Health

Editor's note: This is a guest post by Sameer Pujari, Virginia Arnold, Vinayak Prasad, and Rahoul Ahuja from the WHO's Tobacco Free Initiative.

The global tobacco epidemic is one of the biggest public health threats the world has ever faced. According to the World Health Organization's 2011 Report on the Global Tobacco Epidemic, tobacco kills more than 6 million people per year and is expected to increase to 8 million by 2030. It is one of the major risk factors for non-communicable diseases and is a global burden not only in developed countries, but also increasingly in developing countries. According to the World Economic Forum's "The Global Burden of Non-communicable Diseases."  NCDs are expected to cost the world more than $30 trillion (48% global GDP in 2010) over the next 20 years, posing a significant risk to economies worldwide.

In the last couple of years, the use of mobile phones in most countries, particularly in Asia and large parts of Africa, has seen an unprecedented increase. According to the International Telecommunication Union's (ITU) Measuring the Information Society Reports (2009 and 2011), mobile technology penetration has risen from 2% to 40% throughout much of Africa in the past decade. With more than 5.3 billion mobile phone subscriptions globally, the advantages of mobile health technology for public health, are promising because of its ubiquitous outreach.

01.20.12 WHOTFI Health

Mohini Bhavsar was a summer 2010 research intern at MobileActive.org. Shortly after, she volunteered with TulaSalud in Guatemala to observe what it takes to implement and scale a mobile health program.

Innovation in mobile health is not quite as widespread in Latin America as it is in Africa and Asia. Of the m-health programs in Latin America, little sharing of region-specific strategies has taken place.

TulaSalud is an organization based in Guatemala that is leveraging ICT -- specifically mobile phones -- to improve the delivery of health care services for indigenous communities. Through this case study, we hope to share some of what TulaSalud has learned over the years. 

TulaSalud partners with the Ministry of Health and the Cobán School of Nursing and receives support from the Tula Foundation based in Canada. The organization's vision is to use ICT and mobile technology to reduce maternal and infant mortality and to monitor disease outbreaks in the remote highlands of Alta Verapaz. Using mobile phones, TulaSalud has been able to improve the flow of information between health professionals based in hospitals and community health workers (CHWs) in remote villages.

Alta Verapaz has the largest rural and poor indigenous population in the region with limited access to health care services. In an area with one million inhabitants, 93% are indigenous and share the highest burden of maternal mortality.

TulaSalud's community health workers, known as tele-facilitadores, use mobile phones to:

03.09.11 MohiniBhavsar Health

SMS is everywhere, in an amazing diversity of applications. From enabling 'instant protest' in the Philippines, Spain and Albania, to election monitoring in Ghana, Lebanon, and Sierra Leone to HIV/AIDS education and support in Mexico and South Africa, we've seen that 160 characters can make a difference. This How-To covers the basics of setting up an SMS campaign system, looking at different approaches to suit your goals, budget and technical expertise.

What do you want the system to do?

Before you start, it's important to have a clear vision of how you want to use the system, and who the target audience might be. You should also do a level-headed audit of the resources available, including funding as well as staff time and technical expertise. If this doesn't look promising, take heart! Sometimes the most effective systems are the simplest, and you don't need a big budget for many types of SMS campaigns.

10.04.09 MelissaLoudon Advocacy Citizen Media Democratic Participation Disaster & Humanitarian Relief Education Environment Health Livelihood & Economic Development