Posts in MHealth

ICT for Health, our contribution to the Master in ICT for Development and Social Good

May 2nd, 2019 Posted by Data Analysis, Data Collection, e-learning, MHealth, Training 0 comments on “ICT for Health, our contribution to the Master in ICT for Development and Social Good”
It’s always a great experience to exchange ideas, facts, data, information and knowledge with people from different background, culture and environment. That’s what happened last month when we took part to the first edition of the Master programme in ICT for Development and Social Good as lecturer of the ICT for Health module.
The Master course in ICT for Development and Social Good,  organized by ONG2.0 and the University of Turin and co-funded by the Italian Agency for Cooperation and Development (AICS), allows students to acquire knowledge on managing projects in the cooperation and development sector with a special focus on the use of technology (ICT4D) to achieve project objectives.

In our ICT for Health module, we explored many topics, starting from a general overview of healthcare systems and health information systems, describing the processes and steps required to run a successful mhealth project.
We discussed about many examples of mhealth applications: from remote monitoring, to point of care, stock management, treatment adherence, education/awareness and crowdsourcing.
Each type of application has been analysed through practical case studies, allowing us to explore projects like c-stock for the management of drugs supply; to talk about the CardioPad app from Cameroon for remote monitoring of cardiac diseases. We then presented applications like Momconnect in SouthAfrica to support women during pregnancy and the very interesting Mobile Academy app where co-design with users really shows its full potential. And, again, we spoke about monitoring and tracking diseases using mobile application as well as crowdsourcing tools.
Students also had a chance to gain practical experience on some of the most common tools specifically used for mhealth projects such as CommCare, Magpi or TextIt. We also presented our Dewco data collection tool, developed by Gnucoop, that has been used, among others, for the development of the Integrated Refugees Health Information System (iRHIS) used by UNHCR to monitor health activities in refugee camps at worldwide level.

So, talking about applications and mhealth tools implies a discussion about data and the common challenges of scalability, interoperability and data security. In our last lecture, we explored those challenges and possible solutions to overcome them. Furthermore, we walked through some basic concepts of data analysis like linear regression and decision tree with the overall objective of seeking good relations between our collected data.  

Open Days Innovazione 2019: co-progettare, partecipare ed innovare

March 11th, 2019 Posted by Blockchain, Data Collection, e-learning, ICT4Ag, ICT4D, MHealth, software development, web platform 0 comments on “Open Days Innovazione 2019: co-progettare, partecipare ed innovare”
Due giorni di incontri, discussioni, presentazioni e networking. Due giorni di idee per cercare di far incontrare innovatori, organizzazioni di cooperazione internazionale ed enti privati.
Abbiamo iniziato parlando di innovazione non come un risultato o un prodotto ma come un processo partecipativo di cui l’utente finale è il protagonista.
E così sono stati riportati esempi di innovazione come BRCK, che garantisce connettività in luoghi comunitari, come su 1000 autobus a Nairobi e 500 a Kigali, o in 1200 Wifi hotspots, oppure di imprese sociali nell’ambito dell’energia solare come la storia di M-KOPA .
Ma spesso basta poco per innovare, come un paio di tablet connessi che permette ad un gruppo di donne masai di imparare a leggere e scrivere e trasmettere all’intera comunità quanto appreso.


