Improving Rural Healthcare Delivery via Transparent Monitoring Bill Thies Microsoft Research India - PowerPoint PPT Presentation

1 / 18
About This Presentation
Title:

Improving Rural Healthcare Delivery via Transparent Monitoring Bill Thies Microsoft Research India

Description:

David Hutchful. Human Computer Interaction. Kelsa Microfinance & Technology ... behavior surveys in Peru (Bernabe-Ortiz et al.) None? Others. SATELLIFE ... – PowerPoint PPT presentation

Number of Views:114
Avg rating:3.0/5.0
Slides: 19
Provided by: billt86
Category:

less

Transcript and Presenter's Notes

Title: Improving Rural Healthcare Delivery via Transparent Monitoring Bill Thies Microsoft Research India


1
Improving Rural Healthcare Deliveryvia
Transparent MonitoringBill ThiesMicrosoft
Research India
  • In collaboration with Manish Bhardwaj1,2,
  • Sara Cinnamon2,3, Goutam Reddy2,3, Emma
    Brunskill1,2,
  • Somani Patnaik1,2, Seema Kacker1,2, Sourav Dey1,2
    and Ajit Dash1,2
  • 1Massachusetts Institute of Technology
  • 2Innovators In Health
  • 3Abiogenix, Inc.
  • MEDITEL / December 20, 2008

2
Microsoft Research India
  • Established January, 2005
  • Seven research areas
  • Algorithms
  • Cryptography, Security Applied Math
  • Digital Geographics
  • Mobility, Networks, and Systems
  • Multilingual Systems
  • Rigorous Software Engineering
  • Technology for Emerging Markets
  • Contributions to Microsoft
  • MultiPoint, Netra, Virtual India
  • Currently 55 full-time staff, growing
  • Collaborations with government, academia,
    industry, and NGOs in India

Microsoft Research India Sadashivnagar, Bangalore
http//research.microsoft.com/india
3
Technology for Emerging Markets
Research Group Goals
  • Understand potential technology users in
    developing communities
  • Design and evaluate technology and systems that
    contribute to socio-economic development of poor
    communities worldwide
  • Collaborate with development-focused
    organizations for sustained, scaled impact

Computer-skills camp in Nakalabande,
Bangalore (MSR India, Stree Jagruti Samiti, St.
Josephs College)
4
Multidisciplinary Research
Society
Society
Group
Group
Impact
Impact
Understanding
Understanding
Individual
Individual
Bill Thies - Computer
science Saurabh Panjwani -
Computer science
Technology
Technology
Innovation
Innovation
5
Microfinance Technology
IT and Microentrepreneurs
Sample Projects
Microfinance PC mobile Qualitative
studies Business analysis Research only
Microenterprise PC mobile Mixed-method
study Research only
Information ecology of very small businesses
Potential of technology to support microfinance
Kelsa
Featherweight Multimedia
Simultaneous Shared Access
Information access PC Qualitative study Usage
analysis Pilot
General education Electronics HCI User
studies Prelim research
Primary education PC HCI User studies Software SDK
Free access PCs for low-income office staff
Multi-user systems for educational
Paper and cheap electronics for low-cost
multimedia
Text-Free UI
Warana Unwired
Digital Green
Info systems Mobile Intervention Rural
kiosks Pilot
AgricultureVideo Intervention Control
trials Pilot
User interfaces PC Design User studies Guidelines
Video and mediated instruction for agriculture
extension
Substitution of mobile phones for rural PC kiosks
Text-free user interfaces for non-literate users
6
Drug Delivery Last-Mile is Often Broken
?
DrugDevelopers
Distributors
Rural Patients
Local Clinics
  • TB treatment 4 drugs, 6-8 months
  • Worker supervises ingestion3 times/week (DOT)
  • Rural programs operate in the dark
  • Interaction Are workers reaching patients?
  • Adherence Are patients taking medication?
  • Health Are patients getting better?

Courtesy PIH
Courtesy PIH
Mission Track Interaction, Adherence, Health
7
The uBox A Smart PillboxDeveloped by
Abiogenix, MIT, and Innovators In Health
  • The uBox monitors
  • Delivery, by logging worker visits
  • Adherence, by logging pills dispensed
  • uBox impact
  • Worker supervision and incentives
  • Timely and targeted intervention
  • Lowers adherence burden

uKey (for worker)
uBox(for patient)
Patients
Workers
Clinic
8
The uPhone Monitoring Patient Health
Worker enters vital patient health indicators
into cell phone
Nurseanalyzes data,identifies problems
Physician sends advice to patients,
schedules field visits
Patient lives in a remote area
9
Is Technology Really the Answer?
  • Often ignores systemic and societal issues
  • But, delivery is overwhelmingly about diligence
  • Today 2.4M doses/day, 187 countries, 77
    reliability
  • Need 7M doses/day, 100 reliability
  • FedEx 7.5M shipments/day, 220 countries, 97.7
    reliability
  • Our goal is to reduce the burden of diligence
  • Change the culture 85 is not enough
  • Need to respond to every failed transaction
  • Identify superstar workers early and replicate
    techniques

10
uBox Training
Bihar, Spring 2008 By MIT and Innovators In Health
  • Class was proficient in lt 3 hours
  • Overcame prototype shortcomings
  • Gave very good suggestions

11
uPhone Training
Bihar, Spring 2008 By MIT and Innovators In Health
  • uPhone more challenging literacy and prior
    cell phone experience needed
  • Lesson learned
  • - Even with intensive training, many
    errors on menu-based interface

12
Evaluating the Accuracy of Mobile Data
CollectionWith Somani Patnaik and Emma
Brunskill, to appear at the 2009 International
Conference on ICTs and Development (ICTD 2009)
13
1. Electronic Forms Interface
14
2. SMS Interface
15
3. Voice Interface
16
User Study
Gujarat, Summer 2008 Conducted by Somani Patnaik,
MIT
Evaluated three user interfaces - Electronic
forms - SMS - Voice operator Results -
Forms error rate 4.2 - SMS error rate
4.5 - Voice error rate 0.45 Other
benefits of voice - Easy to verify - Easy to
replicate - Less expensive These results
caused us to changeour program to use a voice
interface
17
Conclusions
  • Potential for simple technologies to offer
    largebenefits for improving rural healthcare
    delivery
  • Low-tech interfaces may be highest-impact
  • uBox provides transparent interface
  • Operator-assisted reporting better than automated
    SMS, Forms
  • Most exciting aspects of work coming in next
    steps
  • Can technology improve health outcomes in
    controlled trial?
  • Is operator interface effective in practice?

Seeking additional partners!
18
Innovators In HealthEnsuring Reliable
MedicationDelivery in the Developing World
  • Community Partner
  • Sponsors
  • Prior Contributors
  • Alex Krull
  • Oliver Venn
  • Jessica Leon
  • Nikhil Nadkarni
  • Catherine Dunn

The Prajnopaya Foundation
and manygenerous individuals!
Write a Comment
User Comments (0)
About PowerShow.com