Media development action with informed and engaged societies
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
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We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at cila.comminitcila.com and is linked with The CI Global site.
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Phones-for-Health

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Phones-for-Health is a public-private partnership facilitating access to and use of cell phones for health efforts in the developing world. The U.S. President's Emergency Plan for AIDS Relief (Emergency Plan/PEPFAR) is working along with the several mobile phone industry companies and other private-sector partners to leverage technology to connect health systems in PEPFAR-supported countries. This partnership aims to address the need for a health care infrastructure to adequately address the HIV/AIDS pandemic. PEPFAR will provide initial support to this alliance for system roll-out in Rwanda and Nigeria in 2007, with a plan to eventually extend the partnership to at least 8 additional countries on this continent and then expanding into Asia as well. While initially focused on HIV/AIDS, the goal is to use the system to address infectious diseases like tuberculosis and malaria as well.
Communication Strategies

This initiative draws on partnership as a strategy for bringing information and communication technologies (ICTs) to bear on global health challenges. The alliance draws together network operators, handset makers, and technology companies with health groups and government offices to take advantage of what organisers describe as the "explosive spread of mobile phone networks across the developing world." The hope is that, together, these groups can develop and distribute an integrated set of standard information solutions that support local capacity building for the scale-up of infectious disease programmes in a cost-effective manner.

In short, the cell phone is envisioned here as serving a 2-part purpose in this collaborative effort:

  1. Making timely, relevant health information rapidly available to programme managers and service providers - even those serving patients in remote or rural areas that may not have electricity. The system is envisioned as contributing to the creation of a "culture of information seeking" and greater capacity for data-driven decision making; and
  2. Fostering effective, two-way communication at the regional, national, and (especially) local levels, creating both a referral network and an education channel that can be used to spur dialogue about, and effective response to, health care issues.


Specifically, the programme provides health workers in the field with a Motorola-made phone that is equipped with an application that lets them enter health data on patients. That information is then sent by way of general packet radio services (GPRS) to a central database. (If a GPRS network is not available, it can be sent via short message service (SMS), or text.) The data is analysed and mapped by the system and then made available to health officials through a real-time internet database. The system supports SMS alerting and notification, as well as tools for communication and coordination with field staff. Health workers will also be able to use the system to order medicine, download treatment guidelines and training materials, and access other appropriate information.

Development Issues

HIV/AIDS, Health.

Key Points

According to organisers, fixed-line telephone and internet connections are rare across much of Africa. But more than 60% of Africans now live in areas with mobile phone coverage, and that figure is expected to rise to 85% by 2010, according to the GSM Association, the alliance representing the world's wireless industry.

Partners

PEPFAR, GSM Association Development Fund, Accenture Development Partners, Motorola, MTN, Voxiva, and Roodeport.

Sources

Email from Maureen E. Thaivalappil to The Communication Initiative on February 13 2007; and the PEPFAR website.