D-tree - Child Status Index (CommCare)

Report
Child Status Index &
Community Case Management
mobile applications
Marije Geldof
D-tree International
Background IMPACT
• IMPACT is a USAID/PEPFAR-funded GDA serving 100,000 OVC
and PLHIV
• Funding: $28 million – half provided by alliance partners as
privately leveraged funds
• Duration: 4 years (July 2010-June 2014)
• Designed to complement WALA Program
• 9 implementing partners & 3 technical assistance partners
• 9 districts in central and southern regions
• In collaboration with Government of Malawi and relevant
ministries
The IMPACT Consortium
National Partners
International Partners
• Chikwawa Diocese
• Dedza Catholic Health
Commission
• Lilongwe Catholic Health
Commission
• Zomba Catholic Health
Commission
• National Association of people
living with HIV (NAPHAM)
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Africare
Emmanuel International
D-Tree International
CRS (Prime)
Opportunity International Bank
Project Concern International
Save the Children
World Vision
Goal IMPACT
• Improve wellbeing of OVC and increase access
to treatment and care for PLHIV
– SO1: Improved wellbeing of 60,000 OVC
– SO2: Access to treatment and care for 40,000
PLHIV enhanced
D-tree’s role in IMPACT
• Developing 3 mobile applications to support
the IMPACT program at community level:
1.Child Status Index (CSI)
• Supporting OVC committees
2.Community Case Management (CCM)
• Supporting Health Surveillance Assistants
3.Mother-infant pair follow up (MiP)
• Supporting Health Surveillance Assistants
• Working in IMPACT catchment areas in three
districts: Lilongwe, Ntcheu and Zomba
ICT implementation
• Mobile applications developed on CommCare
platform
• Applications run on Nokia 2700c with GPRS
data transmission at $0.00006/Kb
• Basic troubleshooting once application is
developed and users are trained
• Capacity for continuation of applications being
transferred from D-tree to CRS Malawi
CSI application
• Child Status Index (CSI): case management
tool for assessing the well-being of children
• IMPACT CSI forms collected every 6 months by
community volunteers for beneficiary children
• Mobile application in Chichewa to enter CSI
forms, which prompts for referrals & follow-up
• Data from paper forms entered into
application by OVC secretaries
• Currently 82 OVC secretaries trained
CSI application
CSI application
Main menu
Registration
Follow up
CSI form
Important events
Why the CSI application?
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Data entry at community level
Increased data completeness
Increased referrals through referral prompts
Reduced loss to follow up through follow up
prompts
CCM application
• Health Surveillance Assistants (HSAs) conduct
Community Case Management (CCM)
protocol for children from 2 months up to 5
years at village clinics in hard to reach areas
• Mobile application implements Government
of Malawi protocol
• Mobile application guides HSAs through
protocol, enforcing better adherence to the
guidelines
• Currently 30 HSAs trained
CCM application
CCM application
Main menu
Registration
Screening child
Treatment
Perceptions about CCM application
• HSAs:
– ‘The phone is like a colleague reminding us about things
we would otherwise forget’
– ‘The phone prevents you from making mistakes’
– ‘The phone reminds you of everything’
• Caregivers:
– Caregivers from other areas come to the village clinics with
the mobile application, because they feel these are now
providing better care
– ‘When the phone was used my child got a proper
examination’
Why the CCM application?
• Better adherence to the sick child form,
insight in deviations from the protocol
– Increased completeness (90% vs. 100% of visits)
– Increased referrals (1% vs. 5% of visits)
– Increased follow-up (0% vs. 26% of visits)
• Real-time service data, also about drug
consumption and stock outs
• Increased satisfaction caregivers about
services
• CSI application
Challenges
– (Literacy) level of CSI users
– Phone theft
– Data entry not at point of care
• CCM application
– Paper register and application used concurrently
– MOH reporting and supervision
• General
– Eyesight problems
Conclusion
• CSI application has potential to improve
support to vulnerable children and reduce loss
to follow up.
• CCM application has potential to improve the
effectiveness of service delivery at village
clinics in Malawi.
• Partnership between CRS Malawi and D-tree
International successful

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