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Sessions at the ICT4D Conference 2016 involving World Vision and Vision Fund

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10:45- 11:30 in Giraffe 208

Speakers: Martha Newsome, Vice President, Sustainable Health (Food, Health, WASH) at World Vision & Sherrie Simms, Director - ICT4D, World Vision

For over eight years, World Vision has advanced mHealth as a health and community systems strengthening tool. The World Vision mHealth portfolio has active deployments supporting community health workers (CHWs) and health facility staff in 16 different countries in Africa, South and Southeast Asia.

To support many of these projects, World Vision has invested in the development of a common set of applications built within the mHealth solution, MoTECH Suite. This has been made possible through a partnership with solution providers Dimagi and Grameen Foundation supported by the Bill & Melinda Gates Foundation. The common platform offers an open source software solution tailored to meet the needs of five different World Vision health and nutrition project models or approaches. Using these five global applications as the starting point, the solution application is contextualised in close consultation with Ministry of Health (MOH) counterparts and users at the national and field levels.

World Vision mHealth projects are all working towards transitioning into scale-up phase once consensus and shared commitment to a solution or a package of solutions is reached among key national stakeholders - governments, local mobile network operators (MNOs), and MOH leadership chief among them.

MON 16 - LAST MILE MOBILE SOLUTIONS, DIGITIZING HUMANITARIAN ASSISTANCE DELIVERY

10:45 - 11:30 & 11:30 - 12:15 in Giraffe 259

Speakers: Paul Mwirichia, LMMS Technical Specialist, World Vision

LMMS is a stand-alone system that uses web-based mobile applications to better manage responses to disasters. The system enables digital registration of affected populations and automates how aid-agencies delivery humanitarian services, resulting in more effective, efficient and fully accountable practices. LMMS improves the effectiveness and efficiency of registration, distribution and project management while increasing accountability to both beneficiaries and donors. In a nutshell it automates business processes in digital software enabling humanitarian workers achieve their goals in a faster and more efficient way.

LMMS is developed by World Vision International for the humanitarian Industry and as such is currently used by over ten (10) International NGOs including UN agencies in over 25 countries.

LMMS is currently used by multiple humanitarian agencies; with diverse user groups including rapid emergency staff who handle human displacements, earthquakes, typhoons and other such responses; the capability to implement cash and electronic credit transfers in addition to managing the dispersal of traditional relief aid items; the capability to leverage modern technological advancements from cheaper smartphone devices to Cloud-based infrastructure for deploying centralized versions of the system

Today, LMMS is being used in urban and rural contexts, in refugee camps and in more settled communities. The system is being used under a variety of architectures ranging from multiple remote server deployments to consolidated servers being used by multiple agencies and local governments working together.

LMMS can work on most consumer grade devices running Android OS, which are easy to get and much cheaper than commercial grade devices. The system can import and export data from and into other systems thus enhancing data sharing and integration of systems.

For more information kindly check out the following links / videos

http://www.lastmilemobilesolutions.com

https://www.youtube.com/watch?v=iNS8OFE2s30

https://www.youtube.com/watch?v=qZKMV34Dh4g

http://www.ncciraq.org/en/ngos/activities/item/10371-world-vision-lmms-technology-speeds-up-registration-of-3,000-displaced-families-in-iraq

http://www.youtube.com/watch?v=BNP3Mi1yzi8

MON 16 - MAKING MHEALTH SOLUTIONS COUNT IN DCS AMIDST CHALLENGES

14:00 - 14:45 & 14:45 - 15:30 in Giraffe 210

Speakers: Joel Fred Nsumba and Geoffrey Babugirana at World Vision, Uganda

World Vision's AIM Health project funded by Irish Aid through the Ireland office uses the timed and targeted Counseling (ttC) strategy through a MoTECH suite enabled mHealth application to improve maternal and newborn and child health. The mHealth project with support from World Vision US has outfitted Community Health Workers (CHWs) with MoTECH suite ttC application enabled s devices to address MNCH issues in the project catchment area. The scale of the mHealth deployment is one of the largest in Uganda with over 896 CHWs. Results forthcoming overtime are indicative of the good progress and potential impact of the solution as an efficient, quality guaranteeing resource for community health system strengthening.

