Nous avons maintenant le plaisir d’annoncer la deuxième session de la série “De la collecte des données à la visualisation : Le cas pratique de CommCare“. Cette session sera disponible en français et en anglais.
Lorsque l’on s’efforce de collecter des données sur un programme, la suite logique consiste à suivre plusieurs paramètres dans le temps, qu’il s’agisse de personnes, d’équipements, de stocks de médicaments, etc. C’est ce qu’on appelle la collecte de données longitudinales. Dans ce webinaire, nous ferons la démonstration de l’une des plateformes de collecte de données mobiles les plus riches en fonctionnalités : CommCare.
Grâce à ses puissantes fonctions de création de formulaires et de gestion de cas, CommCare vous permet de suivre tous les paramètres nécessaires au suivi de votre programme. Pour vous aider à pousser encore plus loin l’analyse de vos données, nous vous montrerons également comment utiliser des outils de Business Intelligence tels que Tableau et PowerBI pour visualiser vos données.
Enfin, parce que chaque programme a ses propres spécificités et exigences, nous discuterons d’autres cas pratiques potentiels, et les outils les mieux adaptés à chacun d’eux.
À la fin de ce webinaire, vous serez en mesure de savoir si CommCare est l’outil le plus avantageux pour votre organisation et votre programme.
Rejoignez-nous sur nos plateformes de médias sociaux et rejoignez la discussion!
A propos de l’intervenant
Guillaume Deflaux est le Directeur des opérations de IT4LIFE. Il a 15 ans d’expérience dans le domaine de l’ICT4D. Il a dirigé la conception et la mise en œuvre de programmes dans les domaines de la santé, de la protection de l’enfance et de la justice juvénile au sein de contextes et d’organisations très variés. Il possède une solide expérience avec CommCare. Il a notamment dirigé le déploiement d’outils basés sur CommCare à l’échelle nationale au Burkina Faso et en Afrique du Sud. Il a aussi supervisé l’intégration de CommCare avec l’instance nationale DHIS2 au Burkina Faso.
When making the effort to collect data on a program, the logical next step is to to track several parameters over time, be it people, equipment, medicine stocks, etc. This is called collecting longitudinal data. In this second webinar we will be demonstrating one of the most feature-rich mobile data collection platforms: CommCare.
Thanks to its powerful form builder and case management features, CommCare allows you to track anything and everything. To help you push your data analysis even further, our expert will also demonstrate how to use common Business Intelligence tools such as Tableau and PowerBI to visualize your data.
Finally, because every program has its own specificities and requirements, we will discuss other potential use cases, and which tools may be better fitted to each of them.
At the end of this webinar you will be able to know whether CommCare is worth considering for your organization and program.
Join us on our social media platforms and engage in the conversation.
About the speaker
Guillaume Deflaux is the Chief Operating Officer at IT4LIFE . He has 15 years of experience in ICT4D. He has led the design and implementation of programs in the areas of health, child protection and juvenile justice in a wide range of contexts and organizations. He has a strong experience with CommCare. Notably, he led deployment of CommCare-based tools at national scale in Burkina Faso and South Africa. He also oversaw the integration of CommCare with the national DHIS2 instance.
Sleeping Sickness is a parasitic disease transmitted by the tsetse fly. It is lethal in most cases and has been an important cause of death in sub-Saharan Africa over the past century.
Professor Marleen Boelaert and her team from the Institute of Tropical Medicine (ITM) in Antwerp, Belgium, recently launched a new project to reach the global targets for eliminating sleeping sickness. ITM researches new ways to combat the disease and is in charge of an international elimination initiative in DRC, financed by the Belgian Development Cooperation and the Bill & Melinda Gates Foundation. They are working with several partners. One of them is PNLTHA, the National Program against Sleeping Sickness in the DRC.
The project is focused on improved medication and testing, smaller and more effective fly traps and on digital data processing. You can read more about the ITM project here:https://www.itg.be/E/sleeping-sickness
Bluesquare has been working with ITM to develop and enhance the existing data processing tools, which includes two main parts:
A mobile application
The mobile application is used on Android tablets to collect data about diagnostic tests that are performed in villages in DRC.
The paper based processes that have been in use, with good results, in the DRC over the years, have the drawbacks of requiring that all the information be gathered physically at a central level and letting spelling errors in names of places slip through. These factors make it more difficult to produce geographically grouped reports.
The mobile application replaces those processes and provides multiple advantages:
It enforces improved encoding by for example providing prefilled lists of places and checking that encoded ages are realistic.
It allows transfer of data over the internet when connectivity is available, avoiding difficult travel for the PNLTHA teams across the country, and drastically shortening the time to collect data centrally.
It can take pictures and videos (through microscopes) of test results. These are taken to double check the results at health zone, provincial or national level, in order to increase the quality of the testing.
These advantages are very important and justify the use of digital tools over the traditional paper approach, but the use of a tablet application has its own challenges to overcome.
First, it requires electricity. This has been solved by using solar panels.
Second, it needs to work offline, with the absence of internet connection in most of the DRC. Then when the tablet user reaches a place where internet connectivity is available, it needs to be able to synchronize all the collected data with a central server, securely.
Third, the process must not break the workflow of existing testing teams, and be, whenever possible, as convenient as the paper based processes.The teams are used to working in parallel with encoders for the patient names, with the testers when collecting blood and finally with the verifiers to proceed to additional tests in case of a first positive diagnostic test. We are tackling these problems by using NFC and Bluetooth synchronization between tablets to avoid multiple encoding at the different stages of the process. The advantage of these technologies is that they do not require internet connectivity to transfer data between devices.
