I stumbled across this blog by Josh Nesbit discussing the use of FrontlineSMS, a tool to set up a text-based communications network, in a rural health project in Namitete, Malawi.
Here’s a 7 minute long interview with one of the community health worker. At about 3:00 she starts discussing the advantage of having a cell phone:
And here’s an interview with Alexander Ngalande, a nurse at St. Gabriel’s Hospital in Namitete, regarding his experience with FrontlineSMS:
He now uses SMS to communicate with the community health workers to coordinate his medical visits to remote villages. Previously he required a motorbike to send a message when he would be in attendance.
Examples of text messages being sent:
– A man missed his appointment with a TB officer. A CHW was texted, who reported the man had gone to Zambia for a funeral. The hospital will be notified upon his return.
– An HIV support group met, and decided on new member guidelines. Via SMS, the group leader asked the hospital to print copies for the lot.
– A CHW asked about ferrous sulfate dosages, so he could administer the proper amount to an anemic child.
We take this type of communication between medical staff and patient for granted.
See also this BBC article.