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upSCALE MIM version
Transcript of upSCALE MIM version
DFID via UNICEF
Mozambique Ministry of Health,
Cabo Delgado and Inhambane Provincial Health Authorities, UNICEF and Dimagi
Develop mobile app with a patient centred decision tree for the whole APE curriculum.
Implement the APE mHealth system in Inhambane and Cabo Delgado provinces, with Zambézia to follow in 2018.
Bridge the APE CommCare server with SISMA (DHIS2).
Design a visual DHIS2 APE dashboard to be used at district, provincial and national levels for use in surveillance and programme response.
Develop and implement an application for APE supervisors, with tools for management of APE stocks and performance.
Transition the management and maintenance to the Ministry of Health staff
Community health workers in Mozambique are known as
Agentes Polivalentes Elementares
APEs are community members trained to provide basic healthcare to the remote areas in which they live. Including:
integrated community case management (iCCM) (2-59months)
diagnose and treat all age groups for malaria and diarrhoea
diagnose and refer sick adults, acute malnutrition, newborns, and pregnant women with danger signs.
In 2014, the services APEs provide were expanded to include:
antenatal care and post-partum care
TB and HIV patient follow-up for treatment adherence counseling.
CHWs in Mozambique
BMGF funded project to Malaria Consortium 2009-2016
RCT evaluating impact of mHealth on quality of care
The APE CommCare intervention increased:
appropriate treatment of sick children
retention of CHWs
communication between CHWs and supervisors
Implemented in 6 of 12 districts in Inhambane
Algorithm mainly focused on the sick child
Did not improve CHW drug supply
Building on inSCALE
Tablets with app for health facility based APE supervisors
System provides free communication between APE peers and supervisors
Still to be added
Finalise the indicator list together with each MISAU dept
Coordinating with other partners for interoperability with other systems such as SIGLUS, CRVS, IMISS etc
Conducting robust health systems research on the cost and effectiveness of the mHealth system
Strengthening district capacity to deliver health services using real time data for decision making
Household health indicators, including bed net use
upSCALE implementation areas