An online dashboard
The dashboard offers many features aimed for use by the PNLTHA members.
First and foremost, it collects all the data about the tests performed in the field, that have been encoded either through the mobile application or through various Microsoft Access files over the years. This makes it a comprehensive electronic record of all recent sleeping sickness cases in the DRC. Our team worked hard to ensure that this data are as clean as possible, allowing us to match cases with the location where they have occurred and been diagnosed, and to ensure that no case is either forgotten or encoded twice. We are also making progress on making links between various tests performed on a given patient.
In the end, the keyword here is traceability: we want to allow users to easily recover any information on a test that has been performed. For example, in which village, by which PNLTHA member and on exactly which date. Dates and GPS coordinates are collected by the tablets during encoding and are used in the dashboard to navigate test information.
Second, it includes tools to track the progress of the testing work in the field, by displaying which tablets have been doing which test, when and where. Statistics about the tests campaign can be viewed online in these tools.
Third, in the very near future, the dashboard will allow us to proceed to quality controls at various levels, by allowing officials of the PNLTHA to see pictures and videos of tests completed in the field and double check the diagnoses that have been performed.
Fourth, the dashboard offers tools to plan the work of testers in the field, while optimizing the travels of the teams and the epidemiological efficiency. This is crucial in the last steps of elimination of the sickness, where tracking down the last cases requires a level of accuracy that was not really needed in the past, when more broadly cast surveillance networks have done their job efficiently.
All these features are provided while ensuring a fine grained access control where all users of the systems only get access to the parts that are relevant to their work responsibilities. Notably, they only have access to the geographical regions that they are in charge of.
Tools used (for the technology wonks out there):
For the android application, we use Cordova, React, and various libraries for NFC, USB storage (for backup) and external USB camera support. The data is stored in Couchdb, which allows relatively easy replication between devices and the servers.
The online dashboard is written in Python using the Django framework, with the frontend using React, Leaflet for the maps, and d3.js for data visualization.
We are making progress on all aspects of the digital tools for the elimination of the sleeping sickness in the DRC project. Overall, we seem to get a good adoption rate of the tools by the different teams, which is always a major challenge for any digitization project. This is attained through constant feedback loops with people in the field and rapid adaptation of the tools to the needs expressed. Already, hundreds of thousands of tests have been recorded and made available for statistical analysis.
We would like to thank the members of the PNLTHA for their willingness to test the tools and to give feedback and the ITM for trusting us with this important and challenging project.
While it may not have made waves in international news, there is a new development in digital health that is very exciting for us at Bluesquare: The Digital Investment Principles.
If you have not heard of them yet, they are 10 guidelines that donors can endorse to demonstrate their commitment to working together towards improved collaboration in digital health. Created by leading players – the World Bank, the European Union, USAID, Unicef, WHO, the Bill and Melinda Gates Foundation – these 25 key donors and foundations are making their commitment known.
Principles 1-5 focus on collaboration, sustainable alignment in investments and a commitment for donors to make these investments a priority. The last five provide guidance on where the investments should go: creation and evolution, country capacity and peer-learning to call a few out.
At their center is an urgent call. One that we at Bluesquare have championed for the last 5 years – and that is alignment of investments to the national digital health strategies already in place in each country.
We have worked with Ministries of Health in over 25 countries. Our work has focused on integrated health information systems. Health information systems that support decision making from existing data while finding the most cost-effective ways of collecting additional data. We have seen and experienced the challenges to accomplishing this first hand.
These principles could not come at a better time. While they are simple in nature, they demonstrate how far we have come in the last few years for a meaningful dialogue on the importance of coordinated efforts in digital health in developing countries.
We are eager to continue to be part of the important work in this space.
Another yearfor Bluesquare – The same vision, different ways At Bluesquare, what drives us is the desire to make the world a better place. Our goal is to ensure that every citizen on this planet has access to a minimum package of health services. Unfortunately, we are not there yet. The community surrounding the Tipo health center in the DRC has benefited from barely any substantial Global Health investment over the last years. So, helping Global Health players allocate their resources in a smarter way, so that it goes where it matters most, is where we can continue to make a difference. How will we get there? We believe that technology and data can influence this allocation in two ways : increase efficiency of existing investments through better data insights and financial disintermediation, and make Global Health a more attractive investment for countries and citizens looking to invest in this space.
But how do we translate this vision into operational priorities? Here is our focus for 2018.
As mentioned in a previous post: internet coverage is increasing in developing countries and universal internet access is no longer just a dream. So, what does this mean for global health? What does this mean for health data systems?
A large number of countries in which we work have shifted their HMIS (health management information system) onto DHIS2 — a popular open source software tool developed by the University of Oslo. Often, the data platform also becomes the country’s de-facto health system data warehouse.
Over the last decades, the health system in Zimbabwe has been confronted with a double crisis: an economic collapse and the AIDS pandemic. This destabilized the health system at its core. And overall life expectancy dropped from 61 years old in the 1990s to 48 years old in 2005, before climbing back up to 58 years old in 2012.
While leading a course at the Tropical Institute of Antwerp, I asked participants (mostly mid-career health professionals from emerging economies) when they thought Internet would be available in the most remote parts of their country. Their median estimate was 2035.
Most of the time, projects are developed without taking the community’s voices and their everyday realities into account. Moreover, many surveys are addressed to communities without seeking their feedback or adjusting programs to meet the local needs. Putting communities in the driver’s seat implies an understanding of their needs and giving them opportunities to express themselves. To fill this gap, more and more donors, NGO’s, and governments are becoming willing to integrate social accountability as an essential component of future public systems.