In 2018, Medic Mobile teams equipped 8,086 new health workers, which included 4,293 health workers supported by Ministry partners. Other partners ranged from grassroots clinics and community-based organizations to large NGOs. Below, we highlight several strategic initiatives to illustrate the reach and focus of our work last year.
Supporting Ministry Partnerships at Scale
In 2018, we reached the remarkable milestone of 100% coverage across Siaya County, Kenya. This feat required an incredible amount of coordination, perseverance, and dedication, and we are grateful for the leadership of the county health team and their commitment to this partnership. In 2018, we expanded to the final four sub-counties, equipping 1,043 Community Health Volunteers (CHVs) and achieving a total of over 2,000 health workers supported by the mobile app. We also added new workflows, including early childhood development, malnutrition, eye care, and referrals for HIV testing.
Medic Mobile and our partnership with the Siaya County Ministry of Health featured on BBC News' Disruptors Series.
In Nepal, we’ve continued to partner with local government units to expand our nationally scaled SMS program. In 2018, we equipped 3,250 new health workers in Nepal for a total of over 7,000 Female Community Health Workers (FCHVs) across ten districts. Notably, we equipped all health workers and achieved full district coverage in Bajura and Pyuthan, and trained a percentage of health workers in Sindhuli and Sindhupalchowk.
In Uganda, we continued our partnership with IntraHealth International to implement a USAID-funded project in collaboration with the Government of Uganda. The project aims to increase availability and utilization of high-quality HIV/AIDS interventions and reporting at health facilities in Eastern Uganda.
Innovating Alongside Model Building Partners
In 2018, Medic Mobile and our partners Muso and Living Goods established the Community Health Innovation Network in Mali and Kenya. These sites bring together research expertise, implementation science, and an innovative mindset. You can read about why we think they’ll streamline the community health R&D process in our Computing and Sustainable Societies paper. Below are highlights of a few experiments with the Community Health Innovation Network:
Malaria diagnosis: We designed a new workflow to support community health workers (CHWs) as they administer malaria Rapid Diagnostic Tests (RDTs). We worked with the University of Washington’s Ubicomp lab to prototype an RDT Capture app that uses computer vision algorithms to optimize the capture of images of completed RDTs, and designed a workflow and a new feature to enable supervisors to review and mark these images for accuracy of diagnosis.
Predictive models for precision care: A CHW might care for upwards of 100 families. In 2018, we began equipping Living Goods CHWs in Kenya with a risk profiling algorithm to enable them to provide more proactive, differentiated care for the people and households that are the most likely to face barriers to accessing care. Informed by rigorous data science, the predictive model is able to help CHWs target households that are most at risk of having a home birth, a newborn that will experience danger signs, or delayed care-seeking behavior for a sick child under the age of five.
HIV/AIDS: Community-based delivery and self-administration of HIV tests is a development that has received a lot of attention by the global health community due to its potential to reduce stigma and greatly widen access. We designed HIV testing workflows in Kenya and Uganda and launched a prototype to support CHW-assisted and unassisted HIV self-tests delivered at the doorstep.
Launching the Community Health Toolkit
We are thrilled to have both longtime and new partners on board supporting us with the exciting launch of the Community Health Toolkit (CHT). Last year, we built the capacity of the Living Goods team to configure and perform technical troubleshooting on the framework powering their app. Additionally, the Zanzibar Ministry of Health and their partner organization D-Tree selected the Community Health Toolkit as the software platform to support Zanzibar’s national community health volunteer program. We’re also grateful for the tremendous interest that we’ve received from the broader community for this initiative and look forward to adding more partners to the CHT in 2019.