of Planning and Information, WHO, Statistics Sierra Leone Project Background (2) • Problem – How to efficiently collect highquality data for national surveys for evidence-based communications strategies • Why ICT4D? – Familiarization with electronic data collection, avoid time and error of paper, previous discussions with health professionals • ICT Solution (1) ICT Solution (1) • • Solution – using iForm Builder / iPhone 3GS to collect data using 89 enumerators over 4 weeks Necessary Support – p1: introduce technology for stakeholder buy-in, build local capacity to program – p2: program, train, test, trouble shoot – p3: transfer final dataset and analyze with 100% confidence in data integrity ICT Solution (2) • Staff support – programming, tech, logistics • Partnership has influenced the choice based on enthusiasm, sustainability (esp. in terms of continued expenses), choice of devices, experience with PDA randomization https://www.google.com/fusiontables/DataSource?snapid=S403735 RH_E iFB versus Paper iFormBuilder • Develop paper form first • Auto-calculations, skips and verification logic • Longer training in two steps necessary • Need backup plan • Field support line • Supervisor responsibility • Cleaner, quicker, geotagged data Paper • Develop paper form first • Dependent on enumerators to follow • One training with only one format • No backup collection plan • Less field support • Supervisor responsibility • “Dirty” physical data forms Key Challenges (1) • Limited support in phase 1 • Timing of project activity (started before team was fully operational; performance-based funding) • Underestimation of time required for each activity (response rather than preparation mode) • Communication on expected outputs Key Challenges (2) • • • • Procurement and Testing from HQ Distribution of work amongst team Security of goods Partners competing priorities / inability to accept responsibility re: iPhones • Rushing led to some programming errors • Technology solution unable to process magnitude of data Lessons Learned • Partnership – involve partners early • Importance of a clear process • Necessity of resources and tools for planning process • Importance of testing • Necessity to slow down • Necessity of longitudinal support Sustainability • Need trained / invested local staff • Need financial deals for partners • Need 100% guarantee that technology is appropriate and tested choice • iFB has been able to work directly with us to resolve issues and has offered reasonable pricing for MOHS, should they continue with this technology Summary and Close • • • • Plan early Demand support Have a plan B and plan C Monitor all data in process for completion, duplicates and glitches Thank You! Emily Bostick emilybostick@crs.org