Hope meets phones.

It’s been another landmark day in the short history of FrontlineSMS:Medic. For those of you who don’t know, today saw the launch of their latest initiative – Hope Phones – which, generally speaking, encourages people to dig out their old phones and give them a new lease of life in the hands of a community health care worker (CHW) in a developing country.

Hope Phones

Hope Phones will make use of the nearly 450,000 cell phones discarded every day in the United States, and allows donors to print a free shipping label and send their old phone in to The Wireless Source, a global leader in wireless device recycling. The phone’s value allows FrontlineSMS:Medic to purchase usable, recycled cell phones for  health care workers. According to Josh Nesbit:

Hope Phones lets you give your old cell phone new life on the frontline of global health. That’s powerful. Just one, old Blackberry will allow us to purchase three to five cell phones for health care workers, bringing another 250 families onto the health grid via SMS. Old phones can help save lives

Why it’s not about the phones

What really excites me isn’t the simplicity of the idea, or the great execution, or the branding (more kudos to our good friends at Wieden+Kennedy), wonderful as all those things are. It’s not even the number of retired phones this could rejuvenate, or the impact that all of this could have on the ground, incredible as it promises to be.

No. It’s all about mobilisation. To take and adapt a phrase:

Never doubt that a small group of thoughtful, committed students can change the world. Indeed, it’s the only thing that ever has

FrontlineSMS:Medic, and Hope Phones, has come out of nowhere, and it’s challenging our perceptions of what’s possible. Sure, global health is a seriously big beast to deal with, and few of us – if any – will ever have the muscle needed to tackle that particular monster. But that doesn’t mean we shouldn’t do anything. Indeed, there is a lot we can do.

Photo: Mobiles in Malawi/Jopsa.org

Talk is cheap

While large multinational donors and governments battle it out, dotting the i’s and crossing the t’s, people need help. Every day. These people can’t wait. And people like Josh, who have spent time on the ground understanding how rural hospitals tick, know all-too-well the impact that a simple cellphone can have in the hands of a committed CHW. With little more than passion, drive and an amazing ability to mobilise and motivate, Josh has pulled together an incredible team of equally committed individuals – students – from universities all across the United States. While adults generally critique and find reasons not to do things, they’ve gone out and done.

We all know what we can’t change. The real challenge therefore is not only figuring out what we can, but acting on it. Talk, like politics, is cheap. Lives are not.

It’s about time we challenged old models. And that time is now.

Mobilising around FrontlineSMS:Medic

medic-logoToday sees the launch of an exciting new initiative – FrontlineSMS:Medic – by a growing team of students mobilising around the practical application of mobile technology in global healthcare delivery.

FrontlineSMS:Medic combines Josh Nesbit’s pioneering work on “Mobiles in Malawi” with a mobile version of OpenMRS – an open source medical records system – and an exciting new remote diagnosis tool. In this guest blog post, Josh Nesbit and Lucky Gunasekara talk about the origins of the project, and their plans in the coming months.

Josh: I should be heading off to class, right about now. I’ll go, but not without telling a story, first. A convergence of ideas and people marks the launch of FrontlineSMS:Medic and the team’s embarkation on a quest to do mHealth the right way.

Many of you are familiar with the role FrontlineSMS, a donated laptop, and a bag of recycled cell phones have played in connecting community health workers (CHWs) in Malawi to a rural hospital and its resources. Text messaging is now an integral component of the hospital’s infrastructure. FrontlineSMS has proven intuitively easy to use with strong user buy-in. The program is horizontally scalable, and incredibly cheap to run, matched with indisputable savings in time and costs. Enter Lucky.

President Clinton introduces Lucky

Lucky: I am the bewildered South Asian guy in the photo. Back in 2008, I was sitting in an office in Tokyo reading about cellphone penetration in developing countries, wondering if mobiles couldn’t also be used for boosting healthcare delivery in resource poor settings. When I wasn’t wearing a suit and riding to work in a packed Tokyo subway car, I was wearing a t-shirt and khakis and working in clinics in Sri Lanka – accepting an offer to attend  Stanford Med, this year. I worked out that SMS could be used in tandem with an open source electronic medical records system called OpenMRS, allowing for continuity in patient care from the community health workers to the clinic.  Meanwhile, Josh was sweating it out in Malawi, actually learning this the hard way. Just to prove that good ideas are obvious, Isaac Holeman and Daniel Bachhuber, two students at Lewis & Clark, had the same realization and began working on a project called MobilizeMRS to get this underway.

Josh: Long story short, we’re all working together now. Lucky is pictured on stage with Bill Clinton, as his CGI U commitment is announced on the group’s behalf.

Lucky: The commitment is, briefly:

To build on kiwanja’s CGI commitment of an Ambassadors Program within FrontlineSMS, by developing a new version of FrontlineSMS – FrontlineSMS:Medic – for use in clinics in developing countries. That Medic will have end to end of continuity of electronic medical records by fusing FrontlineSMS with OpenMRS in a modular click-to-add format. I will be taking a year off from medical school (a decision infinitely popular with my folks) to work on this system and develop new partners on the ground with Josh, and do research on a new breakthrough medical diagnostic system at UCLA, that we feel will be the “Killer App” of FrontlineSMS:Medic. More on that to come. We’re also going to be fully open source with wiki user manuals and off-the-shelf healthcare packages for download, so setting up a DOTS-TB program doesn’t have to be any harder than buying a song on iTunes… OK, maybe a little bit harder… but not by much.

Josh: We’re planning to pull this off within a year, operating in more than 25 pilot study and partner clinics by the summer of 2010. The system will be free and so will the hardware. Check http://medic.frontlinesms.com regularly to learn more and get involved.