O ancora come il progetto Click4All (https://www.click4all.com/en/ ) per costruire piccoli strumenti di supporto alla disabilità (come mouse o tastiere), utilizzati per esempio in un centro di riabilitazione su base comunitaria in Siria.
E tanti altri ancora…
E poi è arrivata la volta dei tavoli di co-design in tema di Educazione, Agricoltura e Salute.
Gnucoop ha avuto il piacere di moderare il tavolo Health&Tech. Quattro storie di innovazione sanitaria hanno aperto il dibattito:
1. il software di raccolta dati del progetto iRHIS – Gnucoop;
2. la piattaforma Open Hospital – CUAMM/ISF;
3. la participatory data physicalization con l’Università di Bolzano;
4. i sistemi di mappatura che facilitano l’accesso a centri sanitari di riferimento di CCM
Storie che hanno permesso di individuare gli ingredienti di successo e criticità dei progetti di innovazione come: partecipazione, formazione, raccolta ed umanizzazione dei dati ed, ancora, monitoraggio e replicabilità degli strumenti, etc…
Un momento concreto di scambio ed incontro tra le tre comunità cardine degli open days innovazione: operatori umanitari, innovatori ed imprese.
Il secondo giorno ci ha visto invece partecipare a diversi workshops: dai Big Data e tecniche di data visualization ad esperienze pratiche sulle Internet of Things, tecnologie hardware open che danno spazio alla creatività ed innovazione.
E poi si è parlato di project management e strumenti agile, di Kanban e di Scrum, di effetto Panopticon, sprint planning, retrospettiva, stand up meetings e dei tre ruoli chiavi dell’agile methodology (product owner, scrum master e  team members). Strumenti di progettazione e pianificazione che meglio si adattano a progetti innovativi, permettendo di tenere sotto controllo il progetto ed, allo stesso tempo, garantendo l’efficienza dei team di lavoro e minimizzando i rischi.

Gli #ODI2019 sono stati anche l’occasione per lanciare tutte le offerte formative di #InnovazioneSviluppo.
Fino al 20 Marzo sono aperte, tra le altre, le iscrizioni al primo ciclo del corso “From paper to tablet: all the steps you need to know” promosso da Gnucoop, CIAI e ChangeLab. Il corso vuole fornire le competenze per migliorare il processo di monitoraggio e valutazione dei progetti e delle organizzazioni, attraverso l’utilizzo di strumenti adeguati ed innovativi di raccolta, sistematizzazione e analisi di dati.
Per partecipare clicca qui .


Grazie a Fondazione Cariplo e Compagnia di San Paolo che hanno organizzato questo evento!

iRHIS rolling out to new countries

August 3rd, 2018 Posted by Data Analysis, Data Collection, MHealth, Refugees, software development 0 comments on “iRHIS rolling out to new countries”

Here we are with some updates on the Integrated Refugee Health Information System (IRHIS) project that aims at monitoring UNHCR’s public health activities in Refugee Camps worldwide.
https://his.unhcr.org/

Fig.1 iRHIS Landing page

 

The mobile and web application designed to collect and report refugees medical records is up and running with a renovated look and it’s currently being used in 4 countries: Tanzania, Rwanda, Zambia and Ethiopia, involving over 1300 users and serving over 355.700 refugees.

While Tanzania, Rwanda and Zambia have also participated to the pilot phase, the system has been introduced to Ethiopia only in the last month, where over 500 new users have started to collect data.

While Data is collected daily and mostly offline on tablets by health staff, data synchronization and aggregation is performed weekly to update indicators on dashboard, reports and landing page. In some locations, such as in 2 Refugee camps in Zambia and one camp in Kenya, individual data collection has not been possible due to internal constraints. In order to overcome the challenge, the system provides the possibility to also enter already aggregated data directly into the application using a specific online form at health facility level.

Once information has been entered into the system, dashboard, reports and landing page allow easily monitoring of mortality, morbidity, reproductive health, diseases surveillance, Epi and nutritional indicators.

The landing page, that is publicly available,  displays indicator values at country and camp levels. The picture below shows pie charts (Fig.2) about the top five causes of morbidity in 6 Rwandese Refugee camps, grouped by disease type ( Acute Health Conditions, Chronic Diseases, Injuries, Mental Health Disease)

Fig. 2: Total consultations, Rwanda-June 2018

 

The following image instead shows the breakdown of ‘Skilled Birth Attendance’ indicator in Rwandese camps (Fig.3)

Fig. 3: Skilled Birth attendance breakdown, Rwanda-June 2018

 

The dashboard is also a key element of the iRHIS system. Displayed data is based on users’ permissions and Figure 4 shows some dashboard indicators (population, morbidity and mortality) related to Kiziba Refugee camp in Rwanda.

