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MIRA Channel

This blog was provided by ZMQ. This program recieved a plaque of commendation in the Innovation/Technology to Improve Health category of the 2015 GHC-GBCHealth Business Action on Health Awards. 

MIRA Channel, or Women Mobile Lifeline Channel, is an integrated mobile phone channel to provide healthcare information and services to rural women through mobile phones in low-resource settings. The information is delivered to women through interactive edutainment tools by building their knowledge and
creating awareness on critical health issues. The channel also connects women with local health systems like Public Health Centers (PHCs) and Community Health Workers (CHWs). The objective of the channel is to enable women to improve health indicators, self-manage their life, and reach towards a larger goal of empowerment.

MIRA Channel is a single-window application with multiple channels on prenatal care, child immunization, newborn care, family planning, and adolescent health issues with an objective to improve maternal and child health through RMNCH+A approach. The channel is designed for millions of semi-literate women using iconic language with limited audio support and minimum text in local languages. The content of the channel get regularly updated on the mobile phones.

The distinguishing features of MIRA Channel are its icon-based interactive tool kits, health calculators, and trackers like pregnancy tracker, immunization tracker, menstrual cycle tracker, family planning tracker, and infection prevention trackers. Use of iconic messaging system throughout the channel enables women with low or no literacy levels to understand issues easily and quickly. It also has a feature to access supporting audio for all the messages which can also be downloaded externally. MIRA channel also has numerous value-added services (VAS tools) like the stimulating mobile games, soap operas, story-telling tools, decision-making stories, and m-learning tools which provides education to women based on ZMQ’s model of “Real-World Risk Reduction Method using Game Mechanics” thus creating behavior change.

Critical Success Factors

Currently the channel provides quality information to rural women on five major sub-channels that cover every aspect of a woman across life stages—from adolescence to motherhood. These are as follows:

• Prenatal Care
• Immunization
• Newborn Care
• Family Planning
• Adolescent Health

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Shruti Program by Medtronic

This blog was provided by Medtronic. This program recieved a plaque of commendation in the Innovation/Technology to Improve Health category of the 2015 GHC-GBCHealth Business Action on Health Awards. 

According to the World Health Organization, more than 360 million people around the globe suffer from disabling hearing loss — nearly 5.3 percent of the world’s population.[1] Undiagnosed ear problems are particularly pervasive in India, where 77 percent of people with chronic ear infections will suffer from permanent hearing impairment due to a lack of public health awareness or limited access to ear, nose, and throat (ENT) specialists.[2]

The Medtronic Shruti Program is a social business initiative that harnesses the power of partners and technology to address this critical healthcare problem. Launched in 2013, the Shruti program brings sustainable, low-cost otology services — including education, screening, diagnosis, and treatment — to underserved communities, particularly in densely populated, low-income areas in six cities in India and Bangladesh.

Shruti’s trained community health workers go door-to-door screening residents for unchecked ear infections. At the screenings, health workers use a smartphone attached to an otoscope that uses a custom app to capture patient information and images of the ear canal and eardrum. People with infections, hearing loss or other problems are referred a Medtronic treatment partner, a local health care provider whose physicians can provide the care that patients need at a special rate affordable for Shruti patients.

Critical Success

In less than three years, the Shruti program has expanded from its original site in Delhi, India to include six sites across India and Bangladesh, with additional replications across India and eventually internationally already planned. The Shruti program has already performed 114,898 inner-ear screenings, diagnosed 43,383 people with ear infections and hearing loss, and helped 3,828 receive the treatment they need. This partnership has created an innovative healthcare ecosystem that can help solve a multibillion-dollar problem affecting underserved patients worldwide.

 


[1] World Health Organization, Deafness and Hearing Loss Fact Sheet. http://www.who.int/mediacentre/factsheets/fs300/en/.

Accessed Sept. 21, 2015.

[2] World Health Organization, “Chronic suppurative otitis media: Burden of Illness and Management Options.” Geneva, Switzerland, 2004.

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LifeSpring Hospitals

This blog was provided by LifeSpring Pvt. Ltd. This program recieved a plaque of commendation in the Core Business Competencies category of the 2015 GHC-GBCHealth Business Action on Health Awards. 

Since 2005 LifeSpring has taken on the challenge to provide high quality maternal and child health care at affordable rates for India’s low-income population through its expanding chain of affordable, high quality maternal hospitals.  LifeSpring has achieved financial sustainability and social impact, and contributed to improving efficiency and  effectiveness of public hospitals by showcasing the use of management techniques.

