Difference between revisions of "DigI:Roundtable Digital Health for Tanzania"

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== List of Participants ==
 
== List of Participants ==
 
Norwegian Embassy
 
Norwegian Embassy
* Johanne  
+
* Johanne Bjørnflaten Walthinsen
* Noel
+
* Noel Magoti
  
 
Ministry of Health (MoH)
 
Ministry of Health (MoH)
* Primary Secretary..
+
* Permanent Secretary - Dr. Mpoki M. Ulisubisya
  
* Elibariki
+
* Elibariki Mwakapeje
 +
* Marcos Mgeru
  
 
[[USCAF]]
 
[[USCAF]]
* Peter Ulanga, CEO
+
* CEO - Eng. Peter Ulanga
  
Halotel
+
Tanzania Telecommunication Company (TTCL)
* Jerome(?)  
+
* Enocent Msasi
  
Airtel
+
Tigo
*  
+
* Jerome Albou
 +
* Anna Tesha
  
 
Vodacom Foundation
 
Vodacom Foundation
*  
+
* Noel B. Mazoy, Deputy for Rosalynn Mworia
  
 
Sokoine Unversity of Agricultue
 
Sokoine Unversity of Agricultue
* Helena Ngowi
+
* Prof. Helena Ngowi
* Flora xxxx
+
* Flora Kajuna
  
 
National Institute for Medical Research
 
National Institute for Medical Research
* Bernard Ngowi
+
* Dr. Bernard Ngowi
 +
 
 
Muhumbuli
 
Muhumbuli
 +
* Dr. Felix Sukums
  
 
University of Oslo
 
University of Oslo

Revision as of 10:27, 16 February 2018


DigI:Roundtable Digital Health for Tanzania

Title Roundtable: Digital Health for Tanzania
Place Norwegian Embassy in Dar es Salaam
Date, Time 2018/02/12, 1200-1500h
Contact Person Josef.Noll
Participants Josef.Noll, Elibariki Mwakapeje, Helena Ngowi, Bernard Ngowi, Felix Sukums, Flora Francis Kajuna, Christine Holst
related to Project DigI
Keywords
this page was created by Special:FormEdit/Meeting, and can be edited by Special:FormEdit/Meeting/DigI:Roundtable Digital Health for Tanzania
Category:Meeting


Agenda

Welcome
Table round
How to bring Digital Health to everyone in Tanzania
Connectivity
Literacy
Formalities
Cost-efficient approach
Plans from the Norway-Tanzania collaboration through the "Digital Inclusion" project
Showcase TZ, e.g.: "Anthrax Outbreak Management", "Digital Health Education for Everyone"
Discussion
Steps ahead, action items
end of meeting

List of Participants

Norwegian Embassy

  • Johanne Bjørnflaten Walthinsen
  • Noel Magoti

Ministry of Health (MoH)

  • Permanent Secretary - Dr. Mpoki M. Ulisubisya
  • Elibariki Mwakapeje
  • Marcos Mgeru

USCAF

  • CEO - Eng. Peter Ulanga

Tanzania Telecommunication Company (TTCL)

  • Enocent Msasi

Tigo

  • Jerome Albou
  • Anna Tesha

Vodacom Foundation

  • Noel B. Mazoy, Deputy for Rosalynn Mworia

Sokoine Unversity of Agricultue

  • Prof. Helena Ngowi
  • Flora Kajuna

National Institute for Medical Research

  • Dr. Bernard Ngowi

Muhumbuli

  • Dr. Felix Sukums

University of Oslo

  • Christine Holst, Centre for Global Health

Basic Internet Foundation

  • Josef Noll, Secretary General

Notes from the Meeting

  • Introduction round
  • Professor Noll briefed on goals of meeting and core messages of the foundation and project. See http://digi.basicinternet.no for all information
  • Q: Funds available, or looking for funds? A: Working with Norad on getting the funds from NAVA, Norfund, Swedfund, Finnfund. Put results together to show the impact and effect.
  • A discussion on diseases. Why were the villages and diseases chosen? [1]Cholera and malaria should be addressed (a cholera video is projected and will be available [2]). Malaria is the number one disease, impact is bigger when addressing this diseases. Also AMR, and one-health diseases and NTDs, stunting and malnutrition. Common approach. Mr Mwakapeje and ass. Professor Ngowi commented on the one-health approach. NTDs continuously endemic in our area. Comment from Dr. Ngowi on the roll-out of this piloted priority diseases, and then add on more diseases and prevention material. Build out the platform is one of the main aims of DigI.
  • The background – ground work, areas and villages, start fresh. Sustainable business model – what are the criteria to roll out, and make it work?
  • We want to reach the people – they will access the entry point and use the digital health platform. What are good entry points?