Fig. 4: Dashboard for Kiziba camp- week 30 2018

 

A great advantage of the system is that not only camp, country or regional supervisors but also clinicians at health center level can view updated indicators directly on their dashboard on their tablets. This helps them to always have a clear picture of the current status of the Health Facility or Camp where they work in. Furthermore, they can see their data collection efforts being used to generate valuable information.

Also reports are automatically generated weekly. They provide a comprehensive overview of public health and wash indicators at refugee camp level. Figure 5 and 6 show some examples of iRHIS reports.

Fig. 5: Example of HIS Indicator Report for Nyarugusu Camp (Tanzania, June 2018)

 

Fig. 6: Example of Disease Surveillance Report for Mugombwa Camp (Rwanda, week 30)

 

In the coming months, the system will be constantly monitored to improve its performance and facilitate the roll out in other countries. In August, Sudan will be added to the list of implementing countries. Particularly, next week health staff from 7 camps in Easter Sudan will be trained on the use of the new system.

We’ll continue keeping you posted on future updates of the project! Stay tuned!

‘MEDIA and ICT FOR DEVELOPMENT’

May 29th, 2018 Posted by Blockchain, Data Collection, DRR, Emergency, GIS, ICT4D, MHealth, software development, Training 0 comments on “‘MEDIA and ICT FOR DEVELOPMENT’”

On the 14th of May 2018 and in collaboration with ONG2.0, Gnucoop took part, as lecturer, to one of the session of the ‘Media  and ICT for development’ workshop at the University of Turin.

The workshop is one of the activity included in the University Course in Public and Political Communication (Corso di laurea magistrale in Comunicazione pubblica e politica), that helps students to get familiar and acquire knowledge and skills about the use of communication  and ICT tools in the development sector.

The workshop included 6 sessions and  Gnucoop was invited to participate as a lecturer to one of the lessons, focusing on the use of ICT for development.

Gnucoop discussed about the use of ICT in the development sector and particularly on how free software and technology can be useful tools to improve the impact of developing projects in international cooperation. Also, Gnucoop provided an overview and examples of ICT4D applications, such as mobile data collection tools, web GIS applications and blockchain solutions.

All the mentioned tools have the double role of gathering/disseminating information as well as helping responders to take actions.

Furthermore key challenges and best practices in ICT4D have been presented and discussed such as:

  1. Sustainability: ensuring project longevity →  crucial involvement of government or local ownership;
  2. Scalability: from pilot to large scale project: → ability to propose a solution that can impact large population
  3. Evaluation: impact analysis → keep monitoring the application year after year

The class involved students from the university of Turin enrolled specifically  in communication and development studies, who were very interested and actively participated to the session.

At the end of the workshop, students have been asked to run a practical exercise and design a communication plan related to the cooperation and development sector.

Mission Report Maban County, South Sudan

January 5th, 2018 Posted by Data Collection, MHealth, Refugees, software development 0 comments on “Mission Report Maban County, South Sudan”
The last training session in the 5th pilot Country has been held in South Sudan, Maban CountySeveral refugee camps are currently located in Maban. They are largely occupied by people fleeing armed conflict in Sudan‘s Blue Nile and South Kordofan States. The largest camps are from west to east: Kaya, Yusuf Batil (locally known as Batil), Gendrassa (directly abutting Batil) and Doro (near the town of Bunj). The camps were initially supported by the World Food Programme, originally through food air drops, although as on 2013, the UN Refugee Agency (UNHCR) and several other NGOs started to provide more stable relief services.