At this forum we shall share with the august audience the structural and infrastructural challenges and looming gaps encountered in piloting and rolling out an ICT4D mHealth intervention and how we have managed to harness result amidst these challenges. We will share success and what this success looks like in the face ideal ICT4D implementation logic. We will delve into resourcing and planning needs, stakeholder engagements with MoH and other partners to address alignment to national strategy and systematic and strategic integration for sustainability including other opportunities for scaling. We will share practices adopted and adapted at nation level to guarantee results as we seek to use this opportunity to learn from the wealth of knowledge present at the forum.

MON 16 - MHEALTH TOOLS FOR MALNUTRITION SCREENING & FOLLOW-UP IN LOW-RESOURCE SEETINGS

16:00 - 16:45 in Giraffe 210

Speakers: Caroline Kimere, Technical Nutrition Specialist, Save the Children

Delivering interventions for acute malnutrition in low-resource settings is an arduous endeavor. Beyond the effort of managing the sheer caseloads, other challenges faced include logistics, stock management, development and enforcement of protocols, high turnover of service-providers, limited visibility into the magnitude of the problem and, subsequently, of their impact. Having a tool that could provide and centralized solutions for several of these challenges could and has proven useful to several organizations. This aim of this session is to share the experiences of using mobile health to begin to address some of the aforementioned challenges in Kenya.

Project implementation: Starting in 2014, World Vision Canada and Save the Children partnered with Dimagi an organization involved in developing mobile health applications designed as job-aides for health workers for Integrated Management of Acute Malnutrition (IMAM). This happened in a consortium and is being undertaken in four countries namely Kenya, Niger, Chad and Mali. In this agreement Dimagi would integrate the World Health Organization (WHO) protocol into an algorithm that enforces the global malnutrition treatment protocols that health centers should follow. Reflecting a decision-tree, the application guides clinic staff through screening for malnutrition, classifies the degree of the illness, prompts recommendations for treatment and counseling, and automatically lists beneficiaries into groups for follow-up. On the back-end, viewable by program staff, the application generates both granular data about each visit for every beneficiary (pregnant or lactating women, or children under five) as well as global data, for trends across the intervention areas.

In Kenya deployment started in January 2015, the IMAM application was assessed and adapted to the Kenyan Context in line with IMAM guidelines from the application made for Niger. Following a scoping visit made in Wajir, the original application was modified and contextualized. The modification factored inputs from local health protocols, Z-Score calculations auto-generated by the mobile platform, locally-vetted, personalized counseling messages in multiple languages and dialects, as well as culturally-relevant images. The prototype was then tested with select users and refined before training and launching in selected health clinics. The entire process took about 10 months and actual use of the application was in November 2015. So far using the application health workers have been able to reach 131 Pregnant and lactating women and 118 (60M, 58F) children in the Outpatient Treatment Program (OTP) and 156 (75M, 81F) children in Supplementary Feeding Center (SFP).

MON 16 - EASY BOOK PRODUCTION WITH BLOOM, A DEMONSTRATION

16:00 – 16:45 in Giraffe 200

Speakers: Ruth Obunyali, SIL Africa

Bloom is a new publishing software tool that has gained worldwide recognition for its flexibility and ease of use in the development of locally-generated reading materials. Developed by experts in SIL International, and the winner of a recent All Children Reading grant from USAID and World Vision, Bloom is a free program that is being used in a number of African and Asian countries to facilitate the development of reading materials in community languages.

Bloom contains templates for the development of leveled and decodable books as well as natural text; Symphony language analysis software is integrated into the Bloom tool, to help the writer maintain desired levels of readability. Illustrations and photographs are easily included in the text as well. The Bloom library contains a number of books that have been developed as "shell" books and can be translated into the desired language.

This demonstration will provide its audience with an understanding of what Bloom can do and how to use it.

TUE 17 - MHEALTH FOR EBOLA VACCINE TRIAL IN SIERRA LEONE

16:00 – 16:45 in Giraffe 204

Speakers: Monica Amponsah, Grameen; Robert Kanwagi, Sherrie Simms & Magnus Conteh, World Vision

A Phase 2B expanded safety and immunogenicity trial is being carried out in the Kambia District of Sierra Leone by the EBOVAC1 consortium, in partnership with the College of Medicine and Allied Health Sciences (Sierra Leone), under the name EBOVAC-Salone. This large scale safety and immunogenicity study seeks to learn as much as possible about how the vaccines work in people who live in an area affected by Ebola. The first participants in the EBOVAC-Salone study were vaccinated in early October 2015.

