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SMS And ICT4D Connecting to People Trevor Perrier February 11, 2015 Why SMS Or: Where There Is No App Advantages of SMS Disadvantages Ubiquitous No structure No Install Limited bandwidth Low cost Complex syntax


  1. SMS And ICT4D Connecting to People Trevor Perrier February 11, 2015

  2. Why SMS Or: Where There Is No App Advantages of SMS Disadvantages ● Ubiquitous ● No structure ● No Install ● Limited bandwidth ● Low cost ● Complex syntax ● Scalable When To Use ● Large scale ● No control over hardware ● Simple data collection or unstructured messages

  3. Telecommunication Interface Very Difficult …. Connection Methods … ● GSM Modem ● Telco red tape ● Third Party Gateway ● Expensive to setup ● Only cost effective at scale ● Android Gateway

  4. GSM Modem ● Direct connection to cell http://2.bp.blogspot.com/- http://2.bp.blogspot.com/- g85nKyRJGmE/T0coXnOy71I/AAAAAAAAAI8/DSY24jAiPZg/s1600/Huawei+E169+unlock g85nKyRJGmE/T0coXnOy71I/AAAAAAAAAI8/DSY24jAiPZg/s1600/Huawei+E169+unlock network +update+Firmware+download+drivers.jpg +update+Firmware+download+drivers.jpg

  5. GSM Modem

  6. Third Party Gateways How connect a web application to the telecommunication system? HTTP to SMS Gateways ● Twilio ● Nexmo ● Sendhub Africa's Talking

  7. HTTP to SMS Gateway Send - POST request ● URL: http://api.africastalking.com/version1/messaging ● Header: apikey=APPLICATION_API_KEY ● username ● message ● to Receive - Call back URL ● URL: http://my.app.com/at/receive ● POST variables ● from ● message ● date ● uuid

  8. Android SMS Gateway Ushahidi SMS Sync and EnvaySMS

  9. Frontline SMS ● Started in 2005 ● Runs on a laptop connected to a GSM modem ● Easy to setup and get started Features ● Groups ● Survey ● Keywords

  10. Frontline SMS Keywords: prefix matching on incoming messages clinic We are open 7am – 6pm Monday – Friday

  11. Frontline SMS Keywords: prefix matching on incoming messages news Thank, you are now registered for clinic news.

  12. Frontline SMS Keywords: prefix matching on incoming messages FrontlineSMS is a free open source software used by a wiki frontline sms variety of organizations to distribute and collect information via text messages (SMS). The software can work without an internet connection and with only a cell phone and computer.

  13. RapidSMS Features ● Django application (python web framework) ● Keyword based router ● Base framework (connections, contacts, messages)

  14. Cloud Platforms RapidSMS as a service ● Telerivet (EnvayaSMS) ● FrontlineCloud ● Text It (RapidPro) Features ● Channels – Android or Third Party Gateways ● Contacts and Groups ● Forms ● Messaging Campaigns ● Keywords

  15. Connecting to Patients Can we use two-way SMS to engage pregnant women with the health system.

  16. Study Design Automated messages can be ● 472 preprogrammed messages scheduled relative to: ● 20 weeks before delivery ● Client enrollment ● 10 weeks after birth ● Estimated delivery ● 4 categories ● Next scheduled visit ● Actual delivery Messages can also be contextualized: • Personalized with the woman’s name • Delivered on the requested day of the week at the requested time • Customized based on medical condition

  17. Study Design Randomization Screening for eligibility SMS Dialogue One -Way SMS (n=100) Control group (n=100) (n=100) • Weekly motivational SMS • Weekly SMS dialogue • Usual ANC care text • SMS access to nurse Baseline data collection Follow up (2, 10, 24 weeks)

  18. Study Design Randomization Screening for eligibility SMS Dialogue One -Way SMS (n=100) Control group (n=100) (n=100) • Weekly motivational SMS • Weekly SMS dialogue • Usual ANC care text • SMS access to nurse Baseline data collection Follow up (2, 10, 24 weeks)

  19. Study Design Randomization Screening for eligibility SMS Dialogue One -Way SMS (n=100) Control group (n=100) (n=100) • Weekly motivational SMS • Weekly SMS dialogue • Usual ANC care text • SMS access to nurse Baseline data collection Follow up (2, 10, 24 weeks)

  20. Study Design Randomization Screening for eligibility SMS Dialogue One -Way SMS (n=100) Control group (n=100) (n=100) • Weekly motivational SMS • Weekly SMS dialogue • Usual ANC care text • SMS access to nurse Baseline data collection Follow up (2, 10, 24 weeks)

  21. Web Based Interface

  22. A Hybrid Human Computer SMS System

  23. Problems ● Patient Management (Almost need an EMR) ● Date of next visit ● Estimated and actual delivery data ● Management of incoming messages ● Messages would could go unanswered ● Multiple numbers per contact What does the interface look like for a hybrid SMS system? How can we best use technology to amplify the efforts of individual nurses.

  24. Questions/Comments

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