Gendrassa Camp

The Maban UNHCR Health and Nutrition team has involved the NGOs working in the Health sector (Samaritan’s Purse, International Medical Corps, Medair, Relief International) for whom we held 3 days of training. The training was really successful, thanks to the enthusiastic involvement of the participantsThey were really well prepared people who are dedicating their life to the Sudanese Refugees who left their country and found a place to stay in South Sudan, another country afflicted by a civil war from 2014. They divided their time from the clinics to the NGO compound, where they spent time working on the reports of the day. The idea of using tablets and the chance of creating reports automatically, made them really happy.
We spent the second week visiting all the clinics and health posts they managed in the 4 refugee camps and the 2 hospitals outside the camps, which serve also the host community. We collected all the information necessary for the following pilot project. Indeed, in march 2018, they will leave paper in order to use only tablet for the data collection. Some of the clinics are in good conditions and well equipped, some other need to be rehabilitated, because working there it’s not easy. Maban County is quite difficult to be reached, especially for receiving building materials. They serve more than 100 refugees per day, giving health and nutrition support and they sincerely expressed their difficulties to work in these conditions.
We spent lot of time with all the people involved in the Health and Nutrition sector, UNHCR staff and NGOs local staff, we could learn many things. Having  time for visiting all the clinics in four different camps, having the possibility to talk to people and collecting information directly from the field about the situation in that country has been a really great experience.

The situation in the country is still really dramatic and complicate. Marking four years since the outbreak of South Sudan’s civil war, UN High Commissioner for Refugees, Filippo Grandi, on 13th December 2017, appealed for “urgent action by all sides to settle the conflict and put an end to the country’s deepening humanitarian crisis and Africa’s largest refugee crisis”Noting that 63 percent of all South Sudanese refugees are under 18, Grandi labelled the situation “a children’s refugee crisis” and stressed that: “many children are arriving unaccompanied, separated and deeply traumatised.” Refugee women arriving in neighbouring countries have also reported repeated rape, the killing of their husbands, and abduction of their children. The six countries neighbouring South Sudan host two million refugees, while nearly seven million citizens inside the country are in need of essential humanitarian assistance. Two million of these are internally displacedDespite this tragic situation, the South Sudanese staff we met showed us a great desire to work together and to do their job in the best possible way.
Thank you guys!

Twine training in Rwanda

December 4th, 2017 Posted by Data Collection, ICT4D, MHealth, Refugees 0 comments on “Twine training in Rwanda”

In the framework of the collaboration with UNHCR, Gnucoop has started the pilot phase of the Twine Platform, developed for the collection, processing and reporting of the data about the public health within the refugee camps run by UNHCR.

This step involves six Countries, such as Zambia, Tanzania, Rwanda, Kenya and South Sudan, which have started to use the platform during October and November 2017.

After the first step, in the next few months, the platform will be roll out to the other Countries in which UNHCR is working. In the meantime, Gnucoop is providing support to those six Countries in the training of the medical staff about the use of the web app.

Our Project Manager, Paola Fava, has been involved in the training, installation and tablets allocation in the refugee camps of Gihembe and Nyabiheke, in Rwanda. The training has been held in Kigali and according to her, it was a successful experience.

Paola Fava with the medical staff

Nurses, doctors, coordinator of the nutritional centres and data managers of the Nyabiheke and Gihembe clinics, all belonging to the medical staff working at the American Refugee Committee (ARC), UNHCR’ partner in Rwanda, actively participated in the training.

According to Paola, “The involvement was considerable. The medical staff of the health facility in Gihembe and Nyabiheke participated in the training with enthusiasm. The interaction with them was great”.

Furthermore, during her visits to the centers, she had the chance to observe and appreciate the wonderful work of those people who face everyday enormous difficulties in order to provide assistance in a hard context like the one in Rwanda, but always with enthusiasm and smiling.

