Description of Session
Our session will focus on how to bring a mHealth project to scale and create ownership within the Ministry of Health (MoH), using the Integrated e-Diagnostic Approach (IeDA) project as an example. To our knowledge IeDA is one of the largest mHealth projects in sub-Saharan Africa, in terms of coverage and number of patients treated. In 2014 Terre des hommes (Tdh) launched IeDA in Burkina Faso. IeDA aims to improve quality of care via the use of digital job aids, strengthened data management and quality improvement processes. IeDA focused first on improving the implementation of the World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) in Primary Health Care (PHC) facilities. Today the intervention is deployed 720+ clinics , covering over 40% of facilities in the country. At the end of 2019, IeDA will be in 1,132 facilities (62% coverage). As of June 2019, over 2.4 million children (12% of the total population) have been seen in 5 million consultations performed by over 5,900+ Health Care Workers (HCWs) since December 2014. Studies from the London School of Hygiene and Tropical Medicine (LSHTM) have shown: • Impact: IeDA improves protocol adherence by 20%, increase diagnosis accuracy by up to 50% and reduce antibiotics over prescription up to 15% • Adoption: All stakeholders (mothers; local communities; HCWs; District Health Management Teams or DHMTs; MoH decision-makers) expressed strong support for the project and want IeDA to be deployed nationally • Cost-efficiency: Brought to scale, IeDA will provide net financial gains to the MoH between $65 and $32 per month per facility The MoH has worked with Tdh to: • Design a transfer strategy to build capacity within the MoH to maintain and expand IeDA (to be completed by 2020) • A scale-up plan to reach 100% coverage • Use IeDA for nutrition, ANC and PNC, etc.
