ictdchick: information technology, healthcare, and africa Rotating Header Image

May, 2007:

Of Former Health Ministers and Toilet Paper

So today is the first time I’ve needed to have my own toilet paper.  After lunch (karo and beef stew) I peeked into the bathroom nearby, saw that there was no tp, and decided to go to the hotel instead.  Although initially we were in the Oxford Inn (25,000 Sh or $14/night) this morning we checked into the Westland Hotel (10,000 Sh or $6/night).  And looking in my own bathroom, I realized there was no paper there either.  Fortunately, this morning I picked up Mallory’s extra paper as I was checking out of the Oxford Inn and could use that. :)

So the big news around Uganda these days is that the Health Ministers seem to have lost some $1 million from an immunization project.  The former health minister, Muhuwenzi (sp?) ran off to the UK, presumably for a medical check up, and refuses to come back to be in prison.  His other corrupt colleagues are now "comfortably" in jail, without recourse to bail.

Yet life goes on, and we’ve had two meetings with the Ministry of Health so far, and will have another one in a couple of weeks. My general impression is that this government is very progressive, has done a very good job actually decentralizing delivery of health care, and is encouraging of appropriate IT projects.  They’ve made it a priority to get Internet connectivity at each of the district hospitals in the next two years, possibly even faster, and have recently held meetings with the Institute of Computer Science here in Mbarara to figure out what can be done in terms of computerizing services in the Mbarara District Hospital.  Healthnet Uganda is active is 5 districts (formerly 2 districts, but split into 5 as part of decentralization), with forms submitted via infrared and GPRS with the help of Palm Tungstens/m130s and WideRay jacks.  The whole system is still cash and carry, but at least Microcare is doing a great job of delivering health insurance, and making inroads into delivering better healthcare in the rural informal sectors. Overall, this is a relatively easy place to work!

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Smart Delivery with SmartVouchers

I’ve been in Uganda for almost a week now, doing a needs assessment with the East Africa Blum Fellows smartphone team – on whether and how smartphones can be used in the context of healthcare in Uganda.  We’ve had meetings all over Kampala, with Satellife/Healthnet Uganda, the Ministry of Health, and various people at Makarere University.  See my flickr account for a photo diary.

My most productive meeting so far has been with Francis and Gerry at Microcare, Uganda’s largest insurance company.  Ben Bellows has been working with Microcare and Marie Stopes International on Output Based Aid (OBA), a voucher-based scheme for the delivery of STI treatment in the Mbarara district 6 hours drive west of Kampala (by the way, I just arrived in Mbarara yesterday). Ben and I (along with Mahad and Sonesh) have been talking about how to integrate smartphones into the voucher claims process and recently won a CITRIS award to fund the implementation of a pilot deployment.  So when I arrived in Kampala, I made plans to meet Microcare and MSI to talk about our plans.

What strikes me most about Gerry and Francis is how fast they think.  Having learned all about their insurance system, I asked why they didn’t use smart cards for the OBA program as well. In a flurry of conversation we realized that the smart cards are durable enough to be reused – and would be a useful platform for a new rural program promoting antenatal care.  Rather than using vouchers, which could be resold or appropriated, they will issue smart cards for the 9-month duration of the pregnancy, recording visits.  The "admission" into the program would be the cost of the smart card (about $1), and upon completion the patients would return the card in exchange for a small gift (we were thinking of baby socks).  Within five minutes of my question, we not only had a whole scheme worked out, we also had a name: Smart Delivery.  Using smartphones enabled with smart card readers we can set up a rural terminal such that transactions can be delivered efficently via SMS at extremely low cost. Within one hour, we had defined a protocol, and Francis had assigned the project to one of his software engineers (Microcare insources their work to a wholly owned software company in Chennai) and made plans to complete the work by June 15th.  I’ll keep you posted on what happens!  In the meantime, I’ve loaned them my two GPRS modems, so they will be testing the system using two PCs.  I’ll see what I can do to implement the smartphone version…although it’s been entertaining trying to figure out the APIs without access to the web for documentation!

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African Healthcare Summit – GPS Foundation, DC

I recently (April 29, 2007) gave a talk to the Ghana Physicians and Surgeons Foundation (a group of Ghanaian doctors practicing in the US) at their annual African Healthcare Summit.

My slides are downloadable here (ppt, 10.5 MB).  I gave an introduction to TIER, talking about our work using long distance WiFi (WiLDnet) for the Aravind Eye Hospitals in India, then gave an overview of our project in Ghana. Just for a bit of context, I also presented a brief introduction to network infrastructure options in Ghana.

It was a great opportunity to meet many wonderful people, including my host Grace and the many doctors actively returning to Ghana on a regular basis to provide training and do rural outreaches. I’m really looking forward to working with all of them!

About

Hi there! Welcome to my semi-incomplete page. I am filling this web site in over time, so you’ll see these pages revamp themselves a bit often. For now, if you are interested in knowing a bit more about me, just surf through the pages on this site or check out these other resources:

photos: gallery, another gallery, TIER gallery, imagestation, flickr
stories: melisssaisfaraway mailing list
church: First Presbyterian Church of Berkeley
school: School of Information, UC Berkeley
profiles: orkut, friendster, linkedin, facebook
bookmarks: del.icio.us
im: melissa.ho (Skype), mrh9 (Yahoo), melissa.ho (Gmail), MelissaRitaHo (AIM)

I’m doing research on technologies for developing regions with the TIER group at UC Berkeley (Cal) and Intel Research in Berkeley. In past lives, I’ve done an MSc in Data Communications, Networks, and Distributed Systems (DCNDS) at University College London, and worked for a couple of up-starts (they don’t quite qualify as startups anymore) companies, Actional andEnsim. If you want the nitty-gritty details,
you can take a look at my old cv/resume. And if you want the dirt you’re going to have to track me down and call me. :) Eventually I’ll be getting myself into this, but in the meantime, I’m happily ensconced here.

I love reading – mostly sci-fi/fantasy, but also a few in the technical, non-fiction, and Christian genres. I also have a number of hobbies, including acrylics, watercolor, Chinese brush painting, and arabic calligraphy. I’m terrible, but I figure with a few more decades of practice,my work might become at least passable. When I’m in California and have a spare weekend, more often than not, you’ll find me hiking and camping in Yosemite.

I’m fascinated by personality theory (I’m INTJ and 5) and other cool things like
optical illusions.