The adjunct EBODAC project has developed a communication strategy and tools to promote the acceptance and uptake of the Ebola vaccine. One of the project's most important products has been a mobile technology platform, dedicated to facilitating Ebola vaccine deployment, acceptance and compliance. In addition to providing local communities with information on Ebola and vaccines, the platform sends reminders to people receiving the prime-boost vaccine to return for their second 'booster' dose and to facilitate the tracking of vaccination coverage. The EBODAC team also provided local training programs to make sure the communication strategy and technology tools were ready for deployment in the local setting.

EBOVAC and EBODAC are funded by the European Union Innovative Medicines Initiative (IMI).

TUE 17 - THE PRINCIPLES FOR DIGITAL DEVELOPMENT IN ACTION

16:00 - 16:45 & 16:45 - 17:30 in Giraffe 209

Moderators: Carolyn Florey, DIAL. Speakers: Magnus Mordu Conteh, World Vision; Dr. Andrew Karlyn, USAID; Anand Varghese, DAI

Over the past years, the development community has both embraced the emergence of digital tools to transform service delivery, and also criticized the proliferation of ICT4D trends and products as unsustainable, unscalable pilots. As a result, the Principles for Digital Development were created to respond to provide a common vision. A number of donor organizations, multilateral institutions and implementing organizations have signed on to the principles as a mode of doing business. However, it is yet to be determined how the operationalization of these tools will come to pass and what their impact will be.

Beginning in 2016, the Digital Impact Alliance (DIAL) assumed stewardship of the operationalization of the Principles in order to define, adopt, and embed best practices into the strategy and operations, funders, implementers and government agencies alike. The path forward on transitioning from "principles to practice" is yet to be determined.

This panel presentation and discussion for the ICT4D conference will introduce the Principles for Digital Development and learn from implementing organizations and donors how they are integrating the Principles into their work. It will rely on audience participation to understand the real-time implications of the implementation and what tools or resources would be most valuable to help them conduct their work.

Some of the questions that the presentation and discussion will address include:

How are the principles applicable for donors and implementing originations?
How can we facilitate appropriate, impactful dialogue to ensure that the principles are institutionalized into the way that digital development programs are implemented?
What tools or resources would be most useful, effective and appropriate to integrate and operationalize the Principles into your work?

WED 18 - MOBILE BANKING AND FINANCIAL INCLUSION AT NATIONAL SCALE IN TANZANIA

10:45 - 11:50 & 11:50 - 12:50 in the Jambo Conference Centre D

Speakers: Rose Ringeera & Marco Salimu, Vision Fund International

Tanzania is a country of 42 million with a per capita GDP of roughly $1.47 per person per day. Seventy-five percent of the population resides in rural areas; 80% are focused on agriculture. In Microfinance, the low average loan size and expansive geographical footprint with low population concentrations result in proportionately high administrative costs. In an effort to impact and provide financial services to more people (both savings and lending clients), in a financially sustainable manner, a microfinance institution (MFI) must reduce costs and streamline operations.

In 2014, Vision Fund Tanzania (VFT) launched a mobile payment platform that has streamlined operations and provides financial services in otherwise unbanked locations at a reduced cost both to the customer and VFT. This initiative has driven down administrative costs, allowing VFT to effectively target financially unreached groups in rural communities. It has also provided critical business information to the organization; therefore improving and increasing the impact of its efforts. In addition, VFT provides training to clients in the areas of financial literacy and business basics; this has increased the uptake of formal financial products by rural communities.

Overall, the customer experience has been greatly improved. This means no day-long travel to town in unscheduled buses and boda bodas. No more queuing in bank halls in any part of Tanzania, no more standing in long, slow queues and no more loss of daily earnings to VFT customers due to closed businesses. VFT has made financial transactions easy from anywhere in Tanzania at any time. It allows VFT customers in Tanzania to access the information in their accounts without having to leave the comfort of their business or homes, freeing up precious time that can be instead allocated to other economic or family activities.