These innovative core management techniques showed great improvement of access to and the quality  of affordable maternal and basic newborn care:

— Complete re-engineering of the processes involved in the service delivery making the services affordable.
— Altering the finance structure by lowering capital investments and altering the cost structure to  minimize the working capital.
— Using information technology to closely monitor the pregnant women who are not regular in their antenatal check up and motivating them to regularize their antenatal check up.
— Following the marketing approach to place the hospital nearer to the communities, enlist newly pregnant women in the community and following up with them till delivery.
— Breaking the barrier between the pregnant women and doctors.
— Hardcoding clinical protocols in the form of standard antenatal examination records and delivery.
— Over 13,000 antenatal examinations and about 700 deliveries (including caesarean sections) are being managed by engaging only 17 non-clinical positions in the organizations. All the others, except community-based outreach workers, are engaged in providing clinical services.

Critical Success Factors

Presently, LifeSpring is offering its services in Hyderabad, India. It has established 12 small hospitals (20-25 beds), which offer antenatal services 360 days a year, 24 hour inpatient services, outreach to over 25,000 pregnant women, and deliver over 8,000 healthy babies annually (35,000 since 2005).  Through sustained campaigning, motivation and offering good services, the program has increased the average number of antenatal visits among women delivering at LifeSpring Hospitals to 8.33, achieved 0% severe anaemia, 0% maternal mortality, 0.2% maternal morbidity, and only 20% babies born under 2.5 kg.

With these achievements, LifeSpring Hospitals has become a member of the UN led Business Call to Action (BCtA) and IPIHD networks.

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MomConnect by Johnson & Johnson

This blog was provided by Johnson & Johnson. This program recieved a plaque of commendation in the Innovation/Technology to Improve Health category of the 2015 GHC-GBCHealth Business Action on Health Awards. 

Launched in 2014, MomConnect is a South African National Department of Health initiative that uses mobile technology to educate and empower new and expecting mothers, monitor the quality of health services, and support nurses and midwives.

Women register with MomConnect at their local clinic to receive evidence-based, culturally-sensitive SMS messages throughout pregnancy and up to the infant’s first birthday, timed by estimated date of delivery. Messages advise on the importance of attending antenatal visits and provide information on preparing for a safe labor and tips for newborn care. Each registration is captured in South Africa’s first national pregnancy registry.

Johnson & Johnson has made funding and in-kind contributions to MomConnect, including support to MAMA South Africa – a precursor mobile messaging program launched in 2011 – and content development by BabyCenter, a member of the Johnson & Johnson family of companies.

Critical Success Factors

  • Since August 2014, more than 570,000 women received MomConnect messages and more than 441,000 confirmed pregnancies were registered with the national database – 1/3 of South Africa’s annual live births.
  • 34,887 health workers were trained on MomConnect, covering 95% of public health facilities.
  • MomConnect’s help desk provides a confidential environment for women to ask questions and provide feedback on clinical services. Approximately 3,100 MomConnect users submitted feedback in the last year, with a compliment to complaints ratio of 6:1.
  • In a phone-based survey (n=1,999):
    • 98% said the messages had helped
    • Nearly 81% said they shared the messages with friends and/or partners
    • 80% said the messages helped them remember clinic visits
    • Nearly 77% said the messages helped them feel more prepared for childbirth

Replicability and Scale Up

  • MomConnect will be adding messages for health workers and mothers living with HIV. The program is also exploring expanding the child messages to age 5 and adding messages for partners.
  • Aspects of MomConnect have already been replicated in other countries, including Uganda.

Additional resources:

http://www.health.gov.za/index.php/mom-connect-docs/category/146-momconnectdocs includes flyers, posters and other visuals from the program

https://www.dropbox.com/sh/d19zh6drn08i9m3/AADrY0cMLAMk5p54YT–wnO7a?dl=0 includes photos from a MomConnect launch event.

 

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Ecobank Group / Ecobank Foundation & The Global Fund Partnership

This blog was provided by EcoBank Group. This program recieved a plaque of commendation in the Core Business Competencies category of the 2015 GHC-GBCHealth Business Action on Health Awards. 

Since 2012, Ecobank has partnered with the Global Fund to Fight AIDS, Tuberculosis and Malaria, to deliver a programme that alleviates grant bottlenecks by strengthening the financial management capacity of grant recipients.

The Global Fund mobilises USD 4 billion a year to support programmes in 140 countries worldwide, 65% of which is dedicated to sub-Saharan Africa. However, financial management of grants at the implementation level can be weak due to insufficient financial management skills, which means funds may not be disbursed.

Ecobank’s contribution to the programme – split in cash contributions and services in kind – adds up to USD 3 million pledged over three years. Additionally, it has also made a significant contribution in the form of Global Fund advocacy, and has mobilised over 20,000 African employees in CSR activities.  The combination of 52 weeks of free training in capacity building projects in Nigeria and South Sudan, 80 people trained through workshops and 65 specific accounting interventions identified and resolved during assignments, have contributed to some encouraging results.

Critical Success Factors

  • Full engagement with local stakeholders has been critical, given the requirement for local ownership of the country projects.
  • A robust model for building financial management capacity, with proven benefits, and scalable to other countries.
  • But what makes the project particularly sustainable is that it links corporate and social responsibilities with the natural business development opportunities that derive from CSR work.

 

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