• Mr Ulanga from the Universal Communication Service Access Funds presentation. Priority diseases research impact, but less societal impact. Hard to demonstrate significant outcomes. 2G, 3G and 4G illustrations on map.

• Dr Mpoki on the telemedicine project. Infrastructural issues makes it hard to reach every Tanzanian. The deployment of health workers in rural areas failed. With appropriate mechanisms of communication, we have a better stand in the marked. Base at Muhimbili – connected the hospitals (i.e. Bagamoyo and Ngorongoro). When planning scaling up, the equipment run out, new approach was developed. Currently looking for sources to equip the staff. Location close to Kenya – installed a digital village with i.e. diagnostics and ultrasound. This have worked out well. Examples from the digital school. Five national hospitals, regional hospitals, thereafter district hospital, and wards, clinics and health posts. Still; not all have access to health care.

• Mr Ulanga: An unified approach among the various stakeholders is most important.

• Mr Albou, TIGO. Broadband work started 2008. People were not using it due to language barrier. Facebook was translated into Swahili. Adoption of internet boomed when local language was used. Two areas were focussed in the project: Health and education. But the platform was not used, due to lack of content and lack of devices. The old curriculum was made available online, and program schools were funded for two years. Also related to birth registration and monitoring. Free is dangerous, needs to be sustainable. Much is already invested in infrastructure, but rural areas are really complex. Investment and running costs are both drivers that drain the projects economically. Theft of solar panels has also been an issue. How can we bring the broadband into the picture? Broadband was pushed in six villages. Penetration ran very fast, especially in the younger segment. People know how to send SMS, but not use of data, due to lack of devices. 4G devices is very costly, even 20.000 TSH can make a huge difference for many people. When the old mobiles are charged, last for two weeks. With the smart phones, lack of electricity to charge can represent a huge barrier. To reach the people is also a problem. The videos reaches only the people that is already educated. When there is specially needs . Content is Swahili, but local language is needed in order to reach all. The main problem is the lack of devices. Mpesa example. There is a need, because there is no banks. This is why it is successful. Making people able to pay for health care services.

• Mr Msasi, TCCL – public company, corporation owned by government of Tanzania. The company have been working closely with UCSAF, also through competitive bidding. Connectivity have been rolled out to 5-6 villages, population of about 720.000. Voice and SMS, plus low speed internet (2G). Challenges are mainly the devices, power and the operations. Running costs are high, but the services must remain affordable. We are obliged to go to rural areas, but now we have UCSAF, which makes it easier. Expectations: cost-effective solutions. What are these? Are we using the same infrastructure in DigI? How can we make the content accessible for all?

• Mr Noel, Vodacom: woking mainly on digital financial inclusion. From the Telecom side: we like to get into partnerships, in which we can reach large numbers of people. Digital platforms can help us pass on the content and knowledge. Pilots on access and use of digital financial services, improve businesses and wellbeing: after a year the program reached 30.000 farmers, could reach 100.000 in less than three months. Huge opportunities to use digital platforms for education on health. Mobile money platform i.e. mPesa, to deliver content. How do we marry initiatives from the foundation and the business side – how can we make it sustainable?

• A discussion on content, devices, 2G, Wi-Fi and business models held out. Example from India on a sustainable business model were presented. Where are the entry points on digital literacy, use of money transaction, what is the value of internet? Is it schools, marked places? India example on people who travel for days for registration, while they could do it online. Comment on the demographics in India being different from Tanzania, especially with regards to the population density. No place in TZ where you can drive without crossing a river. Villages are small and many, this the need to concentrates on areas with multiple sup-villages. Dispensary in the villages are usually unsustainable. Wherever you built a health centre – people will have to walk for 15 km. The fact needs to be recognized. Local government provide for the local village; ward, division, district in order to give primary health care. The terreng and the distances makes it very difficult. However, points of services draws people. For example; pastoralists in the North are typically hard to reach populations, both push and pull. But at the marked day – people come to exchange, sell, buy. Health points, dispensary’s, schools, churches all play roles in the everyday lives for people, where they go. A well was built near to the tower. This could illustrate an entry point where Wi-Fi was offered, but 20-25 meters away, there was no coverage. Josef explained the Wi-Fi model, on coverage in village hot-spots. See TI1.2 Pilot installation Kjeller Videos, text and pictures are stored locally. Example from kindergarden in Germany: 70% FB, whatsapp dominates. First step on triggering the interest – then follow with basic information.

• Conclusion: Mr Ulanga had the closing remarks for the meeting– we need to gather what is available locally, using the content provided. We need to support the communities ability to access information. Let’s learn from what is already going on in Bagamoyo and Ngorogoro. Let’s add on diseases as we walk the way.



 PresenterPresentation FileKeywords
Partnership for Digital Tanzania 2018/02/12Josef NollClick to OpenDigital Tanzania
Digital Global Health