 

iGNUvation for Data Collection

October 16th, 2017 Posted by Data Collection, DRR, GIS, ICT4Ag, ICT4D, MHealth, Refugees, software development 0 comments on “iGNUvation for Data Collection”

Innovazione per lo Sviluppo, è un progetto che nasce da un percorso di riflessione attivato da Fondazione Cariplo, Compagnia di San Paolo con la compartecipazione di Fondazione CRT (sul tema: dati per il sociale e lo sviluppo) il cui obiettivo generale scaturisce in prima istanza da un profondo bisogno di innovazione in tutti i comparti (compresa la cooperazione internazionale) per rispondere al quale una prospettiva intersettoriale può costituire una modalità utile e vincente.
E’ un progetto rivolto al mondo della
cooperazione internazionale e dell’innovazione per offrire un percorso di apprendimento, networking e progettazione di soluzioni tecnologiche, in un’ottica di open innovation.
All’interno del progetto si inseriscono gli
Open Days dell’innovazione, due giorni di eventi aperti alla città e dedicati alle organizzazioni non profit. Per identificare insieme quale innovazione viene chiesta oggi al Terzo Settore nel contesto di cambiamento della nuova Riforma.
Suggeriranno inoltre strumenti utili per un’innovazione aperta e per la trasformazione digitale del Non Profit tramite l’implementazione di tecnologie all’avanguardia.

Abbiamo presentato la nostra candidatura e siamo stati selezionati  tra i 20 migliori casi da presentare nello spazio espositivo degli Open Days dell’innovazione. I partecipanti agli Open Days potranno visitare gli stand in qualunque momento ma è anche previsto un “Innovation tour” guidato dalle 14,30 alle 16,30 di lunedì 6 in cui i visitatori divisi a gruppi si  sposteranno tra i diversi stand in slot di circa dieci minuti ciascuno, in cui conosceranno i singoli espositori.
Il titolo del progetto che presenteremo all’interno dell’Open Space sarà “iGNUvation for Data Collection – il Software Libero al servizio della Cooperazione”

ICT4Health
ICT4Health
ICT4Edu
ICT4Edu
ICT4Ag
ICT4Ag
ICT4DRR
ICT4DRR

Presenteremo tre esempi di applicazioni per la raccolta dati.

1. Piattaforma Web e Mobile per la raccolta e l’analisi di dati sanitari nei campi rifugiati

2. Piattaforma per il  riconoscimento facciale per le scuole del Burkina Faso.

3. Piattaforma webGIS per la raccolta di dati per la gestione delle emergenze in Centro/Sud America.

Nello stand sarà presente una postazione, dotata di monitor e di videocamera per simulare la conta degli studenti in un’aula tramite il riconoscimento facciale. Saranno disponibili inoltre dei tablet per testare l’applicazione di raccolta ed elaborazione dati e la piattaforma webGIS.

Cercheremo di raccontare, nel modo più interattivo e coinvolgente, la nostra storie, la nostra esperienza ed i nostri progetti.

QUANDO

6 novembre – 7 novembre 2017

DOVE
BASE MILANO
Via Bergognone, 34
M2 Porta Genova
Milano

PER INFORMAZIONI
http://www.opendaysinnovazione.it/

Public Health Information System for UNHCR…some updates

June 30th, 2017 Posted by ICT4D, MHealth, Refugees, software development 0 comments on “Public Health Information System for UNHCR…some updates”
In collaboration with UNHCR​, Gnucoop has been troubleshooting, bug-fixing and maintaining the Twine web platform, that allows UNHCR and partners’ staff to collect and explore public health, water-sanitation and nutritional data, from health facility level in about 40 countries worldwide up to HQ level.
After this phase, Gnucoop was granted the commission to re-design the current Twine application to make it more suitable to current and future needs, overcoming the limitations of the original application.
This application allows to collect data and compile entry forms in a user-friendly way, visualize data, analyse and generate reports at different levels.

 

 

Through the web app you can analyse and generate reports, analyse public health, wash and nutrition indicators.

 

 

It’s possible to navigate through a dashboard and repository

section at multiple geographical level:  from refugee camps worldwide to country offices up to regional and HQ level. 

 

 

It’s possible to navigate through a dashboard and repository section at multiple geographical level:  from refugee camps worldwide to country offices up to regional and HQ level. 

