Presentation to SACIDS on the experience of InSTEDD in South East Asia as part of preparation for setting up projects in Africa

1. InSTEDD Experience in South-East Asia and opportunities for Africa Eduardo Jezierski (Engineering)not a doctor!! edjez@instedd.org

6. MBDS “Strengthen national and Mekong sub-regional capabilities in disease surveillance and response to outbreaks of priority diseases, in order that they can be effectively controlled.” Program Areas: 1. Strengthen sustainable national capacity in disease surveillance, outbreak investigation and responses; 2. Strengthen health manpowerdevelopment in field epidemiology; 3. Establishment of a sub-regional surveillance network.

7. MBDS Conceptual Structure MBDS Countries Cambodia China (Yunnan, Lao Myanmar Thailand Vietnam Land area: 2,570,426 sq km Population: 313,642,000 Strategies Cross Border Cooperation Animal-Human interface Epidemiology Capacity ICT Capacity Lab Capacity Risk Communications Policy Research Cross-Border Sites Contact information Direct communications Joint trainings Data sharing

8. Key Learnings Strengthen the government’s role in health Sustainability through capacity building Strengthen the existing networks Partner with national tech and telcos Up/Down/Horizontal communications Simplify tracking and sharing progress, data

9. Strengthen The Government’s Role in Health Work through ministries In support of gov’t strategies and goals Provide staff support to government Bring partners in under guidance of MOH

10. Sustainability through capacity building: InSTEDD Innovation Lab InSTEDD Regional Innovation Lab The lab is a Regional Resource – InSTEDD works with implementing partners to scale efforts in the region

12. Building Local Capacity: Regional iLab Requirements are best understood by local constant dialogue All technologies go obsolete or need maintenance Technologies need to integrate with existing efforts and strategies Establish local team that can design systems with end users Local team builds modular, open source systems, train in QA; and build on existing & new systems Train in interoperability and architecture. Extend existing apps.

14. Foster Regional network

15. Technology design and development for the region

16. Training and Events

18. Use InSTEDD technologies

19. InSTEDD provides training

20. Exchanges with the Lab

21. Regional Community of Practice Lao 2010: TBD InSTEDD Regional Innovation Lab Vietnam 2010: TBD Thailand 2009+ Change Fusion Open Dream

22. A Platform for Partners Users and organizations have new ideas for communication and reporting technologies InSTEDD builds technology with design efforts in the Mekong using the Innovation Lab as a hub InSTEDD or Implementing Partners extend and build the technologies on the existing foundation Users get customized, locally owned ICT build on a strong foundation.

23. Simplifying local innovation Users and authorities have new ideas for communication and reporting technologies InSTEDD builds technology with design efforts in the Mekong using the Innovation Lab Maybe we can use SMS to report ILI… Let’s extend tools to do mobile reports InSTEDD + Change Fusion (Thailand) Implementing Partners build the technologies with InSTEDD extending the existing foundation Users get customized, locally owned ICT build on a strong foundation. Thank you! It works great and local engineers can maintain it! Let’s take GeoChat and build an ILI application on it!

26. InSTEDD GEOCHAT SMS, email, web, twitter Location, unstructured chats, semi/full structure info Open or secure groups Explicit Location (automatic w operator data) SMS-Only interaction possible, low bandwidth views Software as a Service and Free + Open Source 6000+ users, ~35% + SMS only

27. Up/Down/Horizontal Communications Collecting data… Simplify getting unstructured, semi-structured and structured information Alerting… Of whatever information you think is important Targeted by geography and topics Breaking Silos National – sms chat across the border Organizational – Local MOH, Pasteur, CDC, etc Domains - animal & human health experts together

28. Example applications built locally Veterinary hotline Very customized smartphone apps + SMS summaries and automated alerts for response & follow up HIV treatment adherence – appointment reminders and follow up guidance – SMS and backend database connected to MRS Rapid Response Address Book Outbreak Rapid Response Team & contact guidance, who to call where when etc

31. Appendix

33. Program Strategy

35. User Scenarios & Requirements

36. Complex Engineering Challenges

38. Design Ideas

39. Platform tools and building blocks

40. Technical Support