Country of Operation
- D-Tree InternationalNot-for-profit
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
- Higher middle-income (60-80%)
- High-income (80-100%)
SummaryThis mobile-phone based application aims to enable community health workers to provide better, more efficient care while also enabling better supervision and coordination of community health programs.
Home Based Care Providers (HBCPs) are typically in the best position to promote preventive care and convey important health information, and are often the only health workers with sufficient time to get to know the patient and understand their challenges. HBCPs can encourage prompt care-seeking behavior, and detect and refer those at risk for tuberculosis, malaria, and other important diseases related to HIV. Finally, HBCPs also have the potential to collect information that is needed at the national level about disease burden. HBCPs, however, often receive relatively little medical training, have high turnover, and have limited opportunities to reinforce their knowledge once they begin working in the field.
Key program components
Dimagi and D-Tree international are leading CommCare, a mobile-phone based application that will enable CHWs to provide better, more efficient care while also enabling better supervision and coordination of community health programs.
This effort is a collaboration with local researchers and implementing organizations, and will be built on top of the open source JavaROSA platform.
CommCare is a case management solution for CHWs. Each CHW is equipped with an inexpensive phone running free and open source software that contains registration forms, checklists, danger sign monitoring, and educational prompts. CommCare helps manage enrollment, support, and tracking of all of the CHW's clients and activities.
CommCare captures data from each home visit and sends the data to a central cloud, CommCareHQ for program improvement, health surveillance, and workflow interventions. CommCare is easily customizable for different environments; it can run on inexpensive Java-enabled phones or higher-end Android phones, easily handle multiple languages, and incorporate multimedia elements for low-literate users.
CommCare collects and reports data that helps monitor and evaluate community health programs themselves. It has several levels of functionality (not all of which are fully developed ):
Household visit tracking: The HBCP will record every household visit in CommCare, which will be relayed back to a central server over the cellular network.
Household visit support and data collection: CommCare will present a checklist of activities to the HBCP for each visit, as well as collect data, such as information about any births or deaths since the previous visit. The content of the checklist and questions will be easily customizable to meet the needs of each program.
Followups: Many household visits result in the HBCP advising their clients to do something or go somewhere, such as to go to a clinic for testing or treatment. During a visit, the HBCP will record their recommendations in CommCare. At the next visit, CommCare will prompt the HBCP to follow up.
Record keeping: CommCare will maintain household house records as well as information about each member of the household (e.g., age, immunization and weight for children, family planning method for adults, etc).
Health protocols: CommCare will guide a HBCP step-by-step through relevant health protocols, such as TB and malaria screenings, and refer people to appropriate clinics or testing.
Day planning: CommCare will help a HBCP plan their day.
Data exploration: HBCPs will also be able to use CommCare to explore trends in their activity, and compare data on their clients and activities to those of other HBCPs in the country.