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The mobile application will have three protocols namely:
a) iCCM case management protocol- to be used by Health Surveillance Assistants (HSAs) in the day to day management of cases in village health clinics;
b) Supervision protocol- to be used by Senior HSAs, district and national level supervisors; and
c) Mentorship protocol- to be used at a Health Facility level to improve and track mentorship for HSAs.
This digital health tool will help HSAs to adhere to Ministry of Health protocols on management of childhood illnesses at community level using the iCCM approach and receive decision support to provide high quality care to clients in the various services they offer. This will in turn improve health outcomes for children accessing iCCM services in HTRAs.
digital Health partner to design a mobile application that will incorporate the following principles:
• Program “iteration”- the design should take into consideration the commitment, years of targeted investment and IMCI Unit’s experience in designing and scaling up community-based digital health platforms including iCCM. The development process should demonstrate that a continuous and iterative process to develop, implement, evaluate, and adjust will be an important ingredient for refining the digital health mobile application in order to achieve programmatic impact.
• Build upon existing infrastructure and make refinements to scale up interventions- the development of the digital mobile health application should use existing structures and able to quickly scale up the iCCM mobile application i.e. by leveraging long-established iCCM trained HSAs operating village health clinics in HTRAs and the Ministry of Health server to host the digital application.
• Engaging users in designing the tools and approaches and supporting continuous refinement- Using the IMCI Unit and DHOs’ experience in managing digital health applications will be critical in scaling up the mobile health application and help reach desired outcomes by rapidly responding to changing needs. The application will be expected to use the MOH approved standardized tools for each of the protocols i.e. The Sick Child Recording Form for the case management protocol, supervision checklist for the supervision protocol and the Mentoring checklist for the mentorship protocol.
• Improving the ICT and health information literacy skills for Health care workers- the digital health partner should also consider improving the ICT literacy and health information literacy skills for HSAs and DHO staff and where necessary that of the caregivers and/or the communities. Possession of adequate skills amongst health workers and caregivers will enhance adoption and effective utilization of the iCCM mobile health application and the health information it generates. Furthermore, acquiring these competences will ensure understanding and participation on digital Health interventions for their long-term sustainability.
• Developing easy-to-use patient-centered low cost digital health application- To avoid abandonment of such projects and promote scale-up, the digital health partner, under the leadership of the unit, will support the IMCI Unit and the DHOs, if necessary, to develop a sound financing regime that will encourage local funding/financing of digital Health interventions. This will ensure that the government is able to embrace affordable digital Health technologies that are relevant to the local context.