Higher Education eLearning Technologies International Conference About the Speaker Project implementation team; Micah, Priscilla , Paul and Lydia 2 Adaptation of Disruptive Education Technologies and Pedagogical Skills in the Transformative Higher Education Ecosystem Paper Title:Leveraging on disruptive Digital innovations to deliver Community extension services in higher education ecosystem. Context that informed designing of Tekeleza project-2015 Low health information literacy on self care among ANC mothers Low one ANC visit coverage ( was <43% then. Currently >92%) Low 4 ANC visits coverage ( was < 26% then . Currently at 52%) Low access to SBA (was <65% then. Currently at 76%) Facility maternal mortality ratios of 109/100,000 live births Maternal Mortality Ratio of 480/100,000 Livebirths then Only 25% of pregnant women had access to obstetric ultrasounds Only 35% of graduating midwives were being employed by MOH 4 The MNCH Ecosystem Care Gaps Mother Midwife as part of facility Community health worker Payer Limited insurance access Delayed or non- payment Often doesn’t go & doesn’t pay Lack of info & lack of (quality of) care provided Limited info sharing, referrals & instructions for follow-up Often doesn’t share her symptoms Lack of info & lack of (quality of) care provided 5 Objectives of Tekeleza project To leverage on the ‘ best fit’ of bankable and existing PHC digital health innovations to improve the quality of MNCH services delivery. To strengthen MNCH service delivery linkages between the facility and surrounding communities through improved information flow. To co-create with various payers, innovative and sustainable MNCH services’ financing mechanisms at the PHC level. Tekeleza = Sustainable MNCH financing + Competencies improvement + Access to quality care 6 The Project Business Model Health workers Amref Training of CHWs + midwives + facility based staff Reporting Ultrasound devices Digital MNCH solutions Equipment Suppliers Tekeleza SPV PHC Value adding low cost MNCH services-Facility Ksh Ksh Ksh Revenue sharing ultrasound services Performance based incentive CHVs IGAs Government Recruitment Commodities Infrastructure One contract covering health workers + county government OPEX + Capex External financers Salaries Payment for products from IGAs US fees Payers And Money (Flow) Main Contracts Infrastructure/Services In Contract Entities In SPV Bank Account 7 Activities Done in the Project Midwives being trained and incentivized under a PBI to offer POCUS services ANC mothers being tested for 4 infections through 4 tests ANC panel Kit Midwives and CHPs being trained through microlearning app CHPs enrolling mothers into Linda mama scheme through a mobile app. CHPs are IGA supported & are on PBI pegged on # pregnant women referrals Personalized HE for pregnant women through microlearning app POCUS user fee retained in facility account to improve on MNCH supplies Implementing counties have allocated an MNCH budget lines on reimbursements to facilities to compliment the user fee collected. 8 4 Tests ANC Panel One blood sample used to test for Hepatitis B, Malaria, Syphilis & HIV 9 Partnerships and tools used in the Project Community Health education, referrals CHP Provision of Primary care ANC visits, delivery, immunizations Midwife Financing of care Reimbursements, capitation fees County, Health insurer, donors Real-time medical records Treatment data Disease prevalence Clear task package + incentivization 10 Digital Tools 11 Enhancing access to PHC services using microlearning and other disruptive technologies Mothers Recahed in 6 Months Before Linda Mama Ultrasound 1047 0 After Linda Mama Ultrasound 1622 536 The Key outputs to date 100 midwives have been effectively trained on performing an obstetric ultrasound using mobile technology Midwives have earned incentives amounting Ksh. 1, 338,500 (USD 11000) out of the affordable user fee they charge & are motivated 4,897 pregnant women have been screened of whom 55% were able to pay the user fee of Ksh 500 (USD 4) instead of the USD 35 charged in private sector. The trained midwives have identified 35 cases with pregnancy related risks . Early referrals were done for each of the cases Project CHPs have been supported to register CHU based CBOs that are IGAs supported Linda mama enrollments and POCUS uptake have increased by > 60% in project sites over 4-6 months. 13 Learnings and Recommendations Digital innovations can enhance delivery of Community Extension services by universities There is need for clear policy framework to regulation on usage of digital innovations under community extension services Use of contextualized micro-learning content is a key enhancer of community extension services uptake There is need to standardize microlearning content used in support of various community extension services 14 Tekeleza Publications to Date Viability of Point of Care Ultrasound screening in Primary Health Care Setting: A Kenyan Experience. https://repository.amref.ac.ke/bitstream/handle/123456789/825/Viability%20of%20Point%20of%20Care%20Ultrasound%20screening.pdf?sequence=1&isAllowed=y Barriers and Enablers That Influence Utilization of Ultrasound Screening Services among Antenatal Women in Kajiado and Kisii Counties Kenya. https://www.scirp.org/journal/paperinformation.aspx?paperid=107064 Knowledge and Skills Gap of Midwives to Conduct Obstetric Ultrasonography Screening in Primary Health Care Facilities in Kajiado & Kisii Counties, in Kenya. https://www.scirp.org/journal/paperinformation.aspx?paperid=101694 Training Midwives to Perform Basic Obstetric Point-of-Care Ultrasound in Rural Areas Using a Tablet Platform and Mobile Phone Transmission Technology—A WFUMB COE Project https://ecommons.aku.edu/cgi/viewcontent.cgi?article=1031&context=eastafrica_fhs_mc_imaging_diagn_radiol  https://newsroom.amref.org/blog/2023/10/top-of-formaddressing-healthcare-disparities-in-kenya-through-innovative-solutions/​ https://newsroom.amref.org/innovative-health-services-solutions/2023/06/promoting-maternal-and-child-health-through-technology-the-lucy-mobile-application-in-migori-and-kisii-counties-kenya/ 15 image5.jpg image3.png image4.png image6.png image2.png image7.png image8.png image16.png image17.png image18.png image9.png image10.jpeg image11.png image12.jpeg image13.png image14.png image15.png image19.jpeg image20.jpeg image21.jpeg image22.png image1.jpg