THU 19 - PARTNERING FOR HEALTH SYSTEMS STRENGTHENING - STRATEGIES FOR DIGITAL HEALTH SCALE-UP

09:25 - 10:15 in the Jambo Conference Centre

Moderators: Dr. Alain Labrique, JHU Global mHealth Initiative. Speakers: Magnus Mordu Conteh, World Vision; Dr. Salim Hussein, Ministry of Health, Kenya; Foday Sawi Lahai, Ministry of Health, Sierra Leone; Dr. Garrett Mehl, WHO

In the advent of the launch of the Sustainable Development Goals, it is incumbent on all actors and sectors in the digital health space to embark on the journey to scale with a partnership approach in mind, that seeks to leverage our collective experience, expertise and resources for the achievement of these goals. Ensuring that there is harmonisation of technology solutions for interoperability, implementation plans and funding mechanisms that support nationally agreed strategic objects of governments requires serious commitments from all concerned.

The focus of this panel discussion will be on 'partnering between governments, international partners and key in-country stakeholders in order to move to scale. This panel will seek to answer the following questions:

How can digital health solutions contribute to community and health systems strengthening at scale?
What is the role of governments in developing digital health strategies and providing strategic leadership for embedding digital solutions in their health services?
What is the role of (I)NGOs, the private sector and donors in supporting the development and implementation of national digital health strategies at scale?
Is there a role for a multi-stakeholder collaborative approach in taking digital health to scale?

THU 19 - MULTI-STAKEHOLDER COLLABORATIVE FRAMEWORK IN SIERRA LEONE

10:45 - 11:30 & 11:30 - 12:15 & 12:15 - 13:00 in Giraffe 206

Speakers: Magnus Mordu Conteh & Sherrie Simms, World Vision

In the wake of the Ebola epidemic, it is clear that the fragility of the Sierra Leone health system rendered the effect of the outbreak much more potent than it otherwise might have been. In addition, the lack of interoperable digital systems to capture, share and disseminate data and information amid the Ebola response efforts resulted in fragmented, duplicative efforts amongst both national and international responders.

In recent international fora such as the USAID/WAHO Data Harmonization Conference and the (Re)Building Health Systems meeting at Wilton Park, it was agreed that reducing fragmentation of efforts and improving systems interoperability in the Ebola recovery and rebuilding phase will be critical to ensuring that Sierra Leone will be able to weather any future health challenges or nascent epidemics swiftly and efficiently.

To address these issues, a Multi-Stakeholder Collaborative approach led by the Sierra Leone Government is being formulated to bring together a committed collaborative of partners at national, regional and international level. This effort will strive to maximize shared and individual strengths toward common goals, and leverage existing financial and technical commitments. Furthermore, the approach will facilitate a process by which strategies and implementation plans for community health and related digital systems will be integrated as appropriate and will inform each other's development, leading to harmonized, interoperable health and digital systems strengthening.

THU 19 - IDENTIFYING UNSATISFIED BASIC NEEDS IN WORLD VISIONS NUEVA FRONTERA OPERATING CENTRE BY GIS

10:45 - 11:30 in Giraffe 205

Speakers: Claudia Caceres, Information System Specialist, World Vision in Honduras

This study consists of identifying households with Unsatisfied Basic Needs (UBN) in World Vision's Nueva Frontera Operative Center (OC) located in western Honduras, one of the poorest regions of the country. This Operative Center covers two municipalities of two departments, Nueva Frontera in Santa Barbara and Florida in Copan. The WV DME team and the Nueva Frontera OC team, collected the data for this study using an ODK mobile data collection solution, Lot Quality Assurance Sampling (LQAS) methodology was used for determining the households under study and then Geographic Information Systems (GIS) was used to perform spatial analysis. It was important to identify the OC's most vulnerable children in the aim to target better assistance in the area.

This study is based on the UBN methodology as suggested by CEPAL (Feres and Mancero 2001) which includes access to a househould with minimal standard conditions, access to basic services, access to basic education, economical capacity to achieve minimal consumption but it also suggests the incorporation of other variables. From the analysis of the data, an UBN Index was calculated first by dimension. The addition of the dimensions under study resulted in a total UBN Index for Nueva Frontera OC and finally mapped from the interpolation of each dimension.

THU 19 - MULTI-STAKEHOLDER COLLABORATIVE FRAMEWORK IN SIERRA LEONE

12:15 – 13:00in Giraffe 206

Speakers: Magnus Mordu Conteh, World Vision