Isaac Holeman prepared this innovation talk about FrontlineSMS:Medic for the 2009 meeting of the Scotland Malawi Partnership in Edinburgh. About Isaac: Isaac Holeman recently graduated from Lewis & Clark College in Portland Oregon, where he researched ribosome biogenesis in the laboratory yeast S. cerevisiae. His passions include medicine, informatics, anthropology, global health, blogging at isaacholeman.org, and practicing the Christian faith. Eventually he hopes to attend medical school. Isaac co-founded FrontlineSMS:Medic and is currently their Director of Clinical Programs. He will be working throughout East Africa next year, based primarily at St. Gabriel's hospital in Namitete, Malawi. About the Scotland Malawi Partnership: > UPCOMING SMP EVENTS Educational Challenges and Successes in Malawi (30th May, 10.00 – 14.30, Stenhouse Primary School, Edinburgh) An event involving 8 Malawian Primary Ed... read on > > Funding update from the Scottish Government As we move forward within the new financial year, the Scottish Government has outlined its funding position for 2009-10. The International Developm... read on > Welcome to Scotland Malawi Partnership The Scotland Malawi Partnership, exists to inspire people and organisations of Scotland to be involved with Malawi in an informed, coordinated and effective way so that both nations benefit.

1. SMS, Medical Records, Mapping, & Mobile Diagnostics
Isaac Holeman, Clinical Program Director at FrontlineSMS:Medic
contact: www.isaacholeman.org/smp

2. Macro Level Drivers

3. 4.4 Million Health Worker Shortage

4. Urban/Rural Divides

5. Urban/Rural Divides

6. 3.6 billion mobile phone subscribers (54% of
global population)
In 2002, mobile subscribers overtook fixed line
subscribers
64% of all mobile users are in the developing
world
By 2012, 50% of individuals living in remote areas
in the world will have mobiles
The fastest growth is projected to occur in Asia,
Middle East, and Africa

7. Market Penetration

8. Market Penetration

9. Scale through replicability depends on simplicity,
cost, user ownership and empowerment

10. FrontlineSMS:Medic harnesses prevalent
technology and a prevalent clinical model

11. FrontlineSMS: a laptop and a cell
phone become a communication hub

12. Runs on laptops, desktops, or netbooks

13. Lowest Common Denominator Phones

14. Adapter connects computer to a phone

15. GSM modem for faster text messaging

16. FrontlineSMS Hardware Family

17. 1
5
15 minute installation, welcome to FrontlineSMS

18. Manage phone numbers under contacts tab

19. Send messages to groups or individuals

20. Recognize keywords for automated response

21. Our pilot began in June 2008

22. A nurse and 10 CHWs the first week

23. Start with basics

24. Micro-solar phone chargers

25. Impact in six months:
1. Saved $3,000 in motorcycle fuel
2. Saved 2,000 staff hours
3. Doubled enrollment in Tuberculosis program

26. A qualitative outcome: empowerment

27. Local ownership (of tool, project, data)
Builds on local awareness
Platform is free and works on available hardware
Highly replicable and scalable
No need for the internet
Easy to use
Responds to ‘their’ need (bottom up)
Why it works

28. Current Sites

29. New Clinical Partners

30. Expanding Rapidly in 2009-2010

31. Extending the FrontlineSMS Platform

32. OpenMRS integration: Moving from paper
records to mobile electronic records

33. OpenMRS is in the orange, moving towards green

34. Tracking disease burden &
health services geographically

35. How a text message becomes a map

36. The best crisis communication tool is the
tool you were using before the crisis

37. CellLab: Camera phone becomes a diagnostic tool

38. A pattern matching algorithm can diagnose
diseases like Tuberculosis and Malaria

39. Print a pre-paid shipping label at hopephones.org

40. 1. Email isaac@medic.frontlinesms.com with a brief
description of your patient population, clinical
environment, organizational resources
2. We help you brainstorm use cases
3. You decide whether you need someone from our
team on site to help you get started
4. We put your clinic on hopephones.org and start
gathering phones
How do I become a clinical partner?

41. 1. Free & open source software and a team of
implementers helping low-resource clinics and hospitals
2. The core platform works with lowest common
denominator everything
3. Currently serving 1.2 million patients, working with
global partners to reach several million more this year
4. Upcoming innovations include medical records via
mobile phone, mapping, and cheap, mobile diagnostics
What should I remember about FrontlineSMS:Medic?

42. Thank You
Isaac Holeman, Clinical Programs Director at FrontlineSMS:Medic
contact: www.isaacholeman.org/smp