Information Management for Emergency response

April 5th, 2017 Posted by Emergency, GIS, ICT4D, M&E, MHealth, software development 0 comments on “Information Management for Emergency response”

Technology itself does not mean progress,

progress is our ability to use technology to make a difference

(Luca De Biase)

When:  Wednesday, 12 April 2017, 9 a.m. (CET)
Where: Piazza della Scienza, 4, Università degli Studi di MIlano – Bicocca
              Edificio U4, aula 2034
Gnucoop Soc. Coop. and Stand by Task Force (SBTF) are organizing an event about the use of digital tools to support information management during natural disasters and humanitarian crisis.

When a disaster or humanitarian emergency strikes, many organisations (public agencies, humanitarian responders, governmental and non governmental organisations) activate and try to provide their support. In these contexts, it’s very important to have access to and rely on trustworthy information. If used sensibly, social networks and digital tools have the potential to provide important pieces of information that were not accessible only up to few years ago.

Therefore, the event has two main objectives:

  • to sensitize civil society organizations, civil protection organisations, public institutions, university students and volunteers on the sensible use of digital tools such as social networks, digital images, web news, etc…, to help responding to humanitarian crisis,
  • to involve new ‘digital’ volunteers who could provide additional support in responding to emergencies or humanitarian crisis and become active members of the SBTF.

The program will be the following:

  • Technology and Information Sharing: ICT4D project milestones
  • Gnucoop tools and case studies: data collection & GIS and Disaster Risk Reduction
  • Information for Disaster Response: SBTF Case, Studies, Example of Deployments

We are very glad to have as our guests Mercedes Aguerre, COOPI drr advisor, for a an introduction on Disaster Risk Reduction and  Angela Oduor Lungati, Director of Community Engagement, Ushahidi to present this very successful platform.

For more information http://masterwash.unimib.it

To confirm your participation info@gnucoop.com

Field Mission in Kakuma Refugees Camp

March 2nd, 2017 Posted by ICT4D, MHealth, Refugees, software development 0 comments on “Field Mission in Kakuma Refugees Camp”

From 20th to 24th of February we have been in Kakuma Refugees Camp.
This mission is part of the project we’re developing in support of UNHCR.
During the first day we’ve visited the General Hospital of the Refugees Camp, managed by IRC (International Rescue Committe)
First visit to IRC General Hospital

Together with the partners we discussed the program of the following days, which aim was to submit the new data collection system to the clinic staff and test it.
 

 

 

 

 

 

 

 

Testing at the IRC Main Hospital (OPD, IPD, RH, EPI Sectors) 

From our point of view, getting the chance to be on the field personally was of great utility. In addition to that, the presence of two persons with different competencies and capabilities – namely one developer and one project manager – was essential to understand and face the issues rised.

The workers have been explained and shown by the developer how to use the application in the very real field conditions and how to deal with some problems. We had to acknowledge that those mechanisms and passages often considered “trivial” by technicians are not regarded as such also by the users, therefore we took this as a lesson learned for the next field testing.
The deep knowledge of forms has been very helpful for feedback gathering and the related reviewing processes.
Furthermore, we could count for some urgent issues on our staff in Italy, who was reacting almost in real time to any request. 
Two categories of users participated in the test:

  • Nurses / Midwives for forms related to Reproductive Health;
  • Refugees employed in the clinics, for all the other forms.

Generally, the feedback we received was content-related, while almost nothing about the new collection system, that is the transition from the use of paper to electronic devices, was mentioned.
Only in the Expanding Program in Immunization (EPI) sector of the Main Hospital, the clinicians have expressed strong doubts, and declared to prefer the current paper forms.

It was the first testing so we focussed on the first feedback from the users, how they reacted to the use of the new system.  As already explained, they did not make any comments on the application but simply suggested some changes on the content of the form. 
In terms of timing, probably, after few days, they will get used to the system and get faster.

We suggest to spend more time to explain better to the users how it will change the entire process of data collecting and reviewing, thanks to the new system and make them aware about its potentials.