Projects

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CliniPAK: Electronic Facility Health Data Management

CliniPAK is a tablet computer based point-of-care data capture and decision support tool that allows health workers to capture patient health information and send the pertinent data points and information to remote servers through any of the available mobile networks.

CliniPAKs enable immediate alerts for at-risk patients, referrals to secondary health systems and on-demand reporting – all enabling care administrators to increase productivity and streamline the patient’s clinical experience. Patient data is also available for recall on the tablet, at the point of care.  The immediate availability of up-to-date medical data means clinicians and health workers are able to make informed, timely decisions that can assist in ultimately saving lives.  In situations where power supply is not available, we have provided portable solar chargers that have enabled the tablets be power independent.  Our database currently contains important data points on the demographics and health conditions of over 250,000 pregnant women.

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CliniPAKs have been deployed for Maternal and Child Health in Nigeria since September 2013 in National Primary Healthcare Development Agency (NPHCDA) and SURE P Maternal Health Program primary health facilities.  Wirelessly connected tablets equipped with CliniPAK have been provided to midwives and health workers in 125 rural and urban Primary Health Centers in Ondo, Kano and Anambra, Lagos States and the Federal Capital Territory.  We have also equipped two specialized Mother and Child Hospitals in Akure and Ondo with CliniPAKs.  We are now in the process of scaling this system out to approximately 300 Primary Health Facilities in Ondo State and introducing it to Lagos and Ogun States.

InStrat has also partnered with Nigeria’s Federal Ministry of Health to automatically link CliniPAK data to the national Health Management Information System to enable the automatic transfer of patient level or aggregated data to DHIS2 to improve the accuracy and timeliness of data reported the National Health Management Information System.  Real time data is aggregated for reporting through a real-time web portal.

We are now able to complete the feedback loop from data capture to reporting to fact based decisions and measuring the impact of those decisions allowing an accurate demonstration of impact of decisions on outcomes.   You can view a short video presentation of CliniPAK here:  https://www.qualcomm.com/videos/wireless-reach-nigeria.

VTR: Health Worker Training

InStrat aims to address the challenge of supporting health workers with the continued training they need to improve their skills in delivering quality care, and the tools to engage directly with patients around key messages relating to their conditions.  The geographical dispersion of the healthcare facilities, the vast number of health workers in these dispersed locations, and meager training budgets mean that very little training or Continuing Medical Education is provided to them.  InStrat has introduced and is working on scaling the mobile training platform across Nigeria, initially leveraging content from The ORB Platform (http://www.health-orb.org/).

ORB is a web repository of high quality video training content for developing frontline health worker capacity around Maternal, Newborn and Child Health.  The ORB Platform is an execution of the vision set by mPowering Frontline Health Workers (mPowering) in June 2015. mPowering is a partnership of private sector, government, donors, and program implementers.  mPowering’s mission is to contribute to the elimination of preventable child and maternal deaths by accelerating the use of mobile technology to improve the skills and performance of frontline health workers.

InStrat has partnered with mPowering and others to pilot ORB in Nigeria, in collaboration with Ondo State Primary Healthcare Development Board, in 18 healthcare facilities involving 180 health care workers.

This pilot project demonstrated a statistically significant improvement in test scores after participating in the Video Training program.  As shown in the data below, participants scoring increased by 32 percentage points in Post-Test results compared to Baseline Health Worker knowledge on areas covered in the MCH training.

These results support a scale up of the video training more broadly across Nigeria. The feedback provided by the participants in this pilot was largely positive as the video platform was reported to be easy to use and navigate.  Having access to healthcare learning and therefore improving knowledge transfer is essential in addressing issues in the health sector. Recent reviews of mobile technology demonstrate that mHealth innovations can help alleviate some health system constraints such as balancing multiple priorities, lack of appropriate tools to provide services and collect data, and limited access to training in health fields such as mother and child health, HIV/AIDS and sexual and reproductive health. The overwhelming success of this pilot provides further support for use of mHealth in low-middle income country settings like Nigeria.

Please see www.vtrmob.com for more information on the mobile training application.

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Satellite Internet

Nigeria has a significant number of health care facilities in rural communities that are not adequately covered by 3G wireless services.  Therefore, it may be difficult for health workers and residents in these communities to benefit from the service capabilities that electronic health management solutions provide.  InStrat is partnering with Inmarsat TM to deploy it’s solar-powered, BGAN link satellite communications solution to primary health centers in Nigeria.  This technology will allow the extension of wireless internet to any community regardless of how remote it is, allowing stakeholders to enhance the scope and reach of delivery of critical health services in these communities. BGAN systems are already deployed in Kano State, Ondo State and the Federal Capital Territory.